Subjective: Use the Patient Status comments to enter patient complaints, symptoms, or interval events since the last time a clinician saw the patient. The History section can document the history of present illness and past medical history.
Objective: Use “Reviewed” to indicate that you have reviewed the objective data for that care category. If the patient is within range or at goal, no other comment is necessary.
Assessment & Plan: Each care category has a comment box for assessment and plan text.
As you round, you will see historical notes from all providers displayed, as well as the lab or treatment data for that care category.