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.
- In the Quick exams field, select the appropriate check boxes 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.