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Clinical Notes at a Glance
The Clinical Notes module opens with a Summary list of clinical notes for the currently selected patient, with the most recent notes listed at the top.
The patient heading row shows the selected patient’s name, age, gender, location, and MRN. Use this information to verify that this is the right patient.
The module heading row displays the number of Clinical Notes for the patient, such as “Clinical Notes (4).” When you apply a filter, this line is updated and the Filter button displays at the top of the list. For example “Clinical Notes (2)” indicates that only two notes match the filter, and “Filtered by: Consult” indicates that only Consult note types are displayed.
Each line summarizes a note. It shows the Note Type (such as History and Physical, Consult, Consent, or Nursing Assessment), the Date of the note, the Author, and the note Status. It may also show the Source of the clinical note (the hospital or practice from which it was derived).
Your organization may provide access to traditional text-based clinical notes, as well as scanned clinical notes. From the Summary list, you can select either type of clinical note and read the details. The Clinical Note Detail screen opens and displays the text or scanned image for that note in a scrollable window. See Viewing the Details of Text-Based Clinical Notes or Viewing the Details of Scanned or PDF Clinical Notes.
If writing clinical notes on a device has been enabled for your user, you will also have access to mobile NoteWriter, where you can enter notes, save and edit drafts, and sign and submit your notes from the PatientKeeper on Apple app. For more information about this, see Writing Clinical Notes.

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