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EPIC Smart Phrases

Published on June 2016 | Categories: Types, Instruction manuals | Downloads: 2264 | Comments: 0
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list of shortcuts for smart phrases in EPIC electronic medical record

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EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 

We hope this list of “smart” phrases helps make creating your Epic note templates a bit
easier.

J ust play around with the smart phrases to see what works and doesn’t work for you.

You are also welcome to distribute this to anyone else who would find it useful
If you would like to receive periodic updates by email as they are made to this document,
just email Gopal at: [email protected] and he will send out periodic updates
from time to time
OR
You can find the latest update at: http://www.bacancer.com/epic

We anticipate updating this list at least weekly for the next few months.

Best,
Gopal, J ohn and Valery

---------------------------------------------------------------------------------------------------------------------

Encounter Date: @[email protected] @[email protected]
Encounter Date: @[email protected] @[email protected]

Mr/Mrs:
@[email protected]

Names:
@[email protected]
@[email protected]

Inserts Mr. XX is a XX year old XX:
@[email protected]

Age:
@[email protected]

Sex:
@[email protected]

DOB:
@[email protected]

MR:
@[email protected]

AUTHOR:
@[email protected]
EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 


PHRASES:
he/she
@[email protected]

He/She
@[email protected]

His/her
@[email protected]

His/Her
@[email protected]

him/her
@[email protected]

Him/Her
@[email protected]



PATIENT CONTACT INFORMATION:

Patient Contact Information:
@[email protected]

Patient Emergency Contact Information:
@[email protected]

Patient Address:
@[email protected]

EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 
E&M ELEMENTS:

CURRENT PROBLEM LIST:
@[email protected]

PAST MEDICAL HISTORY:
@[email protected]

PAST SURGICAL HISTORY:
@[email protected]

FAMILY HISTORY:
@[email protected]

SOCIAL HISTORY:

@[email protected]
(Our favorite because it refreshes if the information changes before the note is signed)

@[email protected]
(Does not refresh)

@[email protected]
(Does not refresh)

TOBHX
@[email protected]

ALCHX
@[email protected]

DRUGHX
@[email protected]

OCCUPATION HISTORY:
@[email protected]

CURRENT HOSPITAL MEDICATIONS:
@[email protected]

CURRENT OUTPATIENT MEDICATIONS:
@[email protected]

ALLERGIES:
@[email protected]


EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 
LAB RESULTS:
CHEMISTRY 72 HOUR HISTORY:
@LABRECENT72(BUN:*,CREATININE:*,NA:*,K:*,CO2:*,CL:*,GLU:*,CA:*,MG:*,PHOS:*
,TBILI:*,DBILI:*,ALP:*,AST:*,ALT:*,GLUFASTING:*,ALB:*,PROT:*)@
(Our Favorite puts all labs into a nice table with rows but only pulls in 72h worth of labs)

@LABALLVALUES(NA:1,K:1,CL:1,CO2:1,BUN:1,CREATININE:1,GLU:1,GLUFASTING:
1,CA:1)@
(Pulls in the last value – change the 1 to whatever number you want)

OTHER CHEMISTRY:
@LABALLVALUES(NA:5,K:5,CL:5,CO2:5,BUN:5,CREATININE:5,GLU:5,GLUFASTING:
5,CA:5)@
@LABALLVALUES(BUN:1,CREATININE:1,NA:1,K:1,CO2:1,CL:1,GLU:1,CA:1,ALB:1,TB
ILI:1,DBILI:1,PROT:1,ALP:1,AST:1,ALT:1,GLUFASTING:1)@
@LABALLVALUES(BUN:1,CREATININE:5,NA:5,K:5,CO2:5,CL:5,GLU:5,CA:5, MG:5,
PHOS:5,ALB:5,TBILI:5,DBILI:5,ALP:5,AST:5,ALT:5,GLUFASTING:5,PROT:5)@

CBC 72 HOUR HISTORY:
@LABRECENT72(WBC:*,HGB:*,HCT:*,PLT:*,MCV:*,MCH:*,MCHC:*,RDW:*,NEUTP:*,L
YMPHP:*,MONOSP:*,EOSP:*,BASOP:*,NEUTABS:*,LYMPHABS:*,MONOABS:*,EOSA
BS:*,BASOABS:*)@
(Our Favorite puts all labs into a nice table with rows but only pulls in 72h worth of labs)

@LABALLVALUES(WBC:1,HGB:1,HCT:1,PLT:1,MCV:1,MCH:1,MCHC:1,RDW:1,NEUT
P:1,LYMPHP:1,MONOSP:1,EOSP:1,BASOP:1,NEUTABS:1,LYMPHABS:1,MONOABS:
1,EOSABS:1,BASOABS:1)@
(Pulls in the last value – change the 1 to whatever number you want)

