Recording Examination Information

1. Click the Examination bar on the Exam - Special Tests tab in the ExamWRITER chart window.

   The Examination window opens.

2. Select the appropriate External Exam OK, Anterior Segment OK, and Routine Ophthalmoscopy OK check boxes and any appropriate Ocular Conditions and Except check boxes.

   Select the Except check box(es) only if there are exceptions to the patient’s healthy examination; otherwise, only select the ALL OK check boxes.

   Blue text is a heading for the black or red text below it.
   
   Red text signifies that the corresponding check box has been previously selected and information relating to that text has been previously recorded.

   Green text signifies that the item is associated with a PQRS procedure code or MIPS measure.

3. Click Process or right-click anywhere in the Examination window.

   Depending on the boxes that you checked, various windows will open with additional check boxes.

4. Select or deselect the appropriate check boxes and click Process.

   To record selected information for the right, left, or both eyes, first click OD, OS, or OU and then select the appropriate check box(es) for the right, left, or both eyes.

   To add custom text, first select the appropriate check box(es), then click Custom Text, type the text, and click OK.

   To clear previous selections on the form, click Reset Form.

   If a Current Information window opens, choose the appropriate button at the bottom of the window to add, edit, save, redo, or delete the previously entered text.