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Step 1: Turn Switch On and Dictate/Macro into Yellow Box at the Bottom
Optional Free-Text
Step 2: Click H&P and "Billing" to enter ICD10 and CPT
Step 3: If you want to hide Meds/Allergies, go to H&P/SOAP, and turn off Meds/Allergies
Step 4: Tip: To edit the Chief Complaint to your liking, Edit the text below the patient's name above
Step 5: Click "View Complete Note" Blue Button
Step 6: If you like the way the note looks, select "Sign & Lock"; or select "RSI Proced Note.." to go back
Kit/Product Details
Kit/Product Details
Kits/Products Used:
• • •
Kits/Products Comments or Other:
PRP Kit Lot #
PRP Expiration Date
Bone Marrow Aspiration Kit Lot #
Bone Marrow Aspiration Kit Lot #
Fibrin Lot #
Fibrin Expiration Date
Adipose Kit Lot #
Adipose Kit Expiration Date
PRP Kit Lot #
PRP Expiration Date
Viscosupplementation Lot #
Viscosupplementation Expiration Date
Quantification/Data
Quantification/Data
Baseline Whole Blood RBCs
Baseline Whole Blood Platelets
Baseline Whole Blood Hemoglobin
Baseline Whole Blood Hematocrit
Baseline Whole Blood WBCs
Baseline WB Diff - Neutrophils Abs Count
Baseline WB Diff - Neutrophils %
Baseline WB Diff - Lymphocytes Abs Count
Baseline WB Diff - Lymphocytes %
Baseline WB Diff - Monocytes Abs Count
Baseline WB Diff - Monocytes %
Baseline WB Diff - Eosinophils Abs Count
Baseline WB Diff - Eosinophils %
Baseline WB Diff - Basophils Abs Count
Baseline WB Diff - Basophils %
Injectate RBCs
Injectate Platelets
Injectate Hemoglobin
Injectate Hematocrit
Injectate WBCs
Injectate Diff- Neutrophils Abs Count
Injectate Diff - Neutrophils %
Injectate Diff - Lymphocytes Abs Count
Injectate Diff - Lymphocytes %
Injectate Diff - Monocytes Abs Count
Injectate Diff - Monocytes %
Injectate Diff - Eosinophils Abs Count
Injectate Diff - Eosinophils %
Injectate Diff - Basophils Abs Count
Injectate Diff - Basophils %

RSI Procedure Note Medical Form

Sports Medicine Specialist

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Published: Jan. 24, 2019, 9:36 a.m.
Doctor: Dr. History Physical
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