The ability to document an encounter quickly and easily is a feature that is most desirable by physicians. The encounter form in UniCharts EMR system provides multiple easy to use mechanisms for data input. Data can be typed manually, selected from predefined lists or menus, or entered through voice recognition technologies. While using the EMR on a Tablet PC, data can even be entered through handwriting recognition technology. Most of the fields on encounter form expand dynamically as more data is added to them. Encounters are based on SOAP format and follow the Centers for Medicare & Medicaid Services (CMS) guidelines for clinical documentation and E/M coding.


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