HEALTHeNOTEs is the outpatient medical record documentation tool that incorporates data from a variety of sources, such as HEALTHeSURVEYS, patient registries, laboratory/radiology results, notes from previous visits, prescription information, master problem list, medications, surgeries, and family history.

With this tool, providers can quickly and easily assess identified issues and document the encounter in compliance with easily referenced clinical practice guidelines, medical record documentation guidelines, and data collection elements as required by the Joint Commission (formerly Joint Commission on Accreditation of Healthcare Organizations). Procedures documented as performed within the e-note automatically populates other relevant areas of the electronic health records such as the registries.

Robust functionality allows providers to create, save, sign, and view clinic notes within the system. Notes can be created for patients who have appointments as well as walk-ins in order to document a variety of clinical encounters. The foundation for each HEALTHeNOTE is its template, which identifies which sections and data elements to complete.

The customizable HEALTHeNOTE template:

• Supports routine and complex encounters for new and follow-up patients for practically any general or specialty clinic.
• Allows providers to view and carry forward previous information in support of the current encounter with the patient. This ensures that information is readily available, thereby minimizing the need to reenter data.

In addition, providers can create multiple notes per encounter and sensitive notes. The system also supports co-signatures and the ability to document the level of provider involvement.