General Surgery EHR

Aprima EHR for General Surgery


The biggest problem is as Surgeons become hospital employees, their allegiance shifts from the patient to the corporate (or Government) bottom line. Surgeons are no longer professionals — Surgeons are employees that will do the bidding of their employer, the hospital/government. Surgeons are losing their ability to choose the method and specific products to use in their surgeries as these decisions are now made by the hospitals and the government-run insurance policies.

Why should you pick Aprima as your General Surgery EHR? With the changes in healthcare it is becoming harder for Surgeons to stay independent. The Medicare reimbursement cuts to key surgery services, industry challenges like ICD-10, MACRA, MIPS, PQRS, Population Health and rising costs have pushed many Surgery providers right out of private practice. In fact, only 32% work in private practice today in 2016 versus 60% in 2007. It is sad that Surgeons help people enjoy day-to-day life, but suffer themselves with the stress of healthcare changes. Healthcare is moving away from fee for service to performance-based incentives, and that is why Surgery need an Electronic Health Records system like Aprima that collects data and aggregates that data to help Surgery. Adding to the strain, administrative tasks and outdated technology, such as EMRs that require bridges to practice management or scheduling software, are consuming more and more time. Due to its complexity, General Surgeons have some of the most demanding documentation and billing requirements, so it’s no wonder that 33% of Surgeons spend over 15 hours a week on administrative tasks.

Example of some of our General Surgery-EHR Disorders (Treatment Templates)

  • Anal Fissure or Fistula
  • Ano-Rectal Cancer
  • Hemorrhoids
  • Perianal or Rectal Abscess
  • Perineal Condyloma
  • Pruritus Ani
  • Rectal Bleeding
  • Thrombosed Hemorrhoid
  • F/U Fissure/Fistula
  • F/U Hemorrhoids
  • F/U Perianal/Rectal Abscess
  • F/U Perineal Condyloma
  • P/O Fissure/Fistula
  • P/O Hemorrhoid
  • Appendicitis
  • P/O Appendectomy
  • Bariatric H&P
  • Abnormal Mammogram
  • Breast Abscess
  • Breast Cancer
  • Breast Cyst
  • Breast Mass
  • Breast Specialists Progress Note Form
  • Fibrocystic Breast Changes
  • Interval Mammogram & Ultrasound Results
  • Mastalgia
  • Mastitis
  • Nipple Discharge
  • Solitary Breast Cyst
  • F/U Benign Breast Problem
  • F/U Breast Abscess
  • F/U Breast Cancer
  • F/U Nipple Discharge
  • P/O Benign Breast Bx
  • P/O Breast Biopsy – Cancer
  • P/O Breast Cancer (Short-term)
  • P/O Breast Stereo Bx
  • Laceration/Wound
  • Minor Burn
  • Benign Colon Neoplasm
  • Colon Cancer
  • Colostomy Takedown/Revision
  • Diverticular Disease
  • Diverticulosis/Diverticulitis
  • Ostomy Problem
  • Rectal Bleeding/Polyps (Colonoscopy)
  • Screening Colonoscopy
  • F/U Colon Cancer (Long-Term)
  • F/U Diverticulosis/Diverticulitis
  • F/U Irritable Bowel Syndrome
  • Surveillance Colonoscopy Colon Cancer/Polyps
  • P/O Benign Colectomy (Global)
  • P/O Colectomy (Cancer) (Global)
  • P/O Colostomy Takedown (Global)
  • P/O F/U Colon/Small Bowell/Gastric
  • Breast Letter to Referring MD
  • Cholelithiasis Referral Letter
  • Colonic Carcinoma Referral Letter
  • Detailed Letter to Referring MD
  • Referral Letter
  • Standard Letter to Referring MD
  • Surgery Instructions
  • Surgery Letter to Referring MD
  • Lower GI Tests
  • Peripheral Vascular Studies
  • Pulmonary Function Studies
  • Upper GI Tests
  • Adrenal Mass
  • Pheochromocytoma
  • Pancreatitis
  • P/O Parathyroid Surgery
  • Parathyroid Disease – Hypercalcemia
  • Hypo or Hyper-thyroidism
  • Thyroid Nodule
  • F/U Hypo or Hyper-thyroidism
  • F/U Thyroid Nodule/Mass
  • P/O Thyroidectomy
  • Cervical Lymphadenopathy or Neck Mass
  • Esophageal Cancer
  • F/U Esophageal Cancer (Long-term)
  • GERD
  • P/O Esophagectomy (Cancer) (global)
  • Zenker’s Diverticulum
  • Abd Pain – Lower
  • Abdominal Pain
  • Foot Pain (Adult)
  • Pelvic Pain (Female)
  • F/U Abd Pain
  • F/U Abd Pain (No Dx Studies)
  • F/U Abdominal Pain
  • F/U Splenectomy (Global)
  • F/U Note
  • Generic H&P
  • P/O F/U Generic
  • Gallstones/Dyskinesia
  • Liver Mass
  • F/U Abnormal Liver Function Studies
  • Cholecystectomy
  • P/O Cholecystectomy
  • Hiatal Hernia
  • Inguinal Hernia, Adult
  • Inguinal Hernia, Pediatric
  • Umbilical Hernia, Adult
  • Umbilical Hernia, Pediatric
  • Ventral Incisional Hernia
  • Inguinal Herniorrhaphy
  • P/O Hiatal Hernia
  • P/O Incisional Hernia
  • P/O Inguinal Hernia
  • P/O Umbilical Hernia
  • Ano/Procto/Sigmoidoscopy
  • Biopsy Palpable Breast Mass
  • Breast Ultrasound Procedures
  • Excision
  • I & D Abscess
  • I & D Hemorrhoid
  • I & D Paronychia
  • Ingrown Nail Excision
  • Laceration Repair Note
  • Mole Excisions
  • Mole/Wart Destruction
  • Simple Excision
  • Soft Tissue Mass Excision
  • Suture Note
  • Suture Removal
  • Toenail/Matrix Removal
  • Ulcer Debridement
  • Vacuum Assisted Mammotome Biopsy
  • Vasectomy
  • Wedge Excision Ear
  • Benign Skin/Lesions/Lumps
  • Bites, Animal
  • Bites, Human
  • Bites, Insect
  • Cellulitis/Decubitus
  • Chronic Lower Extremity Ulcer
  • Foreign Body
  • Ganglion Cyst
  • Hidradenitis Supprativa
  • Ingrown Toenail
  • Lymphadenopathy
  • Melanoma
  • Nail Disorders
  • Nail Thickening & Trimming
  • Onychomycosis
  • Pilonidal Cyst & Sinus
  • Plantar’s Wart and/or Foreign Body
  • Skin Neoplasms
  • Soft Tissue Abscess
  • Soft Tissue Contusion
  • Soft Tissue Foreign Body
  • Soft Tissue Mass
  • Soft Tissue Mass (Malignant)
  • F/U Benign Neoplasms
  • F/U Foot Ulcer
  • F/U Ingrown Toenail
  • F/U Melanoma
  • F/U Pilonidal Cyst/Sinus
  • F/U Skin Cancer (non-melanoma)
  • F/U Soft Tissue Abscess
  • F/U Suture Removal
  • P/O Pilonidal Excision
  • P/O Skin Cancer
  • P/O Soft Tissue Mass Excision
  • Small Bowel Obstruction
  • P/O Small Bowel Obstruction (Global)
  • Abnormal Chest X-Ray
  • Blunt Chest Trauma (Minor)
  • Lung Mass
  • Mediastinal Adenopathy
  • Pulmonary Contusion/Rib Fracture
  • Pulmonary Nodule
  • Spontaneous Pneumothorax
  • Thoracic Outlet Syndrome
  • F/U Lung Mass
  • F/U Lung Resection
  • F/U Spontaneous Pneumothorax
  • P/O Bronchoscopy/Mediastinoscopy
  • P/O Thoracotomy (Global)
  • P/O Vasectomy
  • Vasectomy Consult


