Auto-fill templates
.auto = list of auto-fills
.an = antenatal care
Antenatal Care
Billing = F2F: 16500 / V: 91853 / P: 91858
.bi = Billing
Billing:
.covax = COVID-19 vaccine suitability
COVID-19 vaccine suitability
Billing: 93644
.ecg = ECG
ECG:
Billing: 11707
.fh = Family history
Family History:
.iron = Iron infusion protocol
Presents for Iron Infusion
Referred by =
Haemoglobin =
Iron =
Ferritin =
Symptoms =
Indications (e.g. Imminent surgery, rapid iron depletion, lack of efficacy or tolerance or compliance of oral iron, malabsorption, CKD, CHF) =
Contraindications (e.g. anaemia due to other causes, iron overload, known hypersensitivity, patient age <14, first trimester pregnancy) =
Precautions (e.g. significant liver dysfunction, acute or chronic infection, asthma or atopic allergies, pregnancy, risk of paravenous leak, chronic inflammatory states, risks with hypophosphataemia) =
Risks discussed
Common (Less than 10%) = Headache, dizziness, flushing, nausea, site reactions, hypophosphataemia
Uncommon (Less than 1%) = Skin staining, numbness, tingling, taste change, fast heart rate, short of breath, fever
Rare (Less than 0.1%) = Malaise, vertigo, syncope, anxiety, angioedema
Very rare = Anaphylaxis at 1 in 250,000
IVC inserted
Arm =
Gauge =
10mL normal saline flushed without pain or resistance
Iron given via slow IVI. Ferinject dose =
Monitored post infusion
Side effects =
Advised to seek help if any concerns
Follow up with original referrer or GP in 4 to 6 weeks
Patient leaflet given
.mh = Mental Health
Mental Health
Billing: F2F: 2713 V: 92115 P: 92127
F2F: 2712 V: 92114 P: 92126
F2F: 2715 V: 92116
F2F: 2717 V: 92117
.pc = Presenting complaint
Presenting Issue:
History:
Exam:
Plan:
Review:
Billing:
.rv = review
Review:
.soap = subjective, objective, assessment, plan
Subjective:
Objective:
Assessment:
Plan:
Bill:
Review:
.smoke = smoking cessation
Smoking cessation:
Years smoked =
Per day =
Reasons to quit = $12k per year, 10+ year of life
Barriers =
Enablers =
Options discussed
- Behavioural coping strategies
- Quitline 137848
- NRT long and short-acting
- Champix / Zyban
Plan:
Billing = F2F 93680 Telehealth 93690 Telephone 93700 or 20 min+ = F2F: 93683 / Telehealth: 93693 / Telephone: 93703
.sex = sexual or reproductive health
Sexual or Reproductive Health
Billing: V: 92715 / P: 92731 = < 5 min
V: 92718 / P: 92734 = 5 - 20 min
V: 92721 / P: 92737 = 20 - 40 min
V: 92724 / P: 92740 = > 40 min
.ti = time
Time:
.ua = urinalysis
Urinalysis:
Leukocytes =
Nitrites =
Blood =
Protein =
Glucose =
Ketones =
pH =
Urobilinogen =
SG =
Bilirubin =
.ub = urine BHCG
Urine BHCG
Result =
Billing = 73806