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Charting a Clinical Element

The most common method of selecting a clinical element to be charted is through a button on the palette. Palette buttons may be associated with a single procedure code, a list of codes to choose from or an explosion code.

If multiple options are available under a single palette button, a dropdown list will appear so that a more specific selection may be made.

Even in practices with multiple elaborate palettes, it is difficult to include every possible clinical element that might need to be charted. There are additional tools that allow any condition or service to be located and charted.

To chart Conditions, click the Conditions button and select the desired one from the customizable list.

To chart a service, click the Services button, search for and select the desired service.

Clinical notes that are not associated with a specific service may be added directly. Context notes are free-form notes consisting of clinical information ordinarily written in a paper chart. General notes refer to the overall condition while context notes are tied to a specific tooth or teeth.

Both general and context notes can be added using the palette if the practice has set the buttons to launch a note. Notes can also be added through the documents tool.

See Also

Tooth Chart Basics

Selecting a Tooth

Posting Details Window