Included – Note types, note sections and service groups
| Note Types | Note Sections | Service Groups |
|---|---|---|
| Consult | Impression/Report/Plan | Primary Care |
| Subsequent Visit | Diagnosis | Hospital Internal Medicine |
| Patient Progress | Principal/primary Diagnosis |
General Medicine |
| Supervisory | Secondary Diagnoses | Family Medicine |
| Limited Exam | Past Medical/Surgical History |
Critical Care |
| Specialty Evaluation | Ongoing Care | Urgent Care |
| Multisystem Evaluation | Immunizations | Cardiology |
| Injection | Key Findings/Test Results | Vascular |
| Educational Visit | Pre-Procedure Information | Pulmonary |
| Hospital Service Transfer | Post-Procedure Information | Oncology |
| Vital Signs | Nephrology | |
| Current Medications | Neurology | |
| Revision History | Pathology | |
| Special Instructions | Gastroenterology | |
| Advance Directives | Vascular Wound Care | |
| Discharge Activity | Vascular Surgery | |
| Final Pathology Diagnosis | Cardiac Surgery |