There are several options for documenting the information in the Clinical Evaluation screen.


Option #1

  • Go to the Advanced Progress Note screen.
  • Press the Chief Complaint, Past History, Physical Exam, ROS or Triage button, located in the Side Bar section.


  • Or, press the Search button located at the top left of the screen and select the Chief Complaint, Past History, Physical Exam, ROS or Triage options.
  • The following screen will be displayed, depending on your selection.


  • Press the Select Template button, located at the top of the screen.


  • The following screen will be displayed: 


  • Select the Template you wish to add to the clinical evaluation.
  • Once selected, press the Ok button.


  • The following confirmation message will be displayed:


  • Press the Yes button to add the selected Template to the clinical evaluation.
  • Press the No button to cancel the action.
  • The selected options in the selected template will be displayed.


  • Then, press the Save button.
  • They will automatically be displayed in the Clinical Evaluation section. 


Option #2

  • Go to the Advanced Progress Note screen.
  • Click on the Chief Complaint link, located in the Clinical Evaluation section. 


  • The following screen will be displayed, depending on your selection.


  • Press the Select Template button, located at the top of the screen.


  • The following screen will be displayed: 


  • Select the Template you wish to add to the clinical evaluation.
  • Once selected, press the Ok button.


  • The following confirmation message will be displayed:


  • Press the Yes button to add the selected Template to the clinical evaluation.
  • Press the No button to cancel the action.
  • The selected options in the selected template will be displayed.


  • Then, press the Save button.
  • They will automatically be displayed in the Clinical Evaluation section. 



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