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How To: Using Schedule Navigation

May 13, 2010 Leave a comment

Once the program has been configured for your schedule, using the shortcuts is very simple.

CONFIGURATION:

https://storeyquicknotes.wordpress.com/2009/10/31/how-to-the-configuration-page/

To use the schedule shortcuts, simple press the Windows key plus and Arrow key.

  • UP and DOWN will toggle through the various locations you set within the configuration.
  • LEFT and RIGHT will change days (left = back a day and right = forward a day).

These are very simple, but very effective shortcuts.  They are especially handy when using a laptop to speed up your day and make it a little less annoying.  These represent about 1/2 to 1/3rd of shortcuts used in our clinic.

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How To: Using Abbreviations / HotStrings

October 31, 2009 Leave a comment

General Package Abbreviations:

The following is the list of Hotstrings or Abbreviations used in the StoreyQuickNotes General Package

::po::by mouth
::qd::every day
::q::every
::qhs::every night at bedtime
::prn::as needed
::nv::nausea and vomiting
::appl::apply to affected region
::tid::three times a day
::bid::twice a day
::qty::quantity
::fuw::Follow Up Weight:

:c:Amox::Amoxicillin
:c:Lor::Lortab 5/500
:c:Lot::Lotrisone
:c:Sil::Silvadene

::nlrcar::Carafate Suspension, 2 teaspons, swish and swallow four times a day
::nlrlom::Lomotil, 1 to 2 by mouth every 8 hours as needed for diarrhea (max 8 per day)
::nlrsil::Silavdene, Apply to affected region three times a day
::nlrlot::Lotrisone, Apply to affected region three times a day
::nlrxyl::Xyloxyline, 1 tablespoon by mouth before meals, after meals, and before bedtime
::nlrnys::Nystatin Suspension, 1 teaspoon, swish well for 2 min and swallow four times a day.  Take 2 days past symptom resolution.

::disc::“INFORMATION PROVIDED BY THE PATIENT, PHARMACY, OR OTHER HEALTH CARE PROVIDERS.”
::meds::MEDICATIONS:
::chemo::CHEMOTHERAPY:
::all::ALLERGIES:
::phar::PHARMACY:

::nkda::No Known Drug Allergies

::mlist::
(
MEDICATIONS:


CHEMOTHERAPY:


ALLERGIES:


PHARMACY:


“INFORMATION PROVIDED BY THE PATIENT, PHARMACY, OR OTHER HEALTH CARE PROVIDERS.”
)

MD Package Abbreviations:

The following is a list of Hotstrings or Abbreviations used in the StoreyQuickNotes MD side of the package. It is copied from the code so the format is a little odd, but really pretty easy to read.

For example: ‘po’ will automatically be turned into ‘by mouth’

::po::by mouth
::qd::every day
::q::every
::qhs::every night at bedtime
::prn::as needed
::nv::nausea and vomiting
::appl::apply to affected region
::tid::three times a day
::bid::twice a day
::qty::quantity
::fuw::Follow Up Weight:

:c:Amox::Amoxicillin
:c:Lor::Lortab 5/500
:c:Lot::Lotrisone
:c:Sil::Silvadene

::nlrcar::Carafate Suspension, 2 teaspons, swish and swallow four times a day
::nlrlom::Lomotil, 1 to 2 by mouth every 8 hours as needed for diarrhea (max 8 per day)
::nlrsil::Silavdene, Apply to affected region three times a day
::nlrlot::Lotrisone, Apply to affected region three times a day
::nlrxyl::Xyloxyline, 1 tablespoon by mouth before meals, after meals, and before bedtime
::nlrnys::Nystatin Suspension, 1 teaspoon, swish well for 2 min and swallow four times a day.  Take 2 days past symptom resolution.

