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We believe timely and complete referral letters enhance your reputation. In fact, for the last 10 years referral letter generation is the number one reason referral hospitals prefer our software over the competition. With Animal Intelligence, creating referral letters is no longer a chore!

Referral Letter:
 

June 21, 2000

Thomas Meyer
River View Veterinary Hospital
100 Bainbridge Ave.
Portland, OR 97260

Dear Thomas,

On 6/14/2000, “Prince” Gibson, a 4 year-old, neutered male Shih Tzu was presented for a Descemetocele. The following is a summary of the visit:

Physical Examination: Normal physical except for right eye Descemetocele and distichiasis; breed related exophthalmia, stenotic nares, elongated soft palate. T=101.2, respiration=42, pulse=80/min. Additional examination revealed a microscopic hair (distichia), which appears to be the primary irritant to the cornea.

Diagnosis: Ectopic cilia, Descemetocele secondary to infectious ulcerative keratitis.

Anesthesia: 1 ml valium/ketamine via I.V. catheter; Isoflurane gas maintenance. Routine monitoring throughout surgery.

Surgery: Cilia: excised the hair and root en block with a #15 scalpel blade. Descemetocele: cultured cornea, debrided cornea with #6400 blade; due to severity of lesion, performed conjunctival flap and sutured flap to cornea with 4-0 Silk.

Prognosis: good

Recommendations: Genamicin drops, 1 drop every 8 hours for 10 days then as directed. Cephalexin 500mg, 1 capsule every  8 hous for 7 days. Re-check with Dr. Dempsey in 3 days.

Comments: Ms. Gibson was concerned with Prince’s constant snoring and other breathing problems. I recommended she discuss this further with Dr. Meyer.

Please call me if you have any concerns or questions regarding “Prince.”

Sincerely,

Dr. Laura Dempsey, DVM

Animal Intelligence created this entire letter … automatically!

We said it was simple. Now let us prove it! Look at the first part of the letter:
 

June 21, 2000

Thomas Meyer
River View Veterinary Hospital
100 Bainbridge Ave.
Portland, OR 97260

Dear Thomas,

On 6/14/2000, “Prince” Gibson, a 4 year-old, neutered male Shih Tzu was presented for a Descemetocele. The following is a summary of the visit:

All of the underlined text is already associated with the patient. Animal Intelligence keeps track of information such as the current date, the referring veterinarian’s name and address, and the patient information. This information is substituted for “variables.” The phrase “a Descemetocele” is taken directly from the medical record. The remaining text is part of the macro (template) for this particular letter. No typing required, no copying, no pasting, no manipulation. You have complete control. Make your letters look the way you want.
 

Physical Examination: Normal physical except for right eye Descemetocele and distichiasis; breed related exophthalmia, stenotic nares, elongated soft palate. T=101.2, respiration=42, pulse=80/min. Additional examination revealed a microscopic hair (distichia), which appears to be the primary irritant to the cornea.

Diagnosis: Ectopic cilia, Descemetocele secondary to infectious ulcerative keratitis.

Anesthesia: 1 ml valium/ketamine via I.V. catheter; Isoflurane gas maintenance. Routine monitoring throughout surgery.

Surgery: Cilia: excised the hair and root en block with a #15 scalpel blade. Descemetocele: cultured cornea, debrided cornea with #6400 blade; due to severity of lesion, performed conjunctival flap and sutured flap to cornea with 4-0 Silk.

Prognosis: good

Recommendations: Genamicin drops, 1 drop every 8 hours for 10 days then as directed. Cephalexin 500mg, 1 capsule every  8 hous for 7 days. Re-check with Dr. Dempsey in 3 days.

Comments: Ms. Gibson was concerned with Prince’s constant snoring and other breathing problems. I recommended she discuss this further with Dr. Meyer.

The body of the letter is created directly from the contents of the medical record. Each paragraph is a different section in the medical record: Physical Examination, Diagnosis, Anesthesia, Surgery, Prognosis, Recommendations, Comments. You choose what information appears in the letter, and Animal Intelligence retrieves it for you. Again, no typing. Why enter the information twice?

In fact, the only thing a doctor needs to do is to sign the letter! Or, the letter can be faxed directly from the exam room computer. The referring doctor can receive your letter before the client leaves your hospital!

Discharge Instructions:
 

Instructions for “Prince” Gibson
June 14, 2000

Diagnosis: Ectopic cilia, Descemetocele secondary to infectious ulcerative keratitis.

Prognosis: good

Recommendations: Genamicin drops, 1 drop every 8 hours for 10 days then as directed. Cephalexin 500mg, 1 capsule every  8 hous for 7 days. Re-check with Dr. Dempsey in 3 days.

Comments: “Prince” sustained serious injury to his eye from a eyelash rubbing against the cornea. Surgery was required to repair and protect the damaged cornea. The wound was covered with a piece of the eyelid lining (the conjunctiva). Depending on how well the ulcer is healing, Dr. Dempsey may do one of several things: "freshen up" the edges of a
slow-healing ulcer to stimulate healing; cover the ulcer again for a few more days; or leave the eye open and the healing/healed ulcer uncovered. 

Allergies to the eye medications are rare. If Prince seems more painful after the medication is used, discontinue it and contact Dr. Dempsey.

Animal Intelligence created these discharge instructions … automatically! The same principles apply: create a macro and let Animal Intelligence do the rest. In fact, all printed documents in the system use this technology! Create authorization forms, certificates, informative handouts … just about anything. There is no limit to the number of macros you can create and how they can be used.