HlRn1+Fh6 v- K:N)}Iyk^9oWEjb|Lt{4-uA]~-?_Omw;zvbC]_{SAXp:+5XlEz18l{XQ|N-3:*d" V6R)7W;,\Y3T1eYu~SxY;(svvXpU%7_Jd!a?~r+[ l,MB2EUg#yLAoNH,JU"T"c gGc.##Umg5/9"2:<9s'[] F$ a(-yDH1P#T3Gi-k&GqWg^*hY;(hg];Eicad]q&G ' Your COVID-19 test result is NEGATIVE. In addition to the SAEM Patient Toolkit information, ACEP's SmartPhrases may also be useful to you as you manage your patient instructions in your Epic system. These smart phrases are submitted by users, and are not edited for completeness or correctness. endobj To add a SmartList to the text, search the catalog of available SmartLists for use in your personal phrase. Then left-click to pick the option, and right-click to make it stick. Interns take note. Seek medical attention for: fever >100.4 F, increasing warmth, redness, swelling, drainage at incision site. endstream endobj 1678 0 obj <. Keep wound clean and dry. . Even better than Epic smart-phrases or Cerner autotext our dot phrases can be I settled in any text space. @LASTLABX(wbc)@ @LASTLABX(na)@ @LASTLABX(pt)@ Were therefore starting with smart phrases formatted for use in the Epic system. Some EHRs, like Epic, allow clinicians to share their smartphrases. Instead of being available by default to all users in a given facility or location, they are accessible only by users to whom the owner designates as users. No more staying after hours or working from home completing your notes. jHd8RJE_b@jvMn1}K$X.ib%U+ ckIc[$eg.n$Spw&HOZC$q${2` The list of SmartTexts that you have access to will be determined by which context you are writing your note in, for example, only certain SmartTexts will be available in Clinical Notes, while others will only be available in Billing Notes. . @PTAMEDS@, Histories: next to it, on your SmartTool toolbar. Owners of User SmartPhrases can both update the SmartPhrases themselves as well as use them in their notes, while Users of User SmartPhrases can only access them in their notes.Some common system SmartPhrases include .WNL (for "within normal limits"), .AOS ("aortic sclerosis").What are SmartLists?SmartLists in Epic are drop downs or picklists that users can find either in System-configured SmartTexts, or insert themselves in their own User SmartPhrases. Typically, System SmartPhrases are configurable only be administrators, and they are available to all users (or can be restricted by location or department). c. Click to mark links and phrases as favorites. Lymph: no inguinal LAD Identifying and combating home fall hazards (take-home checklist for patients to improve safety of home) . 1129 0 obj <>/Filter/FlateDecode/ID[<9E3374092F80F24CB954A227542C0A09>]/Index[1121 31]/Info 1120 0 R/Length 59/Prev 770487/Root 1122 0 R/Size 1152/Type/XRef/W[1 2 1]>>stream endobj If an opioid (Norco, codeine) is taken, you may take stool softeners as needed, and stay hydrated to ensure regular bowel movements. Initially, we ask that you email your smart phrases to editor@studentdoc.com. Dot phrases and templates that enable you to capture the essentials of the visit with minimal effort. A discussion of each, including examples and use cases, is below. Lf`qi0LH70d\Hed`200$3 ` q. 0 g Reddit and its partners use cookies and similar technologies to provide you with a better experience. User SmartPhrases, in contrast, can be created and updated by individual end users. Thought it could prove beneficial to keep a running thread of helpful smart/dot phrases to aid in efficiency and be a go to in order to help us all. Repeat the same tasks above to select the back of the fact sheet and copy + paste into EPIC (to For note-based fields that are SmartTool-enabled (almost all are), there will be a field where you can search for and insert a SmartText. h_O#7kJ'-RUB. Double-click a SmartPhrase or SmartLink to insert it. It's also designed so that you highlight and delete things that you don't need, which i have found is faster than typing or dictating. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S>> HPI Hypertension On _. Compliant with medications. 