Documenting a Complete Exam in the Visit Overview (Web)

You can add, edit, or delete any piece of exam documentation directly in the Visit Overview. This single-screen workflow saves you the time and effort associated with entering and exiting the individual sections of the exam, like CC/HPI and the Ocular Exam. Think of Visit Overview as the digital equivalent of a SOAP note.

This chapter includes the following sections:

• Creating or Opening a Visit (Web)
• Creating a Nonvisit Order (Web)
• Managing Visit Settings in the Visit Overview (Web)
• Adding Free-Form Visit Notes in the Visit Overview (Web)
• Recording the Chief Complaint, HPI and ROS in the Visit Overview (Web)
• Recording the Vision Exam in the Visit Overview (Web)
• Recording the Ocular Exam in the Visit Overview (Web)
• Managing Diagnoses, Findings, and Plans in the Visit Overview (Web)
• Using Global Periods in the Visit Overview (Web)
• Coding, Finalizing, and Amending Visits in the Visit Overview (Web)