NoteWriter is an Epic activity that generates note text based on point-and-click documentation. Information that a clinician document from the NoteWriter includes a patient's history of present illness, review of systems, medical decision making, and physical exam. The Procedure NoteWriter is used to create documentation for procedures with the NoteWriter activity.

Resources

The following resources provide information on NoteWriter functionality.

  • Document Discrete Patient Data with the NoteWriter - (Handout) Use the NoteWriter to quickly write a note by using your mouse to record a patient's HPI, ROS, and physical exam.

  • Creating Personal Macros for Efficient Documentation - (Handout) A Macro is a set of signs, symptoms, and pertinent negatives commonly recorded during an ROS or physical exam, or information commonly recorded in a procedure note. Creating personal or shared Macros using NoteWriter make documentation of repetitive assessments with similar findings easier and more efficient.

  • Link a Consult Note to the Consult Order - (Handout) Use the NoteWriter to document a consult and link the consult note to an existing consult order. Signing a note with a consult order will complete the order and remove the patient from the Consults System List in the Patient Lists activity.

  • Note Writing Basics - Creating Notes Using NoteWriter - (Handout) There are several methods available for writing notes, and each one has unique advantages. For that reason, many staff use a combination of methods depending on the length, level of detail, uniqueness of the note, and availability of note type. Not using NoteWriter? Click here for Note Writing Basics (non-NoteWriter).

  • Updating HPI and ROS at Urgent Care/Quick Care - (Handout) SmartBlocks can be used to update responses to a Welcome Questionnaire when reviewing them with the patient. The SmartBlock opens the NoteWriter function beside the Clinic Note and the patient’s responses are automatically selected. They can then be edited

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