Enter the Objective Exam
Q: How do I enter the Objective exam?
1. Open the SOAPnote
Open an existing SOAPnote or create a new SOAPnote.
See: Create a SOAPnote for help.
2. Place Cursor into Objective Field
3. Enter Exam Pick List
4. Edit Exam Template
To change an item from normal to abnormal:
- Click the pick list to be changed (ex: click "General appearance can be described as")
- Uncheck the normal response from the SMARText Quick Access window (ex: uncheck "well-nourished, well-developed, and in no acute distress")
- Check the appropriate response from the SMARText Quick Access window (ex: check "acutely ill")
Repeat this step for each of the pick lists, to select the appropriate exam response:
- LUNGS and RESPIRATORY
- MUSCULOSKELETAL (BJE)