Writing an encounter note

An encounter is the clinical narrative for one visit. One visit can have one signed encounter note; if you need to amend it, you append a signed addendum rather than editing the original.

1. 1Open the patient’s chart and click the Visits tab.
2. 2Click “New encounter”.
3. 3Choose the visit this encounter belongs to, or create both at once.
4. 4Write the note in the editor. Markdown is supported.

When the note is ready, click Sign. Signing writes your name, the timestamp, and the note text into encounters and locks the row from edits. After signing, the encounter appears on the visit and in the patient’s overview.

1. 1Open the signed encounter.
2. 2Click “Add addendum” at the bottom of the note.
3. 3Write the additional information.
4. 4Sign the addendum. It appears below the original note, with its own signature and timestamp.