 |
|
Home
User Manual
Discussion Forum
Search
Enter Treatment
In the Chart module, at the upper right, click on the Enter Treatment tab.
Treatment is usually entered by first selecting teeth in the tooth chart. Once the teeth are selected, you click on the surfaces, then diagnosis, and finally on a procedure.
Tooth Surfaces
When you click on the buttons for each surface, the surfaces box directly above them is updated. You cannot edit this box here, but you can edit the similar box inside the Procedure Edit window once the procedure has been created. Most of the tooth surfaces are standard and self explanatory. The "V" surface is the exception. We use that in Open Dental to indicate a class 5 location along the gingival margin of the B or F. The V surface will draw differently on the 3-D tooth chart. There is no corresponding lingual class 5 indicator. Since V is not one of the surfaces allowed when submitting to insurance, it will be converted to either B or F on all claims. Also, you should not count a V as another surface in addition to B or F because no line angles were crossed. For example, you might have a 2 surface DBV, which would be automatically converted to a DB on outgoing claims. Surfaces are handles slightly differently in Canada.
Selecting Procedure Code
There are three ways to select the actual procedure code. You can select from the main Procedure list, or type in the code, or more commonly, single click on one of the procedure 'buttons' from the large box. The buttons are set up in the Procedure Buttons window, and are very flexible, letting you select procedure codes or Auto Codes. Usually, the treatment then goes directly into the Progress Notes, and displays on the tooth chart. If any information is missing, the Edit Procedure window will appear and allow you to fill in the missing information.
Open Dental comes with two special procedure codes for notes. Tooth Note lets you enter a note about a specific tooth, and Clinical Note lets you enter a general note. Any notes can go here, for instance a clinically related phone call, or notes about changes to medical history. You can always set up additional codes if you want more kinds of notes to be available, but take a look at the Comm Log first to see if that will work for your situation.
As you are entering procedures, the entry status, date, and priority will be set according to your selections at the lower left of the Enter Tx section. See the Procedure Edit section for an explanation of the different statuses. If you enter a procedure with a status of EO (Exising Other provider), the date will be 01/01/0001. This will make the procedure show at the beginning of the Progress Notes so that it doesn't cause clutter.
If the today box is checked, then the entry date will always be today's date. If you need to enter multiple procedures with a previous date, then uncheck the today box and enter the date before entering the procedures. Priorities are used in the Treatment Plan module. See that page for information on priorities.
For diagnosis, you can select one item from the list each time you enter a procedure, or you can skip it. The list is completely customizable in Definitions.
Related sections: