Interdisciplinary NotesInterdisciplinary Notes

Interdisciplinary notes consist of Interdisciplinary notes consist of individual progress notesindividual progress notes

Each individual note is attached to a Each individual note is attached to a parent noteparent note

Each interdisciplinary note is Each interdisciplinary note is displayed as a single entitydisplayed as a single entity

Interdisciplinary NotesInterdisciplinary Notes

Each part of the interdisciplinary Each part of the interdisciplinary note has a single authornote has a single author

Interdisciplinary notes are not Interdisciplinary notes are not addendumsaddendums

Each entity of an interdisciplinary Each entity of an interdisciplinary note can have a different title-this note can have a different title-this differentiates them from addendumsdifferentiates them from addendums

You can add an addendum to an You can add an addendum to an interdisciplinary noteinterdisciplinary note

Interdisciplinary NotesInterdisciplinary Notes

Interdisciplinary notes can have a Interdisciplinary notes can have a template assigned to them, whereas template assigned to them, whereas an addendum cannot have the an addendum cannot have the template populate automaticallytemplate populate automatically

You can assign business rules to You can assign business rules to each titleeach title

Parent/child notesParent/child notes

Interdisciplinary NotesInterdisciplinary Notes

24 hour Shift Note could be set up as 24 hour Shift Note could be set up as interdisciplinary notesinterdisciplinary notes• The initial visit is the 1The initial visit is the 1stst shift of the day shift of the day• The other shifts are added as child notesThe other shifts are added as child notes• They are kept in one folderThey are kept in one folder• Other inpatient notes are not added to Other inpatient notes are not added to

the parent notethe parent note

Interdisciplinary NotesInterdisciplinary Notes

Another example, using Another example, using multidisciplines:multidisciplines:• Plan of Care notesPlan of Care notes• Nurse begins note with initial plan of Nurse begins note with initial plan of

carecare• Dietician adds first child noteDietician adds first child note• Other disciplines (respiratory therapy, Other disciplines (respiratory therapy,

spiritual care, pharmacy) add additional spiritual care, pharmacy) add additional child noteschild notes

Disadvantages of Interdisciplinary Disadvantages of Interdisciplinary NotesNotes

The author of the parent note is the The author of the parent note is the author displayed firstauthor displayed first

Author of the parent note needs to Author of the parent note needs to do his/her note first so others may be do his/her note first so others may be attachedattached

Set up is more involved than regular Set up is more involved than regular progress notesprogress notes

Set-up of Interdisciplinary NotesSet-up of Interdisciplinary Notes

Parent noteParent note• Set up ID parent document class and ID Set up ID parent document class and ID

child document classchild document class• Some facilities name all ID notes Some facilities name all ID notes

starting with ID so they are easier to findstarting with ID so they are easier to find• Set up business rulesSet up business rules

Parent note must have business rule to allow Parent note must have business rule to allow attachmentsattachments

Example of Business Rules for ID Example of Business Rules for ID Parent Document ClassParent Document Class

Example of Business Rules for ID Example of Business Rules for ID Team Document ClassTeam Document Class

Set up of ID notes, cont.Set up of ID notes, cont.

Add note titles to appropriate Add note titles to appropriate document classdocument class

Attach templates to document titles Attach templates to document titles if desiredif desired

TrainingTraining

Writing Interdisciplinary NotesWriting Interdisciplinary Notes

Parent NoteParent Note• Select “New Note” Select “New Note” • Select parent titleSelect parent title• Complete template, if availableComplete template, if available• Sign noteSign note

Writing Interdisciplinary NotesWriting Interdisciplinary Notes

Child NoteChild Note• Open parent noteOpen parent note• Either right click or select “Action”Either right click or select “Action”• Select “Add New Entry to Select “Add New Entry to

Interdisciplinary Note”Interdisciplinary Note”• Select child note titleSelect child note title• Complete note and signComplete note and sign

Completed Notes Appear in FolderCompleted Notes Appear in Folder

Attach Completed Child Note to a Attach Completed Child Note to a Parent NoteParent Note

If the child note is completed prior to If the child note is completed prior to the parent note, it can be attached at the parent note, it can be attached at a later time by clicking and dragging a later time by clicking and dragging it to the parent note. The following it to the parent note. The following message will display:message will display:

Display of ID NotesDisplay of ID Notes

EHR displays all notes in the Interdisciplinary Note reference date order unless one of the child notes is selected. In this case, EHR displays the child note, then it displays all the notes in the Interdisciplinary Note reference date order; repeating the current note.

In all other respects, the format of the display is the same as a regular note.

The display of unsigned notes depends upon the business rules in effect at your site.

These rules may allow you to view the unsigned child notes of other providers in the context of an Interdisciplinary Note. This is up to your local authorities.