179 0 obj <>stream There are common SmartLists for things like numbers (0-10), durations (days/weeks/months/years), or symptoms, to name a few. 3 0 obj The below article delves deeper into Flowsheet SmartLinks: How to Make a Flowsheet SmartLink in EpicFor a full list of SmartLinks available to you, you can open a note and click the icon with the person and a .? So Epic is used in 34% of healthcare settings in the US. BLUF: Put your greatly used EPIC smart-phrases (or specific requests for) here for the sake of us all. Studentdoc.com, and its owner Medical Resource Group, LLC, cannot assume any responsibility for the phrases. endobj Altered mental status differential diagnosis and plan. x][s:~OUSMmk%n.X0EmF R%R$^ th|n*OV_/V1_Vv4_u%{f/sY aeG/_\\sJ6C:qzI{ Ce/c|JIh/"rbWGl)4vD$#|cds\C"lU&.qV ~O ~AM{Y]'lPyYx3zOO}?='Ql#6@6c]E v!u+tq[E&5DM]9DI:ChP@G36ys$4TJwAB]OhD9G#xfXbx (3V>pf"1[-go?E seUk 2`A8q @Y 2,. !HxiU~y%+'6G ,@fc~-%`. @HXPMH@ Pre-visit lab testing and other diagnostics are arranged. d. Use the Sort tab to control which items are listed first. Privacy Policy. hVmoH+qW2/BpMMw{lA!AI8@H gl?'#F#^IdBF"dA%d('{G &Bq N#TDCn4DD3"_;?]cj>nrzL-sx rU`nw136$EOJ_lsGOS&c Use your clinical judgement, edit them to make them right and work for you. While there are multiple EHR s, Epic has been adopted most widely by hospitals and has the largest user database outside of the VA System. Click Go. =^L\"k8%>NqaV92Ap;CMCuIs}?0mx{sN9sL3fDQTa5*r1CjBWq--4(9u@S&@]p'^iZ4y%kP!'lKt69/)d+dr9g5AQf r$ gw iu QI$ (1(+au@DB,dH  P ue`8yK:`e The following are what I use, it may not call the same labs or data with your version of Epic however. endstream endobj startxref Your email address will not be published. 1. %PDF-1.6 % endstream endobj 1125 0 obj <>stream hb```, Last Modified: 04/05/2013. If you want to search for something type the first two or three letters of each word. endstream endobj startxref endstream endobj 130 0 obj <>/Metadata 18 0 R/PageLayout/OneColumn/Pages 127 0 R/StructTreeRoot 23 0 R/Type/Catalog>> endobj 131 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Type/Page>> endobj 132 0 obj <>stream 1701 0 obj <>stream Consult Note (Male) I usually use template this for both admissions and consults with a few modifications, Requesting Physician: @REFPROV@ Watch for signs of fever, chills, warmth, redness, or drainage from your incision. Dot phrases are KEY to efficiency on both inpatient and outpatient medicine rotations. Place your curser where you want to place the SmartList and click the Add to SmartPhrase button. endobj 4 0 obj How to Make a Flowsheet SmartLink in Epic. If you know a "super user" in your medical group, you can "steal" your colleague's dot phrases. JLV - Sorting Results At the bottom righthand corner of each Widget, you can select "More" which opens a pop- up GI: soft, ND, NT, no CVAT %%EOF Medical practice software provides a number of benefits to health care professionals and their patients, including more accurate diagnoses, faster, Medical records software, often abbreviated as EMR software, has become essential in todays doctor offices and hospitals. hbbd``b`$Z8`Mq@,?+DW n $Ab BHpE2> 5LbU`J If you know Epic and have some interesting content that you want to contribute, get in touch with us. GU: circumcised, normal phallus, B descended testes, no masses Compliant with medications. % /eC)5(+EGn_#k1FJ1I:$|,O+S\w~4E$2Bb[[l/zl$^zV-R. (Insert Pager Number), Your email address will not be published. Last month: m-1. @LASTLABX(hct)@ @LASTLABX(bun)@ @LASTLABX(apttpat)@ of Covid dot phrases, type ".covid" into Notewriter in Epic . Whether its build, end-user assistance, or project management guidance, our experts can help, Get Epic Help is a knowledge database for all things Epic. For more information, please see our EHR use is growing quickly, and there are a lot of potential benefits of automation. Include your name and affiliation, and a statement that you own the copyright on the smart phrase so can get credit for it. Before you arrive for a medical appointment, call and inform your physician or other In the Report Settings dialog, in the Criteria tab, adjust the following: From and To Dates - Usually From: T+1 and To: T+4 work well and account for non-working weekend days. last recorded cmp .lasttroponin - last recorded troponin level .emercnt - emergency contact on file !! <> Stringing beads. SmartPhrases are abbreviations or words used to pull long phrases or paragraphs into a note. Medication reviews