Documenting a Complete Exam in the Detailed Visit Overview (iPad)
You can add, edit, or delete any piece of exam documentation directly in the Detailed Visit Overview In the iPad app, you can use the Detailed Visit Overview to document an entire visit from a single screen. This is an alternative to the tiled Visit Overview. Some users refer to the Detailed Visit Overview as the "pancake view" because the sections resemble a stack of pancakes.. 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 Detailed Visit Overview as the digital equivalent of a SOAP note.
This chapter includes the following sections:
- Creating or Opening a Visit (iPad)
- Creating a Nonvisit Order (iPad)
- Managing Visit Settings in the Detailed Visit Overview (iPad)
- Adding Free-Form Visit Notes in the Detailed Visit Overview (iPad)
- Recording the Chief Complaint, HPI and ROS in the Detailed Visit Overview (iPad)
- Recording the Vision Exam in the Detailed Visit Overview (iPad)
- Recording the Ocular Exam in the Detailed Visit Overview (iPad)
- Managing Diagnoses, Findings, and Plans in the Detailed Visit Overview (iPad)
- Coding, Finalizing, and Amending Visits in the Detailed Visit Overview (iPad)
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