Create a Note

This topic provides information on creating a note for a patient's visit in Oracle Health EHR.

1. Select Add (+) in the Notes section or on the Documents page, and select Create Note.
2. (Optional) Enter the name of a template in the Search Templates box to search for a template.
3. Select Choose Template to select a template.

   Note:

   Templates display information from a patient's chart in a note, such as allergies, chief complaint, diagnosis, medications, measurements, orders, problems, and vital signs.
4. (Optional) Select a specialty on the Select Specialty list.
5. Add content to the note, and format the content as needed.
   The note is automatically saved in an In Progress status. The in-progress document can be signed later and is displayed in the Notes section, on the Documents page, and in the Needs Attention panel.

   Note:

   Documents generated from voice recordings in Clinical AI Agent are displayed in the Needs Attention panel.