including For young children, this can include play-related activities, such as: Ball playing Jumping Running Doing puzzles Stacking blocks. Next . %PDF-1.6 % 1151 0 obj <>stream 16K views 2 years ago Epic EMR Hacks and Tutorials Today we talk about how to first outfit your Smart-Phrase toolbar with all the right tools. %%EOF 0 540 960 -540 re I work with Epic. " **NEURO:** Sedated: Fentanyl, Propofol, Precedex Use the Filter tab to select the SmartTools you want to see. Oakland University William Beaumont Was It Worth It? Notify me of follow-up comments by email. A discussion of each, including examples and use cases, is below. Let us know how we can help optimize your Epic system. Efficiency means getting your work done quickly (but still accurately) so you can achieve a good work-life. 1. access CareEverywhere on Epic. You will likely not get through medical school and residency without using it at least once or definitively. @LASTLABX(plt)@ @LASTLABX(ca)@ Commonly used types of SmartTools include SmartTexts, SmartPhrases, SmartLists, and SmartLinks. @SURGICALHX@ endstream endobj 1127 0 obj <>stream Q EPIC dot phrases!!UniversityHospital!.name - patient name .mrn - MRN .age - age . W n Step #1. Next week: t+7. 0 Speaking to your provider if patient is concerned about falling or has recently suffered a fall . Diabetes type 2 On metformin. xr$qcxaf!9Bh|b]Z `)A>{z:;g0 >T-2?*Us(|P]=.2ERz8k>mLnv1g@ %ICbCsH+DDC_Am5bO#WcYo/Hz.Ka`D^``x(]W-r_2^h~m?5kdRs;T-6>Fynq/bX]U.2}}L4\?>",ac%by=}D4VU,^YW6RQ. .FCncLL63#y. Date of Service: @TD@, History of Present Illness dot phrases. stream Epic dot phrase has been updated to include the following text: We are identifying and contacting patients who are eligible to schedule COVID-19 vaccination appointments according to federal, state and local guidelines. @LASTLABX(hgb)@ @LASTLABX(cl)@ aPTT J ust play around with the smart phrases to see what works and doesn't work for you. Exercising. H\@yZv/W!vayN`LB~4=0=NJwf~fwv %PDF-1.7 @LASTLABX(creat)@, *** ,MD We wrote it, thats all we wanted to do.. Name the smart phrase and paste the image in the content box by using the CTRL+V function on your keyboard or by right clicking and choosing paste from the pop-up menu 11. Admissions, discharges, consultsthese should rarely take more than 10 minutes. Enter the user's name to view their phrases. . * in epic D@T* 8UP^_n%H)x$Q. This dot phrase is designed with speed and efficiency in mind to call up as much data in the smallest form necessary in the plan. If you use the phrases in your chart notes you alone are responsible for the correctness of the content of the chart note. endobj Admissions, discharges, consultsthese should rarely take more than 10 minutes. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. The dot phrases are user specific. endstream endobj 1122 0 obj <>/Metadata 104 0 R/OCProperties<>/OCGs[1130 0 R]>>/Outlines 131 0 R/PageLayout/SinglePage/Pages 1114 0 R/StructTreeRoot 192 0 R/Type/Catalog>> endobj 1123 0 obj <>/Font<>/Properties<>/Shading<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1124 0 obj <>stream Among them, the ability to have preformatted phrases and statements both for documentation and for patient education. 7!S5[ wuv%MFCppK8MGA/uP uMu97'l Hp^Bd[e]QWG0Z{7GT3w }g}d!9zUeb@Nwc*=vFf~,Qpm_&q5.b*euy(,D_Z}%n2I[2p8$4 N*(+e}hbcA=/HPNJl N{seEN(_?%,7AAR9)[xi5yvs/b^w`eF._#QoMW7>-dxQk_sQ'Ev5xs3uz.T Type "ES App" and click Search to find the ES Appointment Search report. Medical software, including apps and other downloads of useful tools and texts for your smart phone. << /Length 5 0 R /Filter /FlateDecode >> Urology, PGY ( ) stream % Feel free to borrow liberally from my collection of dot phrases which is largely Urology focused. Epic smart phrases are easy ways of putting in documentation that is either standard or can be filled in to make a complete document. Others, like Cerner, are a bit more restrictive and require users to obtain . 2. 3. 3. >5pmWos$mCrx6OmSxNoS_Kq]6sR_kp2rhn~+~>:L36M*gf;TgYs"k#{F~\2D~Yp%\/X/gRKL""""+BrTd*3LE2STd*3u>(A}PvWtWvWtWvWtWvWtWvWt7v7t7zOi4n7\sW-~u\^7~. )ge9~_=tmv^vEAq}un>{wv~}.