The system comes with two system defined note types:
Simple Treatment Note - This is a simple note with just three sections ? chief complaint, observations and treatment plan.
Standard Clinical Note - This is a SOAP note with sections - Chief Complaint, Clinical Exam, Clinical Exam Observation, Investigation Results, Clinical Summary, History of Present Illnesses, Review of Systems, Past Medical History, Social History, Family History, Allergies, Assessment, Plan and Current Clinical Status.
Custom Note Types
You can create your own note types with your own sections based on your needs.
There are two ways you can create your own note types:
By making a copy of the system defined note such as Standard Clinical Note. In the copy of the note type you can add remove sections based on own need. The advantage of this option of creating a note type is that you can get special sections such as - Clinical Exam, Allergies, Assessment, Plan, etc., that have special user interface and functionality associated with them.
By creating a new note type from scratch. This option however does not allow you to include the special sections mentioned above.