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Physical Exam consists of Vital Signs and Physical Exam Findings.
The Physical Exam section can be setup to appear in any type of note. To use this section, it will need to be setup in the Documentation Setup which requires the Administrative logon. You can add this to any type of note or include it in your own custom note type. You can view a chart or graph of vital signs (blood pressure, respiration, pulse, temperature, weight, BMI) over time if you have charted them on two or more occasions.
To view a graph for a patient, first select a patient, and then select History...Vital Signs from the Patient menu.
Vital Signs
You can enter the following for vital signs:
| • | Blood Pressure and Position (e.g. sitting) |
| • | Pulse and Pattern (e.g. regular) |
| • | Respiration and Pattern (e.g. labored) |
| • | Temperature and Method (e.g. oral) |
| • | BMI (Body Mass Index) - calculated using the following formula: (Weight/Height x Height) x 703 |
Physical Exam Findings
| • | Physical Exam Findings covers the following: |
See Also
Documentation Setup
Medical Information
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