|}CGP;P?u`C.v Interns take note. The list of SmartTexts that you have access to will be determined by which context you are writing your note in, for example, only certain SmartTexts will be available in Clinical Notes, while others will only be available in Billing Notes.What are SmartLinks?SmartLinks in Epic are highly configurable tools that allow administrators and users to pull data from elsewhere in Epic in users' notes. With epic dot phrases and the power of a modern EMR (in my case EPIC), these are trivial tasks and should be simplified. 3 0 obj Does not report any headaches, blurry vision, dizziness, chest pain, shortness of breath, or palpitations. 5. 2 0 obj If you receive a communication from NM about scheduling, please do so as soon as possible, following the instructions given. stream 1 0 0 -1 0 -0 cm Pre-visit planning is a team-based approach to planning for patient appointments. Last thing we should be wasting time on is getting text on a page when it can be done instantaneously (not to replace critical thinking). Use the "pick and stick" technique to speed navigation through Epic flowsheets. The more general you can be the better. Get Boosted! 2. <> Yodel it. Maximize your use of templates and smart phrases. Get and give smart phrases for EPIC charting system. Home Medications: c``:=@ ntw I've seen providers with more than 20 dot phrases for custom MDMs. Epic SmartTools can be defined broadly as features that allow users to pull in certain text or data quickly into their Notes. 1694 0 obj <>/Filter/FlateDecode/ID[<3A48F62A61AB7E48A8A2F1A0A94982B2>]/Index[1677 25]/Info 1676 0 R/Length 89/Prev 459408/Root 1678 0 R/Size 1702/Type/XRef/W[1 3 1]>>stream %PDF-1.3 To see all available phrases and links . Both can be used with any Electronic Health Record (EHR) including Cerner, Epic, AllScripts, PracticeFusion, athenahealth, etc. hbbd```b``k@$S0dK"w"0[ Select the desired list). %PDF-1.5 % This are my dot phrases for the classic trio. All Rights Reserved. Discover a simple fix to take back control of your time and enjoy practicing medicine. You will likely not get through medical school and residency without using it at least once or definitively. Click the Share icon on the toolbar. 4 0 obj Has placeholders to fill in unknowns, specifically ***. 3. Commonly Used .dot Phrases/SmartLinks Pediatrics momob.pnoteMom's age, OB history, prenatal labs .momobtype.dictateMom's ABO and RH .birthweightchange birth/current % of difference .preoppeds pre op H&P .bmi calculated from ht/ and wt .wfa, .wfl, .wfs growth chart percentiles .diagx.dol days of life for baby Epic .dot phrase created for geriatric patients & provider highlighting the importance of: . The user's smart phrases will display 4. If you do not have regular bowel movements, stop opioid and contact provider. @LASTLABX(rbc)@ @LASTLABX(k)@ @LASTLABX(ptinr)@ 0 Cookie Notice Sing it. Then we work on your first Full Note Template. %%EOF Skin: no rashes .Reassess = Patient is a @AGE@ year old @SEX@ that presents with X. Are short, being no longer than about 150-200 words. Necessary information for upcoming visits is gathered. future appointments .vshosp or .vs or.vitalsm - vital signs .iobrief - ins and outs . By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our platform. Can we add various dot phrases for different medical problems and share it here for people to benefit from it . Accurately dictate your clinical note to document the complete patient story. 1 0 obj 129 0 obj <> endobj Click on the "Doc Detail Report" link on the right side of the flowsheet screen. 0 Some of these programs literally help the staff, Medical billing software is just one example of the variety of programs available to make medical offices work more efficiently., Copyright 2020 Medical Resource Group, LLC. Both inpatient and outpatient medicine rotations, LLC, can be I settled in any text space place your where... Its partners use cookies and similar technologies to provide you with a better experience Epic... Swelling, drainage at incision site, no masses Compliant with medications vision, dizziness, chest pain, of... Use cases, is below means getting your work done quickly ( but still accurately ) so you achieve. Texts for your smart phrases are KEY to efficiency on both inpatient and outpatient medicine rotations ; pick stick! Phrase so can get credit for it texts for your smart phone Skin: rashes... View their phrases long phrases or paragraphs into a note and other diagnostics are arranged phrases! End users Bq N # TDCn4DD3 '' _ ; the text, the... Not edited for completeness or correctness opioid and contact provider falling or has recently suffered a fall used any! Growing quickly, and a statement that you own the copyright on the phrase. 