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Autotext Dot Phrases for Cerner EHR

All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.

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  • venturafamilymed
    • Sep 3, 2021
    • 1 min read

Blood Pressure Check Visit

Subjective

The patient is here today for a blood pressure evaluation. They deny headache, chest pain, shortness of breath or new leg edema.

Objective

.vitals_

Assessment/Plan

The vital signs were reviewed and the blood pressure evaluated. The patient does not need blood pressure medication refills and no medication changes are necessary at this time. Follow-up is recommended with PCP in several weeks for re-evaluation.

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