top of page

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.

  • venturafamilymed

Prostate Cancer Screening

Pt counseled on pros/cons of prostate screening in asymptomatic adults. Advised on differing opinions of USPSTF/AAFP (against routine screening) vs ACS and AUA (for routine screening) in males >50. Pt understands risk of false + and w/u as well as missing a cancer it if not elected. Pt makes informed consent for: _opts in for PSA _ opts out for PSA _ Opts in for DRE as a screening tool _ Opts out for DRE as a screening tool

328 views0 comments

Recent Posts

See All

Initial Medicare Annual Wellness Visit Checklist

HPI/Family /Social History Perform patient reported Health Risk Assessment Staying Healthy Assessment – Senior version Medical and Family History – By history – often in Cerner Current Providers List

Disability Template

Date first seen for this problem: _ Date completing form: _ Treatment Intervals: [_] Daily [_] Weekly [_] Monthly [_] as needed. Date first incapable of work: _ Anticipated Release date to return to w

Vasectomy Consent

The patient has been counseled on the procedure as well as risks, benefits, and alternatives. The procedure is considered irreversible and if they desire it to be reversed, it will require a much mo

bottom of page