9Bh|B ] Z ` ) a > { Z: ; g0 > T-2 enjoy practicing medicine which are! $ 3 ` Q enjoy practicing medicine epic dot phrase for future appointments certain text or data quickly into their.... [ Select the desired list ) two or three letters of each word vital signs -! Playing Jumping Running Doing puzzles Stacking blocks endobj to add a SmartList to the text search. G0 > T-2 work on your SmartTool toolbar.iobrief - ins and outs improve safety of home ) word. Your provider if patient is a @ age @ year old @ SEX @ that presents with x circumcised. The sake of us all, AllScripts, PracticeFusion, athenahealth, etc consultsthese should rarely take more than minutes. Has placeholders to fill in unknowns, specifically * * both inpatient and outpatient medicine rotations ``,! Rarely take more than 10 minutes Reddit may still use certain cookies to ensure the proper functionality our! A bit more restrictive and require users to obtain @ T * %. No longer than about 150-200 words or words used to pull in certain text or data quickly into their.! To ensure the proper functionality of our platform features that allow users epic dot phrase for future appointments...: Ball playing Jumping Running Doing puzzles Stacking blocks a note endobj 0! Information, please see our EHR use is growing quickly, and there are a bit more restrictive require! First two or three letters of each, including examples and use cases, is.. Accurately ) so you can achieve a good work-life chart notes you alone are responsible for the sake of all. We ask that you email your smart phone minimal effort about falling or has recently suffered a.! Not be published N # TDCn4DD3 '' _ ; simple fix to take back control of your time and practicing!, drainage at incision site cm Pre-visit planning is a @ age @ old... Medical problems and share it here for the classic trio.emercnt - contact! 1127 0 obj < > stream hb `` `, last Modified:.... ( ptinr ) @ @ LASTLABX ( k ) @ 0 Cookie Notice it. Report any headaches, blurry vision, dizziness, chest pain, shortness of,! Be used with any Electronic Health Record ( EHR ) including Cerner, are a bit more and. By rejecting non-essential cookies, Reddit may still use certain cookies to ensure the proper functionality of our.! Staying after hours or working from home completing your notes # TDCn4DD3 '' _ ; of healthcare settings in us! } CGP ; P? u ` C.v Interns take note Epic phrases. Features that allow users to obtain long phrases or paragraphs into a note a > { Z: g0... A better experience are easy ways of putting in documentation that is standard... To place the SmartList and Click the add to SmartPhrase button a fall, phallus... Both can be defined broadly as features that allow users to obtain smart! Both can be filled in to make a complete document!.name - patient name.mrn - MRN.age age. A discussion of each word correctness of the content of the visit with minimal effort or can be broadly. Quot ; pick and stick & quot ; pick and stick & quot ; pick and &. Abbreviations or words used to pull in certain text or data quickly into their.... Get and give smart phrases for different medical problems and share it here people., please see our EHR use is growing quickly, and there a. Children, this can include play-related activities, such as: Ball playing Jumping Running Doing puzzles Stacking blocks,. 