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Overview

This article will guide you through documenting a patient encounter using the Elation Note. Along the way, you’ll learn how to use features like templates, dynamic macros and rich text formatting to make your documentation more efficient, clear, and consistent. You’re free to explore these workflows and choose the ones that feels most comfortable and efficient for your style. There’s no need to use them all—just what works best for you.

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Workflow Instructions

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Starting a new Elation Note draft

The Calendar is designed to provide an intuitive experience for managing appointments and providing visibility into each Provider Level User’s schedule.
1
Open the patient’s chart.
2
At the top of the chart, click Visit Note -> Elation Note. Click on the patient’s name from their appointment today to open an Elation Note draft if you are using Elation Note with the visit note automation feature.
3
A new draft note will open on the right-hand side of the chart.

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Addressing Clinical Reminders

Review the Clinical Reminders at the top of the visit note draft to address/dismiss any relevant reminders.
Clinical Reminders are only available for Health Maintenance measures and customers using custom Care Gaps at this time.

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Writing a visit note

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Using a template

In the Elation Note, you can export templates created with Elation’s legacy Visit Note Template feature or the Elation Note Templates feature. Click here to learn more about how to create the new Elation Note Templates. Multiple templates (both legacy and new) can be applied to the same visit note draft. The contents of the template will simply add to what’s already been documented in the draft. Elation Note draft open on the right side of the chart, with an on-screen keyboard visible, and the cursor active in the HPI text field ready for typing.
Option 1: Exporting a legacy template
As a recommendation, keep all of the default blocks that appear when you start your draft note. Doing so helps ensure the contents of your legacy template appear in the expected order. The data will populate in their corresponding blocks, wherever they are in the note. If the blocks don’t exist, then we will append the block to the bottom of the note (respecting their right or left location in the template).
1
Follow any of these 3 workflows to insert the Template block into your visit note.
2
Search for and select the template you want to add.
When exporting a legacy template to the Elation Note, you must use one of the workflows in the above link. You cannot export them from the Visit Note Templates shortcut at the top of the chart.
Option 2: Exporting an Elation Note Template
If you haven’t written anything in the draft yet:
1
Delete all of the default blocks from your draft first.
Using your keyboard: Select all contents of the note by pressing ctrl/command + a.Press Delete/Backspace until all blocks are removed.
2
Once the note has no more blocks, click the Templates icon at the top of the Visit Note.
3
Search for & select the template you want to add.
If you’re adding an Elation Note Template to a draft that already has content:
1
Click the Templates icon at the top of the Visit Note.
2
Search for & select the template you want to add. The blocks from the recently added template might not appear in the expected order (i.e. blocks may get appended to the bottom of the note). If needed, use the Grid icon to drag-and-drop the blocks to the right position.
EXCEPTION Elation Note Templates aren’t supported when setting up visit note automation . Click on the white space to open the appointment popover and then click Chart to open the chart and avoid visit note automation if you plan to use an Elation Note.

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Typing directly into the note

You can place your cursor into any text field within a block or outside of a block to type new content. Elation Note draft showing the Billing Information section at the bottom, with "Sign Visit Note," "Save as Draft & Close," "Delete," and "Print" action buttons visible.
Creating a text field outside of a block
Option 1: Add a text field above or below a block
1
At the top of any existing block, click the Grid icon Grid icon used to access block-level actions like moving, adding above/below, or deleting a block on the left or the More Actions icon More Actions icon on the right.
2
Select Add block above or Add block below depending on where you want the new text field to appear.
3
When the dropdown menu appears, delete the forward-slash ( / ) so that you’re left with a regular text field that you can type in.
Option 2: Add a text field below a text field
1
In an existing block, place your cursor at the end of the last line of text.
2
Press Return / Enter on your keyboard twice. With the first keystroke, you’ll create a new line, and with the second, you’ll create a text field outside the block.

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Importing content from outside the note

For the blocks that are associated with the subjective data, there are a few workflows to transfer data from the Clinical Profile or Patient Demographics to the draft note.
Option 1: Using the import button found at the top of the block
Exception: Only certain blocks will feature an Import icon.
1
Click the Import icon to import the content from the corresponding section of the Clinical Profile.
Option 2: Inserting a block whose name ends with (from Clinical Pr) into the note
Exception: Blocks ending with (from Clinical Pr) are only available for certain sections of the Clinical Profile.
1
Follow any of these 3 workflows to search for and enter a block that ends with (from Clinical Pr).
2
The block will appear pre-populated with content from the corresponding section of the Clinical Profile.
If you administer an updated Clinical Questionnaire, any previously imported results will remain visible in read-only mode for reference.
Option 3: Initiating an export from the Clinical Profile
1
Scroll to the section of the Clinical Profile that you’d like to export.
2
Hover over the heading name or a specific line-item under the heading until you see an Actions button appear.
3
Click Actions and in the dropdown menu, select the type of import that you’d like to perform.
EXCEPTION Currently, exporting the synopsis of a diagnosis from the Problem List isn’t supported, but this functionality is planned for a future update.
Option 4: Applying a Dynamic Macro
1
Use the @ shortcut to insert any of the following chart data into a standard block or text field: Clinical Profile (Allergies) • Clinical Profile (Medications) • Clinical Profile (Problems) • Patient age • Patient DOB • Patient name
Exception: Dynamic macros cannot be used in custom blocks, Vitals blocks, structured PE and ROS fields or anywhere outside of the Elation Note draft or template builder.

