EMR User Manual
9.1 Configuration/Shortcuts & HPI
Useful Shortcuts:
- Dictation: ChiroFusion is compatible with dictation & users can activate dictation in your computer's settings. Many OS Windows & Mac already come with it. Alternatively you can add the Voice In extension available from the Google Web Store as an easy to use dictation application. See link: Voice In
- Macros: Allows you to save canned template data for reports, available within the Google Web Store. See link: Text Blaze for Google Chrome
Macro Suggestions:
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ADDITIONAL SHORT-TERM GOALS - TIME FRAME 4 WEEKS
- Decrease subjective pain rating by 50%.
- Decrease palpable tenderness to moderate levels.
- Decrease muscle spasm to moderate levels.
- Decrease Neck Disability to at least < 40% disability.
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ADDITIONAL LONG-TERM GOALS - TIME FRAME 6-8 WEEKS
- Decrease medication use by 50%.
- Decrease cervical muscle spasm by 50%.
- Restore cervical range of motion against gravity to 75%.
- Decrease Neck Disability to at least < 20% disability.
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MASSAGE THERAPY consisted of 15 minutes, deep tissue work on the lower lumbar region. There was pain, tension and spasm noted bilaterally within the Multifidus, Longissimus, Spinalis, and Quadratus Lumborum. Mild restriction was also noted during lumbar flexion. There were improvements noted in Subjective pain rating, spasm and lumbar flexion following the massage therapy treatment.
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LUMBAR STRENGTHENING PROGRAM
- Kneeling Extension 6-8 reps x 3 sets
- Hip Raises 8-10 reps x 3 sets
- Superman's 10-20 reps x 2 sets
- Quadruped Opp Arm/Leg 10 reps x 3 sets
- Abdominal Crunches 10-12 reps x 3 sets
- Plank 15-30 sec hold x 3 sets
- Trunk Rotation 10-15 reps x 3 sets
HPI (History of Present Illness):
Prior to beginning the new Note, users must select a DOS (date of service) on the upper right and click Go to open the note for editing.
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