Advocate Physician Informatics
Increasing physician knowledge and proficiency with Advocate Health Care's clinical information systems.
Menstruation, excessive and frequent
Improving Physician Documentation Specificity
Document: with regular cycle versus with irregular cycle
Document if occurring during: Puberty, Perimenopausal period, Postmenopausal period
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
Please enter your . . .
Obstructed labor
Improving Physician Documentation Specificity
- Document malposition or malpresentation, such as:
- Incomplete rotation of head
- Breech, face, brow, shoulder, or compound presentation
- Other, such as footling or incomplete breech presentation
- Document maternal pelvic abnormality, such as:
- Deformed
- Contraction - generally contracted, pelvic . . .
Obstetrics Infections of Genitourinary tract
Improving Physician Documentation Specificity
Identify the specific site of the infection, if known, such as: Bladder,Urethra, or Kidney
Document causative organism, when known or suspected, such as E. coli or Candida.
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
. . .Obstetric laceration
Improving Physician Documentation Specificity
- Document site (vaginal, labia, perineal, rectovaginal).
- If perineal,document type
| Type | Description |
|---|---|
| 1st degree | Perineal skin and subcutaneous tissue |
| 2nd degree | 1st degree and muscles |
| 3rd degree | 2nd degree and anal sphincter |
Singleton delivery
Improving Physician Documentation Specificity
Document
- Weeks of gestation or trimester
- Infant was liveborn or stillborn
For all procedures, document
- Indication for Cesarean delivery
- Indication for induction of labor
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and . . .
Gestational hypertension, pre-eclampsia and eclampsia
Improving Physician Documentation Specificity
Document if present with proteinuria or edema
Document with pre-eclampsia and severity : Mild,Moderate,or Severe
Document trimester or weeks of gestation
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this content.
Please . . .
Genital prolapse
Improving Physician Documentation Specificity
- Document type:
- Cystocele, midline or lateral
- Uterine prolapse: 1st degree, 2nd degree, 3rd degree (i.e., complete)
- Rectocele
- Vaginal enterocele
Adult (main)|Pediatrics (main)
Thanks to Advocate's Clinical Documentation Improvement and Coding teams for their assistance with this . . .
