Palpation/Observations is the first of the four examination windows. Taking the time to set it up for your practice and understanding how to use the shortcut buttons reduces the amount of time spent documenting visits. Once established during the exam, these findings can be copied into the Visit, where they can be modified to reflect the specific findings for a visit.
Doctor Setup - https://help.healthcoretech.com/a/1497970-doctor-setup
The window is divided into multiple sections for you to document
- Adjustments: by Listing and Technique
- Fixation
- Pain and Tenderness
- Spasm
- Palpations
- Additional Findings
On the left are multiple set up and display options
To make the working part of the window most visible, use the left arrow button at the top to slide the window over and hide the set up options. To expand the page, click the Expand icon. To resize to the original, click the icon that takes its place when the window is zoomed in.
Link Adjustment and Technique Defaults
If the Link Adjustment box is checked, when you click a box under Fixation, the Adjustment is added automatically.
Setting techniques during the exam carries over into the Treatment Plan and Visit, even if no treatment is performed during the exam visit
Click the Listing column to select.
Link Spinal Palpation
Clicking Link Spinal Palpation automatically documents Fixation, Pain/Tend, and Spasm together.
Severity Selector on the left chooses the default value for Fixation, Pain/Tend, Spasm, Palpations, and Observations. Either click the predominant severity on the left before making selections or click multiple times in a box to cycle through severity: None, Severe, Moderate or Mild and WNL.
With Link Spinal Palpation checked, you can click to change all severities by clicking the Fixation box. If you want to change one section's severity, for example, Pain/Tend, click that box specifically to change it to the correct value.
Show Labels if checked will show S for Severe, MOD for Moderate, MILD for Mild, and WNL for Within Normal Limit. Unchecked Show Labels will only show indicator colors.
For clarity in documentation, only choose segments specific to the patient's condition. This makes it easier to follow the patient's story and progress when reviewing the notes.
Clear All
Import From Previous Test
Technique Settings
Click the Technique Settings button and use the pull down selector to choose the default techniques for Linked Adjustment the Technique Settings button and use the pull down selector to choose the default techniques for Linked Adjustments
Palpations
Selections in the Palpations and Observations columns can be customized in EHR Setup.
Additional Findings
Click on Findings example Inflammation then choose the area of the Inflammation and choose the severity by clicking in the Gray box
