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 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)
- Coding, Finalizing, and Amending Visits in the Visit Overview (Web)