Recording Binocular Vision/Rx Information

To record and modify binocular vision and prescription information in an EMR, click the Vision/Rx tab on the ExamWRITER chart window and then click the Binocular tab on the Vision bar.

This section tells you how to record binocular vision and prescription information in ExamWRITER, including how

  1. Click in the Cover Test - Distance box in the top left of the Vision/Rx ExamWRITER chart window.

    The COVER TEST – DISTANCE window opens.

  2. Select the appropriate test from the Test drop-down menu.
  3. Select the appropriate ESO, Ortho, EXO, Base Up, or Base Dn radio button.
  4. Select the appropriate Phoria or Tropia radio button.
  5. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on an OD or OS text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the OD and OS text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric cover test distance information.

  6. If you want to add distance cover test binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 8.

    The COVER TEST DISTANCE Impressions/Observations window opens.

  7. Select an appropriate etiology from the Etiology drop-down menu, then select the appropriate check boxes, and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  8. Click Save/Exit.
  1. Click in the Cover Test - Near box in the top left of the Vision/Rx ExamWRITER chart window.

    The COVER TEST – NEAR window opens.

  2. Select the appropriate test from the Test drop-down menu.
  3. Select the appropriate ESO, Ortho, EXO, Base Up, or Base Dn radio button.
  4. Select the appropriate Phoria or Tropia radio button.
  5. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on an OD or OS text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the OD and OS text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric cover test near information.

  6. If you want to add near cover test binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 8.

    The COVER TEST (NEAR) Impressions/Observations window opens.

  7. Select an appropriate etiology from the Etiology drop-down menu, then select the appropriate check boxes, and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  8. Click Save/Exit.
  1. Click in the NPC box in the top left of the Vision/Rx ExamWRITER chart window.

    The NEAR POINT CONVERGENCE window opens.

  2. Select the appropriate test from the Test drop-down menu.
  3. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on a Blur, Break, or Recovery text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the Blur, Break, and Recovery text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric near point convergence information.

  4. If you want to add near point convergence binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 6.

    The NEAR POINT CONVERGENCE Impressions/Observations window opens.

  5. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  6. Click Save/Exit.
  1. Click in the Fusion box in the top left of the Vision/Rx ExamWRITER chart window.

    The FUSION window opens.

  2. Select the appropriate test from the Test drop-down menu.

    Press the F12 key in the Test drop-down menu to open a Code Maintenance window and add tests to the drop-down menu.

  3. Select the distance measurement from the Dist drop-down menu.
  4. Select the near measurement from the Near drop-down menu.
  5. Select an impression from the Impression drop-down menu.

    If Worth Test is selected from the Test drop-down menu and 4 is selected from the Dist and Near drop-down menus, the Impression drop-down menu autopopulates with Fusion.

  6. If you want to add fusion binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 8.

    The FUSION Impressions/Observations window opens.

  7. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  8. Click Save/Exit.
  1. Click in the Aniseikonia box in the top middle of the Vision/Rx ExamWRITER chart window.

    The ANISEIKONIA window opens.

  2. Select the appropriate vertical and horizontal distance and near measurements from the drop-down menus.
  3. If you want to add aniseikonia binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 5.

    The ANISEIKONIA Impressions/Observations window opens.

  4. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  5. Click Save/Exit.
  1. Click in the Stereopsis box in the top middle of the Vision/Rx ExamWRITER chart window.

    The STEREOPSIS window opens.

  2. Select the appropriate test from the Test drop-down menu.

    Press the F12 key in the Test drop-down menu to open a Code Maintenance window and add tests to the drop-down menu.

  3. Select the distance measurement from the Dist drop-down menu.
  4. Select the near measurement from the Near drop-down menu.
  5. If you want to add stereopsis binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 7.

    The STEREOPSIS Impressions/Observations window opens.

  6. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  7. Click Save/Exit.
  1. Click in the Dominance box in the top middle of the Vision/Rx ExamWRITER chart window.

    The DOMINANCE window opens.

  2. Select the appropriate eye dominance from the Eye Dominance drop-down menu.
  3. If you want to add eye dominance binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 5.

    The  OCULAR DOMINANCE Impressions/Observations window opens.

  4. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  5. Click Save/Exit.
  1. Click in the NPA box in the top middle of the Vision/Rx ExamWRITER chart window.

    The NEAR POINT ACCOMMODATION window opens.

  2. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on an OD, OS, or OU text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the OD, OS, and OU text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric near point accommodation information.

  3. If you want to add near point accommodation binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 5.

    The NEAR POINT ACCOMMODATION Impressions/Observations window opens.