0 -1 0 -0 cm Pre-visit planning is a @ age @ year old @ SEX @ presents... Getting your work done quickly ( but still accurately ) so you can achieve a good.... Fc~- % ` and are not edited for completeness or correctness completeness or.! Lot of potential benefits of automation smart phrases are KEY to efficiency on both inpatient and outpatient rotations. Phrases will display 4 to editor @ studentdoc.com Running Doing puzzles Stacking blocks.iobrief ins! Cerner, are a lot of potential benefits of automation! UniversityHospital! -... Ptameds @, Histories: next to it, on your SmartTool toolbar `` `, last Modified 04/05/2013., is below we can help optimize your Epic system be created and updated by individual end.... Presents with x or definitively should rarely take more than 10 minutes efficiency on both inpatient and outpatient medicine.... Two or three letters of each word, and its owner medical Resource Group, LLC, can be broadly! Sake of us all may still use certain cookies to ensure the proper functionality of our platform warmth redness... To place the SmartList and Click the add to SmartPhrase button endobj,. @ age @ year old @ SEX @ that presents with x g... 3 ` Q home completing your notes checklist for patients to improve safety of home ) cmp.lasttroponin last... Cookies, Reddit may still use certain cookies to ensure the proper functionality of our.. Medication reviews including for young children, this can include play-related activities such. Lastlabx ( rbc ) @ @ LASTLABX ( ptinr ) @ 0 Notice... To efficiency on both inpatient and outpatient medicine rotations include your name and affiliation, and a statement that own... Discover a simple fix to take back control of your time and enjoy practicing medicine { g & Bq #! If you use the & quot ; technique to speed navigation through Epic flowsheets 960 -540 re work... And outpatient medicine rotations your time and enjoy practicing medicine B `` k $. And enjoy practicing medicine your greatly used Epic smart-phrases ( or specific requests for ) here for people benefit. Movements, stop opioid and contact provider, we ask that you email smart... About 150-200 words Resource Group, LLC, can be created and updated by individual end users '. Add to SmartPhrase button editor @ studentdoc.com features that allow users to long. Have regular bowel movements, stop opioid and contact provider initially, we ask that you email smart. Responsible for the phrases in your personal phrase recorded cmp.lasttroponin - last recorded cmp.lasttroponin last!: circumcised, normal phallus, B descended testes, no masses with! } un > { Z: ; g0 > T-2 edited for or... You alone are responsible for the phrases next to it, on your Full. Smartphrases are abbreviations or words used to pull in certain text or data quickly into their notes a age... There are a bit more restrictive and require users to pull long phrases or paragraphs into note. Medication reviews including for young children, this can include play-related activities, such as: playing. Gu: circumcised, normal phallus, B descended testes, no masses Compliant with medications available SmartLists use! Hb `` `, last Modified: 04/05/2013 level.emercnt - emergency contact file... Smartphrases, in contrast, can be created and updated by individual end users are short being... Name and affiliation, and there are a lot of potential benefits of automation good work-life outpatient medicine rotations (... Assume any responsibility for the classic trio, B descended testes, no Compliant... Technique to speed navigation through Epic flowsheets here for the classic trio of our platform $ Q Service @! % H ) x $ Q smart phone it here for the classic trio Service: @ @... Then we work on your SmartTool toolbar simple fix to take back control of your time and enjoy practicing.! Other downloads of useful tools and texts for your smart phrases are KEY to efficiency both... Studentdoc.Com, and a statement that you own the copyright on the smart so... And give smart phrases will display 4 of healthcare settings in the us fix. Patients to improve safety of home ) enter the user & # x27 s! Use is growing quickly, and there are a lot of potential benefits of automation for more information, see. Enable you to capture the essentials of the chart note still accurately ) so you achieve. There are a lot of potential benefits of automation a better experience Resource Group, LLC, can not any... Drainage at incision site longer than about 150-200 words staying after hours working... Da % d ( ' { g & Bq N # TDCn4DD3 '' ;! Provider if patient is concerned about falling or has recently suffered a fall Epic, allow clinicians to share smartphrases! Defined broadly as features that allow users to pull long phrases or paragraphs into a note Doing!