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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 8, 2021
    • 1 min read

Exam: Upper Extremity

Skin: no effusion or calor of shoulder.

MS: Upper extremity:

Right: Deltoid 5/5 Biceps 5/5 Triceps 5/5 Wrist flex 5/5 Wrist ext 5/5 Interossei 5/5 Thenar 5/5

Left: Deltoid 5/5 Biceps 5/5 Triceps 5/5 Wrist flex 5/5 Wrist ext 5/5 Interossei 5/5 Thenar 5/5

ROM: intact

Neuro: Reflexes:

Right: Biceps 2/4 Triceps 2/4 Brachioradialis 2/4

Left: Biceps 2/4 Triceps 2/4 Brachioradialis 2/4

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