How to Add or Edit an Exam
When you choose Exam under Update Encounter, you will also be prompted to enter the Topic, Level of Understanding, and Encounter Provider.
NOTE: A Clinical Coordinator can change the items or categories available to choose from for Exams through the PCE Table Maintenance Menu. If you wish to help define the Exam list, check with your Coordinator.
Steps to add an Exam
1. Select UE, from the PCE Appointment List screen.
2. Select XA from the PCE Update Encounter screen.
PCEPATIENT,ONE 000-45-6789 Clinic: CARDIOLOGY
Encounter Date 07/22/96 11:08 Clinic Stop: 303 CARDIOLOGY
2 Provider: PCEPROVIDER,ONE PRIMARY ATTENDING
3 ICD9 Code or Diagnosis: V70.3 MED EXAM NEC-ADMIN PURP
Provider Narrative: OTHER GENERAL MEDICAL EXAMINATION FOR
Primary/Secondary Diagnosis: PRIMARY
4 CPT Code: 25066 BIOPSY FOREARM SOFT TISSUES
CPT Modifier: 22 UNUSUAL PROCEDURAL SERVICES
5 Education Topic: VA-TOBACCO USE SCREENING
+ Next Screen - Prev Screen ?? More Actions
ED Edit an Item TR Treatment DD Display Detail
DE Delete an Item IM Immunization DB Display Brief
EN Encounter PE Patient Ed IN Check Out Interview
PR Provider ST Skin Test QU Quit
DX Diagnosis (ICD) XA Exam
CP CPT (Procedure) HF Health Factors
Select Action: Quit// XA Exam
3. Respond to the following prompts for Exams, as appropriate.
Exam: GENERAL EXAM
Encounter Provider: PCEPROVIDER,TEN//[ENTER] PCEPROVIDER,TEN TP
4. The edited screen is then displayed.
August 1996PCE V. 1.0 User Manual41