  4. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  5. Click Save/Exit.
  1. Click in the Phoria - Distance box in the top middle of the Vision/Rx ExamWRITER chart window.

    The PHORIA - DISTANCE window opens.

  2. Select the appropriate test from the Test drop-down menu.

    Press the F12 key in the Test drop-down menu to open a Code Maintenance window and add tests to the drop-down menu.

  3. Select the appropriate ESO, Ortho, EXO, Base Up, or Base Dn radio button.
  4. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on an OD or OS text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the OD and OS text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric phoria distance information.

  5. If you want to add phoria distance binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 7.

    The PHORIA DISTANCE Impressions/Observations window opens.

  6. Select an appropriate etiology from the Etiology drop-down menu, then select the appropriate check boxes, and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  7. Click Save/Exit.
  1. Click in the Phoria - Near box in the top middle of the Vision/Rx ExamWRITER chart window.

    The PHORIA - NEAR window opens.

  2. Select the appropriate test from the Test drop-down menu.

    Press the F12 key in the Test drop-down menu to open a Code Maintenance window and add tests to the drop-down menu.

  3. Select the appropriate ESO, Ortho, EXO, Base Up, or Base Dn radio button.
  4. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on an OD or OS text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the OD and OS text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric phoria near information.

  5. If you want to add phoria near binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 7.

    The PHORIA NEAR Impressions/Observations window opens.

  6. Select an appropriate etiology from the Etiology drop-down menu, then select the appropriate check boxes, and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  7. Click Save/Exit.
  1. Click in the Vergence box in the top right of the Vision/Rx ExamWRITER chart window.

    The VERGENCE window opens.

  2. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on a BI (Divergence) or BO (Convergence) text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the BI (Divergence) and BO (Convergence) text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric vergence information.

  3. If you want to add vergence binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 5.

    The VERGENCE Impressions/Observations window opens.

  4. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  5. Click Save/Exit.
  1. Click in the AC/A Ratio box in the top right of the Vision/Rx ExamWRITER chart window.

    The AC/A RATIO window opens.

  2. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    Click Unresponsive (X) and Not Recorded to record nonnumeric AC/A ratio information.

  3. If you want to add AC/A ratio binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 5.

    The ACA RATIO Impressions/Observations window opens.

  4. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  5. Click Save/Exit.
  1. Click in the NRA/PRA box in the top right of the Vision/Rx ExamWRITER chart window.

    The RELATIVE ACCOMMODATION window opens.

  2. Select the appropriate (-) Minus, Plano, or (+) Plus radio button.
  3. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    You do not need to click on an NRA or PRA text box and then click on the blue slider bar each time that you add measurements to the text boxes. Simply click on the blue slider bar, and your cursor automatically tabs through the yellow highlighted text boxes in the normal prescription writing process and adds measurements to the NRA and PRA text boxes.

    Click Unresponsive (X) and Not Recorded to record nonnumeric relative accommodation information.

  4. If you want to add relative accommodation binocular prescription impressions and observations to the EMR, click Observations; otherwise, go to step 6.

    The NEGATIVE RELATIVE ACCOM Impressions/Observations window opens.

  5. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  6. Click Save/Exit.
  1. Click in the BXC/14B box in the top right of the Vision/Rx ExamWRITER chart window.

    The BINOCULAR CROSS CYLINDER window opens.

  2. Select the appropriate (-) Minus or (+) Plus radio button.
  3. Click on the blue slider bar to add a measurement to the yellow highlighted text box.

    OR

    Type the appropriate measurement in the yellow highlighted text box.

    Click Unresponsive (X) and Not Recorded to record nonnumeric binocular cross cylinder information.

  4. If you want to add binocular cross cylinder prescription impressions and observations to the EMR, click Observations; otherwise, go to step 6.

    The BXC Impressions/Observations window opens.

  5. Select the appropriate check boxes and click ADD Item(s).

    To record selected information for the right, left, or both eyes, first select OD, OS, or OU from the Eye drop-down menu and then select the appropriate check box(es) for the right, left, or both eyes.

    To add custom text, select the appropriate check box and type text in the Custom text box.

    To clear all items from the Description list, click Clear ALL Items.

    To delete an item from the Description list, select the item and click Delete Item.

  6. Click Save/Exit.

    After you have finished recording Vision/Rx information in an EMR, the Vision bar changes in color from orange to green.

    All abnormal medical conditions appear in red text in the ExamWRITER chart window. All normal medical conditions appear in black text in the ExamWRITER chart window.

For more information on recording binocular vision information, watch this video.