  • Abd Aortic Aneurysm
  • Amputation (Vascular)
  • Carotid Artery Stenosis
  • Generic Vascular Exam (multi-site)
  • Peripheral Vascular Dz
  • Renal Artery Stenosis
  • Temporal Arteritis


  • Varicose Veins
  • Venous Access
  • Venous Insufficiency
  • Venous Stasis Ulcer
  • F/U Venous Stasis Ulcer
  • VNUS Closure Procedure

Vascular Access

  • Catheter Removal
  • Superficial Thrombophlebitis
  • Tenckhoff Catheter
  • Vascular Access-ESRDz


  • F/U Abd Aortic Aneurysm
  • F/U Carotid Stenosis
  • F/U Foot Infection
  • F/U PVDz-Medical Treatment


  • P/O A-V Graft
  • P/O Abd Aortic Aneurysm (Global)
  • P/O Amputation, Lower Leg
  • P/O Amputation, Toes-Forefoot
  • P/O CEA (Global)
  • P/O Dialysis Access
  • P/O PVDz Surgery (Global)
  • P/O PVDz Surgery (Long-term)

Physical Exam: Aprima EHR for Surgery provides natural language diagnoses and reruns them to scientific terms (with built-in medical drawings): Predefined templates and panels are available for conducting physical exams on any part of the body. These templates also include medical drawings that enable Surgeons to comment, import images, and review clinical information instantly.

Image Management: The integrated module of document & image management enables Surgeons to upload tests and images demonstrating Surgical diagnoses and procedures.

Device Compatibility: Aprima EHR for Surgery has the ability to interface with clinical devices to automate the exchange of clinical data into the EHR.

Recalls, Reminders, and Letters: Aprima EHR for Surgery has two-way communications with patients, and enables you to automatically generate reminders, confirmations, recall, follow-up, and progress update letters.

Risk Management: The built-in feature of adverse drug event reporting/alerts enables you to manage risks associated with allergies, food, and patient medication.

Electronic Prescription: Send electronic prescriptions and refill requests online, including Controlled Substances.

Patient Education: Utilize industry-standard clinical decision support and the integrated knowledge base to deliver preventive care, disease management, drug information, and patient education services.

E&M Coding Assistance: Maximize payments and eliminate missed charges. Avoid under-coding or over-coding.

Electronic Superbills: Aprima is an all-in-one database; the electronic superbill is just a click away, regardless of whether the physician signed off on the notes or not.

Lab Orders & Results: Aprima EHR for Surgery is compatible with HL7 interfaces to directly connect with labs to electronically send and receive orders or results.

Decision Support: Confirm your decision with the Aprima’s help on how other Surgeons treat such a condition.

General Surgeon using PrimeSuite
Patients Charts Per Year
Insurance Claims Per Year
Money Collected Per Year

 Life is complicated enough, lets make it simpler.


Surgery EHR Designed by Surgeons for Surgeons

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