Document Normal Findings in the Hand
Open the
SOAP
template.
In the
Physical Exam
panel, click
Hand
in the left pane.
The
right
and
left
options appear in the sub-menu.
Click
right
to open the
Hand Right - PE
template or click
left
to open the
Hand Left - PE
template.
If appropriate, click the
Quick Exams
field and select
Normal
from the list.
The respective fields in the
Hand Right - PE
template are filled with the normal values.
Select the diagnosis codes from the
Dx1
or
Dx2
fields. You can enter two diagnosis codes for this physical exam.
Click the corresponding
Status
field to select the status of diagnosis.
Click
OK
.
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Document Normal Findings in the Hand
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Document Normal Findings in the Wrist
Open the SOAP template. In the Physical Exam panel, click Wrist in the left pane.The Wrist - PE template opens. Wrist - PE In the Quick Exams field, select the appropriate checkboxes and click the corresponding field to display the list. If appropriate, select Normal from the list.The respective fields populate with the normal values. Enter diagnosis codes in the Dx1 or Dx2 fields. Click the corresponding Status field to select the status of each diagnosis, and then click OK. Parent topic: Orthopedic Physical Exam Templates
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Document Normal Findings for the Shoulder
Open the SOAP template. In the Physical Exam panel, click Shoulder in the left pane.The Shoulder - PE template opens. Shoulder - PE In the Quick exams field, select the appropriate checkboxes and click the corresponding field to display the list. If appropriate, select Normal from the list.The respective fields in the Shoulder - PE template populate with the normal values. Enter diagnosis codes in Dx1 or Dx2. Two diagnosis codes can be entered for this physical exam. Click the corresponding Status field to select the status for each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
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Document Normal Findings in the Elbow
Open the SOAP template. In the Physical Exam panel, click Elbow in the left pane. The Elbow - PE template opens. Elbow - PE In the Quick Exams field, select the appropriate options. Click the corresponding field to display the list. Select Normal from the list. Select the diagnosis codes from the Dx1 or Dx2 fields. You can enter two diagnosis codes for this physical exam. Click the corresponding Status field to select the status of each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
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Document Normal Findings in the Foot and Ankle
Open the SOAP template. In the Physical Exam panel, click Foot/Ankle in the left pane.The Foot/Ankle Exam - PE template opens. Foot/Ankle Exam - PE In the Quick Exams field, select the appropriate checkboxes. If appropriate, click the corresponding field to select Normal from the list. Select the diagnosis codes from the Dx1 or Dx2 fields. Click the corresponding Status field to select the status of each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
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Document Normal Thoracic Spine Findings
Open the SOAP template. In the Physical Exam panel, click Thoracic spine in the left pane. The Thoracic Spine Exam - PE template opens. Thoracic Spine Exam - PE Click the Quick exams field and select Normal. The respective fields in the Thoracic Spine Exam - PE template are populated with the normal values. Select the diagnosis codes from the Dx1 or Dx2 fields. Click the corresponding Status field to select the status of each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
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Document Normal Cervical Spine Exam Findings
Open the SOAP template. In the Physical Exam panel, click Cervical spine in the left pane. The Cervical Spine Exam - PE template opens. Cervical Spine Exam - PE Click the Quick exams field and select Normal from the Td Dbp Filter list. The respective fields in the Cervical Spine Exam - PE template are populated with the normal values. Enter codes in the Dx1 or Dx2 fields. Two diagnosis codes can be entered for this physical exam. Click the corresponding Status field to select the status of each diagnosis. Click OK. Parent topic: Orthopedic Physical Exam Templates
