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electronic documentation clinical notes

Adding Documentation. . 1. Open the Patient's chart.. 1. You can document a Consult, Discharge Summary, H

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electronic documentation clinical notes

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    1. Electronic Documentation – Clinical Notes Using the Clinical Note for Documenting: Consults, H&Ps, Discharge Summaries, Progress Notes, Cardiology Notes and Operative Notes

    3. Adding Documentation continued

    4. Adding Documentation continued

    5. Saving versus Signing a Document

    6. Saving Displays as “Preliminary Report”

    7. Signing Displays as “Final Report”

    8. Locating a Saved or Signed Report

    9. Modifying a Document

    10. Modifying a Saved Document

    11. Viewing a Final Report

    12. Modifying a Signed Report

    13. Viewing an Addendum on a Signed report

    14. Forwarding a Note or H&P for Completion &/or Signature

    15. Selecting Physician to Co-Sign

    16. Electronically Proxying to Physician

    17. Co-signing a Note

    18. Opening a Note to Co-Sign

    19. Signing a Note

    20. Recognizing a Signed Note

    21. Viewing a Note’s Status

    22. Verifying a Note Is Co-Signed

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