Working with Clinical Notes > Handling Patient Clinical Notes

Amending Patient Clinical Notes

If you have the proper security permissions, you can edit a patient clinical note on the day it is created; however, after that time has passed, you can only amend a patient clinical note with additional text. Each amendment is automatically dated, and the original note and all amendments can be viewed in the Clinical Notes History window.

To amend a clinical note:

1. While a patient’s chart is displayed in the Chart for window, do one of the following:

• Click the Notes tab.

• Select Clinical Notes > View Clinical Notes.

• Click Add a descriptive note in the main Charting toolbar.

The Patient Clinical Notes List window is displayed.

2. Select the note to amend and click Amend Note Text. The note is displayed in the Patient Clinical Notes window.

3. Type the note text in the field.

4. To view a clinical note with all amendments and revisions, click the Notes History tab.

4. Select Reviewed by Dr. to indicate the doctor has seen this note.

5. Click OK.

6. Click Close twice.