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