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I aslo don't like the order of the standard letter, so instead I deselected all options in the Medical History on the left margin of the Generate Letter window. I then created my own letter template (see below). You may find some of the ideas useful.
Urgency of Referral: [Emergent (0-48 hours, speak with Consulting Provider)|Urgent: =< 2 weeks|Routine: => 2 weeks|Update from Primary Care Provider]
Type of Consultation requested: [One time consultation|Shared Care|Transferred Care]
Reason for Referral:{• get advice about therapy|
• obtain assistance with making a diagnosis|
• confirm a diagnosis|
• perform a diagnostic procedure|
• learn more about treatment options|
• perform a therapeutic procedure|
• assistance in ruling out or ruling in a potentially dangerous condition|
• confirm the current management plan|
• problem complexity out of scope|
• hand over problem to specialist care|
• initiate joint management of problem}
History of presenting complaint:
<PATFIRSTNAME> is [a|an] <PATAGEUNITS> old <PATGENDERFULL> [, known to you, ]who presents with a [1 |2 |3 |4 |5 |6 |7 |8 |9 |10 |11 ] [day|week|month|year|longstanding|lifelong] history of
right click add add <MHXPROBLEM>
right click and add <MHXSURGICAL>
etc.
Clinical Warnings: [none recorded]
Information given to patient:
{• role of referred specialist in the patient's care|
• purpose of referral|
• advised that some fees might not be covered by the Alberta Health Care Insurance Plan and if so, such fees are likely to be charged|
• advised the patient to complete outstanding tests in advance of the specialist appointment}
Test results and historical notes: [see attachments|see below|none|pending]
I hope you find this helpful.