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.