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

Weight and Color Check Visit Note

Subjective: This newborn patient presents today for a weight and color check. They have been feeding and voiding well. There is no increase in jaundice as per the parents. No peri-partum complications. No family history of jaundice. Objective: .vitals Birth Weight – Percent Weight Change – Head – There is no caput or hematoma Eyes – No scleral icterus Skin – No jaundice Bili Meter Reading - Assessment/Plan: The patient is doing well. Follow-up – Testing -

1,576 views0 comments

Recent Posts

See All

Disability Template

Date first seen for this problem: _ Date completing form: _ Treatment Intervals: [_] Daily [_] Weekly [_] Monthly [_] as needed. Date...

Vasectomy Consent

The patient has been counseled on the procedure as well as risks, benefits, and alternatives. The procedure is considered irreversible...

bottom of page