; ------------------ ABBREVIATIONS ONLY IN THE MD PACKAGE ------------------

; C1 option - do not conform to typed case : See Hotstrings and Auto-replace

::met::metastatic        ; updated to remove issue with 'm' turning into something more
::mets::metastasis       ; changed
::adeno::Adenocarcinoma
::adp::Adenocarinoma of the Prostate
:C1:scca::Squamous Cell Carcinoma	
:C1:nsclc::Non Small Cell Lung Cancer
:C1:sclc::Small Cell Lung Cancer
:C1:idc::Invasive Ductal Carcinoma
:C1:dcis::Ductal Carcinoma In Situ		

::l::left
::r::right
::br::breast
::wb::whole brain
::cw::chest wall
::abd::abdomen
::pros::prostate      ; removed pr is Progestion Receptors
::pb::prostate bed

::ha::headaches
::n::nausea
::v::vomiting
::f::fatigue
::di::diarrhea      ; Add 'i' due to the word "I'diarrhea" from "I'd" - funny bad typo 🙂
::tx::treatment		

::sig::significant
::ca::cancer
::co::complains of
::pt::patient
::dz::disease
:C1:xrt::radiotherapy
::chemo::chemotherapy
::muc::mucositis
::ery::erythema
::desq::desquamation
::med onc::medical oncology

:C1:rtc::Return To Clinic:         ; Added in version 1.0
:c1:fu::Follow-up

::imf::inframammary fold region    ; Added in Version 1.01
::ax::axilla
::mdes::moist desquamation
::ddes::dry desquamation
::mdbr::moist desquamation in the axilla and inframmary fold region

Use:

Using Abbreviations or HotStrings with AutoHotKey is as easy as typing. If you type any/many notes into your electronic chart, it is very useful to have a number of abbreviations readily converted to longer text.

Below is my current list that I am using in the MD and Nursing Packages. If you need to turn them off, there are a couple of options.

  • Exit the Program
  • Use the Win-S shortcut to Suspend the script

Notes:

:c:

Means the case has to match exactly for the abbreviation to be expanded.  ie ‘lot’ will not expand but ‘Lot’ will.

:C1:

Means the abbreviation will be expand to the expanded version and it will ignore your capitalization.  For example, ‘l’ doesn’t have a C1 modifier so ‘l’ turns into ‘left’ while ‘L’ turns into ‘Left’.  ‘RTC’ in contrast which has the C1 modifier, will always turn into ‘Return To Clinic:’ regardless of how you capitalize ‘rtc’.

Editing or Changing or Adding New Entries:

These are really very easy to change.  Simply open up the .ahk script by right-clicking and selecting ‘edit’.  From there you can scroll down to the bottom of the code and make changes.

The format is pretty easy and you can pretty much copy the format to add new ones or delete ones you don’t like.  As always, if you run into trouble the AutoHotKey Help Documentation is a great place to look.

How To: The Configuration Page

October 31, 2009 Leave a comment

Today we will cover the configuration interface for StoreyQuickNotes.

Here is a picture of the current version of the interface as of the soon to be released version 0.98 beta.

ACCESSING THE CONFIGURATION PAGE:

On your first use, or if anything is blank, you will be brought to the configuration page.  The other routes are:

  • Right click on the StoreyQuickNotes icon on the Windows Tray and select configure
  • Use the Win-C Hotkey

Configuration Interface

In the example shown, we have read from an ini file that contains data so it pre-populated. If you are loading the program for the first time, this will all be empty but getting to this point is your goal.

IMPAC PASSWORD:

Pretty straightforward, enter your password that the shortcuts will enter when you use the shortcuts.

NAME FOR SIGNATURE:

Enter your name and I like to add MD to the signature. It is used to “sign” any notes created within IMPAC with a standard signature of:

Electronically Signed: Test Doctor MD

STORE PASSWORD/NAME TO INI FILE:

This option determines whether or not to write your name and password to a text file.  If you use the option, you’ll skip this step next time BUT your password is accessible on your computer so only use this if you alone have access to your computer.  The ini file is kept in your default directory which is C:\StoreyQuickNotes\ by default.

