The doctor uses structured entry to record the review of systems, adds family history information and then brings in an outside letter.
Activities Demonstrated:
How to provide the ability to create clinical documentation or notes.
How to provide the ability to display documentation.
How to provide the ability to document a patient encounter.
How to provide the ability to capture structured data in the patient history.
How to provide the ability to capture patient history as both a presence and absence of conditions, i.e. the specification of the absence of a personal or family history of a specific diagnosis, procedure or health risk behavior.
How to provide the ability to incorporate paper documents from external providers into the patient record.
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