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Home/Features/Routine documentation

ROUTINE DOCUMENTATION

A head start.
A note that’s still yours.

Begin with a document template, bring in details from the selected visit, and edit the note around the patient in front of you. Give familiar work a clear starting point.

Explore your documentation workflow →See how it starts ↓

TWO DISTINCT WORKFLOWS

Structure for the note.
Options for the vitals.

Document templates help you begin a clinical note. Vitals can be entered individually or through a separate vital package.

Your team supplies the findings and measurements.

DOCUMENT TEMPLATES

Start with the visit.
Build the patient’s story.

Choose a compatible document template or begin with a blank document. Template fields are filled from the selected visit before you edit.

See a formatted neurological SOAP example →

VITALS, ENTERED YOUR WAY

One measurement.
Or several for the visit.

Vitals entry is separate from choosing a document template. Add an individual vital or use a vital package when recording several measurements.

INDIVIDUAL VITAL

Add the measurement you need.

Choose Add from Vitals. Select the type, enter its value and date/time, and include notes or an abnormal flag when appropriate.

  • Use an individual vital for items such as temperature, weight or blood pressure.
  • The form provides Save, Save and next, and Cancel controls.
VITAL PACKAGE / BATCH ENTRY

Bring several vital entries together.

Open Batch Vitals Entry, choose an entry package and use Apply package. The batch screen brings several vital signs into one patient-visit entry workflow.

  • Work with a grid of vital types and values.
  • Each row includes selection, abnormal and notes controls.

A package supplies the vital items to enter. Measured readings are supplied by the clinical team.

Illustrative StringSoft Vitals screen with an individual Blood Pressure entry, value, date and time, notes, an abnormal checkbox, Save and Save and next controls, and fictional patient Bailey’s weight history.
Illustrative screen with fictional sample data. Individual vital entry and an existing history row are shown.View full-size image ↗

BEYOND THE NOTE

Plan the work
around routine care.

StringSoft also supports templates for diagnoses, treatments, reminders and charges, with charges linked to the products used.

Bring a common visit to a demo and explore how your document templates, vital packages and other configured items fit that workflow.

Walk through a routine visit →← Back to clinical features