SigmaMD provides a streamlined approach for clinicians to swiftly integrate health records from a patient's chart directly into the clinical note. Follow the steps below to seamlessly add conditions, allergies, or vital measurements to your notes.
For New Health Records
- If the specific health record (condition, allergy, or vital) hasn't been added to the patient chart yet, you'll need to start there.
- Click on the Add record button to initiate the process.
- In the presented modal, ensure the Add to encounter note checkbox is ticked. By default, this box is already checked. By selecting this, once the health record is added to the patient chart, it will simultaneously be integrated into your encounter note.
For Existing Health Records
- If the condition, allergy, or vital measurement already exists within the patient chart, it's even simpler to add it to your note.
- Look for the Add to note icon (image below). Click on this icon to send the health record directly to your note
- The specific health record will be inserted where your cursor was last positioned within the note.
This streamlined approach ensures that pertinent patient health data is effortlessly and accurately incorporated into your clinical notes, enhancing your documentation's thoroughness and precision.