There are three ways to document in the Clinical Evaluation area.
Option # 1: Write in the assigned area.
- Press click in the line under the title of Chief Complaint.
-
Write the information you want to be displayed.
- (Note: For example: Chief Complaint we wrote the patients visit reason or the patients main complaint.
- Press the Enter key to save the information. (This section has an AutoSave to store the information when finishing writing ).
- Repeat the same steps in the Present Illness, Past History, Physical Exam, ROS, ect. sections.
Important: Sections displayed in this areas are defined in Advanced Progress Note / Setting / Clinical Evaluation Template Setting.
Option # 2: Select the customized options.
- Press the Chief Complaint button located in Side Bar to access the Clinical Evaluation screen and from this area you can document the other areas like:Triage, HIS, ROS, Physical Exam y Past History.
Option # 3: Through frases
- Position mouse over the line under the title for example of Chief Complaint.
- Then press the button where appears the three dots..
- The following screen will be displayed.
- Select the phrase you want to be displayed.
- Press OK.
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