With the patient's record open, follow the steps below to create a progress note using NoteWriter functionality:
From the Visit Navigator, scroll down to the Progress Notes section.
Click Create Note in NoteWriter button.
Update History of Present Illness (HPI) form by pressing the F2 key.
Select visit type (i.e., initial
or follow-up). ![]()
Complete the Reason for Visit details.
Navigate to the review of systems
(ROS) section by clicking ROS
.
Complete ROS.
Next, navigate to the Physical Exam
section by clicking Phys Exam
.
Complete the Physical Exam findings;
in our example, we'll click the magnifying glass next to Skin
to complete that section.
Complete the findings section. In many cases, such as Skin, findings can be documented various ways, including graphically.
To finish your progress note,
click the Note
icon.
After all required note fields are populated, click the Accept button on the bottom right of the window.
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