Diabetes Educators Calgary Charting Guidelines
Where to Chart
Where to Chart
Charting guidelines are intended for use by Diabetes Centre Calgary clinicians. This page is in development - ongoing updates are being made.
Charting data in a consistent place will help to
- avoid duplicate data entry
- enable Smart Phrases to populate the correct information
- minimize the risk that important information is missed in subsequent encounters
Use the Search box to filter the table for the specific data element you're looking for.
| Data | Examples/Further Info | Location/method |
|---|---|---|
| Alcohol safety | Safety Checklist section of Diabetes Management tab | |
| Cardiovascular Events | Safety Checklist section of Diabetes Management tab | |
| Cloud-based account | LibreView, Clarity, Carelink, Diasend (CGM, Pump) | Problem List > Click on Problem > Overview (do not include passwords here; use yellow stickies for those) |
| Continuous Glucose Monitor parameters | GMI, CV, Time in Range, etc | CGM Metrics section of Diabetes Management tab |
| Driving guidelines | Safety Checklist section of Diabetes Management tab | |
| Foot Check | Full check of feeling, color, shape, etc | Foot Screening section of Diabetes Management tab |
| Foot Wounds | Safety Checklist section of Diabetes Management tab | |
| Glucagon | When, why and how to use | Safety Checklist section of Diabetes Management tab |
| Glucose readings | CBG | Glucometer section of Diabetes Management tab |
| Hypoglycemia (general) | frequency, symptomatic at what level | Hypoglycemia section of Diabetes Management tab |
| Hypoglycemia (safety) | Safety Checklist section of Diabetes Management tab | |
| Insulin dose | ratio, ISF, fixed dose | Insulin Instructions in Diabetes Management tab |
| Ketones and Sick Day Management | Safety Checklist section of Diabetes Management tab | |
| Lactose Intolerance | Flow sheet under food/meal preferences | |
| Last Glucose Meter Check | Safety Checklist section of Diabetes Management tab | |
| Medical Alert | Safety Checklist section of Diabetes Management tab | |
| Medication other than insulin | Medication Review. It gives you the option to choose "taking differently" without requesting an order. (Medication Management requires an order if changing doses). Note, if taking different doses at different times of day, enter the medication more than once (once for each time of day). | |
| Obstetric history | Gravida Para Aborta | History tab > OB history. For para and aborts, do not enter numbers directly. Add previous pregnancy data. GPA updates automatically. |
| POCT | Inform II glucose | Inputting the CSN into the meter automatically uploads the glucose reading to the "Orders" section at bottom right of the chart. |
| Preconception | Safety Checklist section of Diabetes Management tab | |
| Preferred name | Click on Name on Storyboard, and edit | |
| Pregravid weight | Pre-pregnancy weight | OB Tools tab > Prenatal Vitals and Notes > Edit. Add as Pregravid Wt. |
| Psycho-social | Safety Checklist section of Diabetes Management tab | |
| Psych-social declined | Problem List > Click on Problem (diabetes) > Overview (free text psych-social services declined) | |
| Pump Active Insulin time | In the SmartPhrases is a heading with a picklist called "additional pump programming". | |
| Pump Back-Up Plan | In the SmartPhrase .DCCCPUMPFUORIPTPREVEW there is a picklist with an option. | |
| Pump Brand & Model | Diabetes Management Tab > Insulin Instructions > Pump Settings (Name: free type in e.g. Settings: Medtronic 770G) | |
| Pump - IPTP Start Date | Problem List > Advanced View > Diabetes > Amb SF Diabetes Patient Level | |
| Pump - Omnipod "Correct Above" | In the SmartPhrases is a heading with a picklist called "additional pump programming". | |
| Pump Start Orders | Create using .DCCCPUMPSTARTORDERS. Find under Chart Review > Media. Consider a new encounter: document (so easier to find). Consider inputting the approved orders into Insulin Instructions/Pump Settings�as Name: Pump Settings Order Approved� pending start.�See "Pump" CC webpage for video for where to find MD orders.� | |
| Pump Settings | Diabetes Management Tab > Insulin Instructions > Pump Settings. You may click "pump settings" to use again to include an alternate profile if needed. | |
| Sex, Gender | Click on Sex/gender section on Storyboard, and edit | |
| Supplements | Vitamins, Minerals, Herbs | Reported medication. If you are the one recommending it, indicate that fact in the Comments box. If the desired supplement isn't there, select 'Other' under the Database tab. |
| Targets | A1c target, ac and/or pc glucose target | Targets section of Diabetes Management tab. |
| Total Daily Dose, % Basal | Insulin Metrics section of Diabetes Management tab |