Major bummer for a handful of dedicated CIS users. For convoluted reasons, precompleted notes and macros that had been created on now defunct versions of PowerNote can get lost. The probable issue with the loss of the precompleted notes is that they were likely created on older templates that had been revised over time. We've seen folks lose notes that were created on the earliest templates.I am learning that the system can be quite sensitive to changes made in the content and code. Cerner, our EMR vendor, recently recommended:
Ensure that the precompleted note or the macro was not created before a recent content load. If new PowerNote content has been taken since the precompleted note or macro were created, there will be viewing issues. They were created under older content and a different structure for the portions of the note (paragraphs, sentences and terms). Therefore, when trying to use the precompleted notes or macros with a new structure, there is a mismatch and some of the terms that were there before are no longer there or have been moved around. In order to resolve the issues, the macros and precompleted notes will need to be created and saved again.
An alternative explanation may be that the precompleted notes are shared and accidentally deleted by another user. Unfortunately, there is no way to back up precompleted notes. Cerner's answer to the difficulties with macros and precompleted notes is to create a compendium of auto-texts that would serve a similar purpose. These are not dependent on content or template format and can be used across all PowerNote Templates or in Clinical Notes were you to work from that screen.
I honestly wish I had better news.
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