NOVU Hx

NOVU Hx

Clinical Documentation

CLINICAL DOCUMENTATION

New SOAP Note

Document the encounter using only the sections clinically relevant to your patient.

Note progress Patient Information
1 Patient
S Subjective
O Objective
A Assessment
P Plan
✓ Review

DOCUMENTATION MODE

Choose Documentation Mode

Choose how comprehensive this SOAP note should be. You can still add or remove clinically relevant sections during the encounter.

SMART
✦
Focused SOAP selected

The note will prioritize the chief complaint, pertinent history, relevant examination findings, assessment, and plan.

ⓘ

Documentation mode changes the structure of the note, not the clinical assessment. Relevant findings can be added at any time regardless of the selected mode.

01

PATIENT

Patient Information

years
Automatically calculated from date of birth.
Used only as an additional identity-verification signal. It is not the patient's MRN or Global Patient ID.
PATIENT RECORD

Open an existing patient record

Choose how you want to identify the patient, then search before loading the record.

MEDICAL RECORD Enter patient name and date of birth The app will check for an existing patient before creating a new record.
◉
Privacy reminder

Use fictitious or de-identified patient information while developing and testing this application.