SMARText Introduction

Overview

We briefly touched on SMARText in the Introduction to Chart chapter. Using SOAPware to it's fullest and maximizing your efficiency requires a more thorough understanding.

Simply put, SMARText is a Lego set for medical information. Just like the Lego's of your youth, SMARText has many different pieces that can be put together in almost limitless ways. The 'pieces' in SMARText are called types and they define what the SMARText item contains/represents. Some popular types are Medication, Assessment, Order, text snippet (Free Text and Structured) and lists. Staying with our Legos analology, you can stick multiple SMARText items together to produce a new and useful structure. For example, a SMARText medication item contains many other SMARText items: Start Date, End Date, Dose, Frequency etc.

In order to build your SOAP encounter note with the SMARText 'legos' you would normally utilize many different pieces. You might use a few free text snippets to fill in the Subjective, a large Objective SMARText item that contains many pick lists (also SMARText) to choose exam values, an assessment, a few medications and an order or two. All of these pices will snap togthether to produce a clean, structured detailed SOAP encounter note that is unique to your practice.

The only thing you can't do with the SMARText 'legos' is blow them up with firecrackers !

Also See:

SMARText 

Managing 

As you can imagine a typical practice has thousands of SMARText items in SOAPware and managing all of them can be quite a challenge. SOAPware maintains an Encyclopedia of SMARText items and just like with a paper Encyclopedia, SMARText has an index. In SOAPware we 'index' each SMARText item with keywords. Keywords can be used to identify single items or to group multiple items together. Every SMARText item can have an almost unlimited number of keywords.

In the SOAPware Charts Introduction we introduced a way to insert a SMARText item into the chart by typing in a word and then having SOAPware search for it - SOAPware was searching for Keyword matches when you did this.

This capability makes available a large number of optimizations. First and foremost it makes finding new items straightforward. Looking for a medication - type it's name in and press F11, if nothing is found try again with SHIFT + F11 (to include the SOAPware Online Library in the search).

Other optimizations include: 

• Tag all Rx's that belong to a given formulary.
• Group related codes together - for example commonly used Rx's and the Dx's they are used with
• Group your favorite items into easy to access lists (Dx, Rx etc.)

The SMARText encyclopedia can be accessed via the SMARText Manager located under Docutainers - SMARText Manager.  This manager provides a way to list/find items, ability to upload/download item to/from the SOAPware Online Library, creation of new items and editing of existing ones.

SWICPC 

(Applies to versions after SOAPware 2008.0.395.0)

SWICPC is an odd looking word but it provides some very cool functionality. In a nutshell, ICPC is a coding scheme used internationally to identify Systems and Chief Complaints. SWICPC is SOAPware's americanization of ICPC (the coding is the same the category names have just been edited to be more recognizable) and provides tremendous functionality improvements - here's why.

In order for SOAPware to help you it has to know something about the visit type and the Chief Complaint is probably the most obvious and universally used starting point. When you define a Chief Complaint in a SOAPware Encounter SOAPware will automatically begin to display SMARText items (in the Quick Access display - docked to the right side of the screen by default)  that are related to both the selected Chief Complaint and the System the Chief Complaint belongs to: exams, Rx's, Dx's, Orders and more. SOAPware comes preloaded with many SWICPC relationships but also includes the ability for you to quickly build your own.

Also See:

SWICPC - Relating SMARText Items (Geeks only)