Visit Note

Source Object: Visit Note

The Visit Note source object represents detailed information about patient visits in a healthcare setting, including clinical notes, checklists, amendments, and other related data.

Overview

Visit Notes are an essential part of the healthcare record, capturing detailed information about a patient's visit to a healthcare provider. They include the patient's medical history, examination details, diagnoses, treatments, and more.

Usage

The Visit Note source object serves multiple purposes in a healthcare platform:

1. Visit Identification: Each visit note is assigned a unique identifier ("id") for easy reference and retrieval.
2. Visit Date: The "chart_date" field specifies the date of the patient's visit.
3. Physician and Patient: Visit notes are associated with a specific physician and patient, providing information about the healthcare provider responsible for the note and the patient for whom the visit was recorded.
4. Creation and Modification: Visit notes have "created_date" and "deleted_date" fields to track when they were created or, if applicable, deleted. The "signed_date" field represents the date the note was signed.
5. Visit Confidentiality: The "confidential" field indicates whether the visit note is considered confidential.
6. Note Type: The "type" field specifies the type of note, such as progress notes, SOAP notes, or other clinical note formats.
7. Amendments and Edits: Visit notes may have associated amendments, reflecting changes or additions made after the initial note creation. Edits, such as BMI changes, note time adjustments, or weight changes, are captured in the "edits" section.
8. Templates: Visit notes can be created using predefined templates, and the "template" field stores information about the template used.
9. Content Structure: Visit notes often include bullet points and checklists to structure the information. These are stored in the "bullets" and "checklists" sections, respectively.

Mapping Table