Encounter Physical Exam

Source Object: Encounter Physical Exam

Overview and Usage: The "Encounter Physical Exam" source object within athena EHR is a fundamental component for capturing and managing physical examination data during healthcare encounters. It allows healthcare providers to record detailed information about a patient's physical condition, helping with diagnosis and treatment planning. Here's an overview of key fields and their usage:

• Physical Exam: "physicalexam" contains the findings and observations related to the physical examination of the patient. This field captures details of the examination, including the patient's vital signs, body systems, and any specific findings.
• Last Modified By: "lastmodifiedby" specifies the user or entity responsible for the last modification of the physical examination data, facilitating tracking of changes and updates.
• Last Modified Date and Time: "lastmodifieddatetime" records the date and time when the physical examination data was last modified.
• Section Note: "sectionnote" provides an area for additional notes or comments related to the physical examination, allowing for supplementary information or context.
• Section Note Last Modified By: "sectionnotelastmodifiedby" records the user or entity responsible for the last modification of the section note within the physical examination data.
• Section Note Last Modified Date and Time: "sectionnotelastmodifieddatetime" captures the date and time when the section note was last modified.
• Summary Text: "summarytext" may offer a summarized version of the physical examination findings, providing a concise overview of the patient's physical condition.
• Template Data: "templatedata" can contain structured template data related to the physical examination, ensuring consistent and standardized documentation.
• Templates: "templates" indicate the specific templates or forms used for capturing physical examination information, which may vary based on clinical specialties or encounter types.
• Replace Section Note: "replacesectionnote" may be used to specify a replacement or updated section note, allowing for the modification of section notes within the physical examination data.
• Template IDs: "templateids" can be used to identify the specific templates or forms associated with the physical examination data.

The "Encounter Physical Exam" source object is crucial for healthcare providers to document the physical examination findings during patient encounters. It ensures proper documentation of a patient's physical condition, aiding in diagnosis, treatment planning, and care coordination. Developers can utilize this source object to build features and applications that enhance the documentation and management of physical examination data within athena EHR.

Mapping Table