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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- Learn More About: Advanced Progress Note / Clinical Evaluation