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Using the + button in certain blocks

The Allergies, Reconciled Medications, and Assessment & Plan blocks have a + button that allows you to simultaneously add structured information to the draft note and Clinical Profile.
1
At the top of one of the 3 blocks mentioned above, click the + button.
2
A pop-up window that corresponds with the block will appear.
3
Complete the fields within the pop-up window.
4
Click Save.
Exception: The Family History block also has a + button, but it can only be used to add information to the note daft.The Procedures Administered block also includes a + button, but it can only be used to add a procedure to the visit note along with any related CPT codes to the billing section.

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Deleting content from your note

Aside from pressing the Delete/Backspace key on your keyboard to delete individual text, you can also use the methods below when appropriate.

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Option 1: Using buttons to remove an entire block

1
At the top of any existing block, click the Grid icon Grid icon used to access block options such as Add block above, Add block below, and Delete on the left or the More Actions icon More Actions icon on the right.
2
Select Delete from the dropdown menu.

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Option 2: Highlighting content to delete

1
Highlight text from the visit note with your cursor. The highlighted portion can span across blocks.
2
Press the Delete / Backspace key on your keyboard to delete the highlighted text.

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Copying forward a signed Elation Note

1
In the Chronological Record, locate the signed visit note.
2
Click Actions -> Export to New Note (All Sections).
3
A new draft will appear with the contents of the prior visit note.
Exception: You can only copy forward a signed Elation Note to an Elation Note draft (i.e. you cannot copy forward a legacy visit note into an Elation Note draft).

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Undo-ing or redo-ing actions

The Undo button Undo button icon used to reverse the last action in the Elation Note draftat the top of the note lets you undo the last action as long as you never saved the note or exited the chart since taking the last action. This includes undo-ing a delete action.
  • You can also press Ctrl/command + z on your keyboard.
The Redo button Redo button icon used to restore the last undone action in an Elation Notelets you redo the last action that was undone.
  • You can also press Ctrl/command + y on your keyboard.

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Applying rich-text formatting with keyboard shortcuts

Within any text field (inside or outside a block), you can use the following keyboard shortcuts to achieve more detailed formatting.
ActionSteps
Create a heading#+space+ type your heading text
BoldCtrl/command+b
ItalicizeCtrl/command+i
Bold and ItalicizeCtrl/command+b+i
UndoCtrl/command+z You can also click the Undo button Undo button icon used to reverse the last action in the Elation Note at the top of the note.
RedoCtrl/command+y You can also click the Redo button Redo button icon used to restore the last undone action in an Elation Note at the top of the note.
CopyCtrl/command+c
CutCtrl/command+x
PasteCtrl/command+v
Create a bulleted listPress the dash- key followed by** space**. Use the Tab key to indent. • Press Shift + Tab to un-indent.
Convert an empty bullet to a paragraphPress the Enter/Return key.
Create a numbered listPress a number+ the period.key +space key Use the Tab key to indent. • Press Shift + Tab to un-indent.
Convert an empty numbered list to a paragraphPress the Enter key
Move cursor to the start of a lineCtrl+a
Moving between blocksPress the up ↑ or down ↓ arrow.
Select all contents in the noteCommand/Windows key +a

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Amending an Elation Note

Provider Level Users can amend visit notes they sign. All changes will be tracked and logged for auditing and legal purposes.
1
In the Chronological Record, locate the signed visit note.
2
Click Actions -> Amend Visit Note -> Continue.
3
The visit note will appear in draft form for you to edit.
4
Click Sign Amended Visit Note to save your amendments.
You may need to refresh the chart to see your amendments.

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Printing an Elation Note

To print
  • an Elation Note draft, click Print and then select one of the print options.
  • a signed Elation Note, click Actions -> Print Note and then select one of the print options.
  • Bill
    • By default, diagnosis codes are included in the printout. Unselect the Include dx codes box from the Print Selection to exclude diagnosis codes from the printout.
  • Patient Summary
    • By default, the Exam reason, Vitals, Procedures administered, Care plan and Follow up sections will be printed, if available. You can uncheck the corresponding boxes to exclude that data from the printout.
    • