You can chart completed, planned, and existing treatment in a patient's clinical chart.
Note: A completed procedure charted in the clinical chart appears in the clinical record and financial ledger; however, a treatment-planned procedure or existing condition does not appear in the financial ledger.
To chart treatment
How to get there
Use the Patient Search box to access a patient's record.
If the last patient record you accessed since you last logged on is the correct patient's record, you do not need to re-enter the patient's name in the Patient Search box.
You can include inactive patients in the search results by setting the Include inactive patients switch to On.
On the Patient menu, under Clinical, click (or tap) Chart.
The patient's clinical record opens with the Chart tab selected.
On the Chart tab of a patient's clinical record, select one or more teeth.
Click (or tap) Add Procedure to select the appropriate procedure, surfaces (if applicable), and provider from the Add Procedure dialog box.
In the Add Procedure dialog box, do the following:
Click (or tap), , or .
Make sure the correct provider is selected for this charting session. Only providers who have access to the current location are available.
Search for a procedure using one of the following methods:
Click (or tap) in the Search box, and begin typing part of the ADA description (for example, "ama" for Amalgam 1 Surface) or code (for example, "21" for D2140). The procedures that match the criteria entered appear in the list. Continue typing as needed to narrow the results.
While viewing the procedure list by the Top procedures (the most common procedure types for the selected tooth, arch, or quadrant or for the full mouth), locate a procedure.
While viewing the procedure list by the View by categories option (the procedures for the selected tooth, arch, or quadrant or for the full mouth are grouped by category), click (or tap) a category to view the corresponding procedures.
Note: The procedures that appear in the procedure list depend on which teeth or if any teeth are selected. For example, if no teeth are selected (the treatment area is the mouth) and you perform a search for "amalgam," no procedures will appear in the list; similarly, if no teeth are selected, an amalgam procedure will not appear in the list of top procedures or within a category (if you are viewing procedures by categories).
Click (or tap) a procedure.
If applicable, in the Select Surfaces dialog box that appears, select the surfaces on each tooth for the selected procedure, and then click (or tap) Done.
To navigate between teeth, click (or tap) a Th. Alternatively, click (or tap) Back and Next.
To not enter surfaces for the selected tooth, set Exclude tooth to On.
To set Class 5 to On, at least one of the appropriate Surfaces must be selected: mesial, distal, lingual, or facial/buccal.
To apply a common combination of surfaces, under Surface combinations, click (or tap) the appropriate button.
You can edit the procedure as needed (such as to enter a supernumerary tooth number or to attach diagnosis codes).
Note: The charge that is used for a charted or scheduled procedure comes from either the provider's fee schedule or, if not applicable, the preferred fee schedule of the location where the procedure was charted or scheduled.