SCHEDULE NAV LOCATIONS:

Here is where you can build a list of various schedules that you check on a regular basis.  The IMPAC interface for switching schedules is poor and this feature allows you to quickly scroll through any custom list of schedules that you reference in your workday.

Obviously I can’t know the names of the various schedules you want to quickly jump through so you have to build the list.

To build the list, open IMPAC and figure out the exact name of the schedules you want to quickly jump to.

Type those entries into this box.  1 entry per line – no trailing spaces.  No extra returns.  To be safe backspace to erase any trailing characters so your cursor would end at the ‘N’ in STATION in the example above.

This list will always be written to the ini file since it isn’t anything that needs to be protected or secure.

NOTE: If navigating between schedules doesn’t quite work, and you are left at the screen where you select the schedule, try the following work around:

End your selection in ‘:e’ – two characters, semi-colon then ‘e’.

For me, depending upon the Citrix client and log-in, sometimes a trailing enter is required and sometimes it is not.

HELP:

Brings you to this page.

REGISTER:

Brings you to the support page for StoreyQuickNotes.

STATS:

Dumps an easy to copy text file of your current usage statistics.

OK:

Proceed.

EXIT THE GUI VIA THE (X):

Exits the configuration and will exit the program.

How to: Using the Document Approval Shortcut

October 13, 2009 Leave a comment

Step by Step Instructions for the Document Approval Shortcut

Use:  Improve speed and efficiency of approving documents in the IMPAC Radiation Oncology EMR.

Once a day:

  • Start StoreyQuickNotes MD Package
  • Enter IMPAC password and Signature into the program

Document Approval:

  • Open up your Document Review Required Worklist
  • From the Reviewed Required Worklist – Open the first document.
  • Review the document
  • Ensure current active window is on the border and NOT in the document (* See below)
  • Press Win-D to approve image
  • The next image will appear until your work list is empty.

*: There is no way to tell “where” the cursor is on the document approval screen.  If you have clicked the document or scrolled the document, the “context” of your keystrokes will be on the document and the shortcut will not work and you may see the screen jump around.  In general this doesn’t harm anything, but the document doesn’t get approved if this happens.

Unfortunately, IMPAC provides no keyboard shortcut to fix this (surprisingly – read sarcasm 🙂 ).  The easiest way to get the context on the surrounding menu is to click on the thick border just to the right of the document, next to the status but not on the status button for example.

For the FIRST viewed document, context will be on the “paper” regardless.  For the next items in your list, the context will only be wrong IF you click somewhere on the paper or scroll the document.

If rambling fails, add pictures:

Document Approval - Correct Context Document Approval - Incorrect Context

The Document Approval Shortcut is a standard component of the MD Package I have built using AutoHotkey.

How to: Using the Image Approval Shortcut

October 8, 2009 Leave a comment

Step by Step Instructions for the Image Approval Shortcut

Use:  Quickly approve single images from the Image Work List in the IMPAC Radiation Oncology EMR.

Once a day:

  • Start StoreyQuickNotes MD Package
  • Enter IMPAC password and Signature into the program

Image Approval:

  • Open up your Image Work List in IMPAC
  • From the Reviewed Required Worklist – Open the first patient image to review (the IMPAC keyboard shortcut is ALT-R for Review)
  • After reviewing the image, press WIN-R
  • You should be back at the Reviewed Required Worklist

Note:  It is only designed for reviewing patients with single films that need approval.  The ideal use in our clinic is a string of IGRT images where you can roll through them quickly and easily.

I choose WIN-R because I can’t alter ALT-R set by IMPAC.  This lets the workflow be ALT-R, WIN-R, ALT-R, WIN-R etc.

The Image Approval Shortcut is a standard component of the MD Package I have built using AutoHotkey.