OTHER CBCs:
@LABLASTCBC(72H)@
@LABALLVALUES(WBC:1,RBC:1,HGB:1,HCT:1,PLT:1)@
@LABRECENT24(WBC:*,HGB:*,HCT:*,PLT:*,MCV:*)@

COAGULATION STUDIES:
@LABRECENT72(PT:*,PTT:*,INR:*)@

@LABALLVALUES (PT:1,PTT:1,INR:1)@
(Pulls in the last value – change the 1 to whatever number you want)

MISC LABS:
@LABALLVALUES(TSH:5,T4:5,T3:5)@
@LABALLVALUES(TSH)@
@LABALLVALUES(T4)@
@LABALLVALUES(T3)@

@LABALLVALUES(HGBA1)@
EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 


CARDIAC MARKERS:
@LABRECENT72(TROPI:*,CK:*,CKMB:*,CKMBP:*)@
@LABALLVALUES(TROPI:1,CK:1,CKMB:1,CKMBP:1)@

LIPID PANEL:
@LABALLVALUES(CHOL:1,HDL:1,CHOLHDLRAT:1,LDL:1,LDLHDLRAT:1,TRIG:1)@

OTHER / TOXICOLOGY:
@LABALLVALUES(LITHIUM)@
@LABALLVALUES(CARBAM)@
@LABALLVALUES(VALPR)@
@LABALLVALUES(GLUFASTING:1,GGT:1,ETOH:1,RPR:1)@

PSA:
@LABALLVALUES(PSA:*)@
@LABBRIEF(PSA:100)@


URINE RESULTS:
URINALYSIS:
@BRIEFLAB(UBACT;1,UEPI:1,UWBC:1,URBC:1,UMUCOUS:1)@

URINE STUDIES:
@LABALLVALUES(UAGLU:1,UABIL:1,UAKET:1,UASG:1,UARBC:1,UAPH:1,UAPRO:1,
UAURO:1,UANIT:1,UALEUK:1)@

URINE TOX:
@LABALLVALUES(UAMPHET:1,UETOHDL:1,UETOHUGML:1,UBARBITURATE:1,UBE
NZODIAZ:1,UCOC:1,UTHC:1,UOPIATES:1,UPCP:1,UPROPX:1,UMETHADONE:1,UCR
EAT:1)@


RADIOLOGY RESULTS:
LATEST RADIOLOGY RESULTS:
@[email protected]

ECG RHYTHM:
{EKG IP SH:112945}.

PERTINENT ECHOCARDIOGRAM FINDINGS:
{ECHO IP SH:112946}.

EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 

VITAL SIGNS AND PHYSICAL EXAM:

VITAL SIGNS: @[email protected]
TEMPERATURE HISTORY 24H: @TMAX(24)@
TEMPERATURE HISTORY 72H: @TMAX(72)@
TEMPERATURE HISTORY 96H: @TMAX(96)@
BLOOD PRESSURE HISTORY: @SBPMAX(36)@ @DBPMAX(36)@

I&O:
RRIOCURSHIFT
@[email protected]

IOBRIEF
@[email protected]

PHYSICAL EXAMINATION ELEMENTS:
VITAL SIGNS: @[email protected]
CURRENT WEIGHT: @[email protected]
BMI: @[email protected]
PREVIOUS WEIGHTS:
@LASTWT(25)@
PERFORMANCE STATUS (ECOG): {.:114378}


GENERAL: {.:30011369::"well- nourished, well- developed"}{.:30011370::"in no acute
distress"}.
SKIN: {.:30011371::"Warm and dry and without jaundice, ecchymoses, or petechiae"}.
HEENT: {.:124935::"Normocephalic","anicteric sclera","moist mucous membranes","no
oral lesions"}
NODES: {.:30011352::"No appreciable adenopathy in the bilat cervical, submandibular,
supraclavicular, axillary, or inguinal regions."}.
LUNGS: {.:113648::"good inspiratory effort","clear bilaterally"}.
CARDIAC: {.:30011398::"Regular rate and rhythm, without murmurs, rubs or gallops"}.
ABDOMINAL: {.:30011399::"Normal bowel sounds. Soft, without tenderness, masses or
hepatosplenomegaly"}.
MUSKL: ROM to {.:106190}{.:60110861}extremity {.:102204::"excellent"}.
GENITALS: {ONC GENITALS CB:30011358::"Deferred"}.
RECTAL: {.:124937}
EXTREMITIES: {.:124940}.
NEUROLOGIC: {.:124941::"Alert and oriented x3. Gait normal. Reflexes normal and
symmetric. Sensation grossly normal"}.

(This is only one example – there are many variations)



EPIC EMR SMART PHRASE 
CHEAT SHEET 
BAY AREA CANCER PHYSICIANS
RADIATION ONCOLOGY
JOHN SALZMAN MD - VALERY UHL MD - GOPAL SACHDEVA MD
 
Created by:  Bay Area Cancer Physicians  (bacancer.com)  
Last Modified: 04/05/2013 

 
SIGNATURES:

SIGNATURE:
@[email protected]
@[email protected]

CC:
@[email protected]
@[email protected]
@[email protected]

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