Chart a Visit

When a patient has an appointment, their chart displays a chart note for charting the visit. Multiple providers (such as a nurse followed by a doctor) may open the chart, complete sections of the visit chart note, and review the patient’s chart history while they work with the patient.

The sections below describe how the charting screens work, outline a typical visit step-by-step, and describes how chart notes are customized for each visit type and each provider.

Training Videos

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  • Chart a Typical Visit

    Read the procedure below to learn about each step of a typical visit in PCC EHR.
  • Charting Overview

    If a patient has an appointment today, or a provider has opened a chart note using the Visit History chart section, visit-related buttons for charting appear under the "Visit" headline in the lower- left navigation of the chart.

Learn More

  • Chart with Answer Memory, Last Answer, and Auto-Notes

    PCC EHR has several unique tools that help you enter notes on a chart faster. This help article lists those features and includes procedures and links for configuring them.
  • Review and Edit Sibling Charts

    You can open several sibling charts and work on them at the same time, flipping back and forth between them as needed.
  • Chart Note Protocols

    Chart notes are made up of different sections, or elements, that a particular visit type needs. The custom chart note is called a protocol. You will see a different protocol for different visit reasons, and providers may have their own, custom protocols.
  • Delete a Visit from a Patient’s Chart

    You can delete a visit created in error in PCC EHR. When you delete a visit, all vitals, chart notes, orders, and other items created for the visit are removed from the patient's record.
  • Search a Chart Note or Protocol-Based Chart Section

    You can select Find from the Edit menu to search through a visit chart note, the medical summary, or another protocol-based chart section. You can also use your operating system's keyboard shortcuts (ctrl+F on Windows or Linux, command+F on Macintosh).
  • Spell Check in PCC EHR

    PCC EHR automatically checks your spelling as you type.
  • Find and Refine Diagnoses as You Chart

    PCC EHR can help clinicians select a more specific diagnosis description. After they select a diagnosis, they can use a pull-down menu to refine the selection.
  • Chart Amendment Requests

    If a patient or family requests that you amend information in their chart, you can now record that amendment request. For example, if a family objects to a diagnosis in the patient’s chart, you can create an amendment request on the visit for that day. While viewing a chart note (or phone note or message […]
  • Hide Sensitive Diagnoses from the Patient Portal and Patient Reports

    In PCC EHR, you can mark any diagnosis or Problem List, allergy, or Family Medical History list item as private. A private or “locked” diagnosis will not appear on patient reports and it will not appear in the patient portal. Hide a Single Patient’s Diagnosis or Problem When you want to hide a single diagnosis […]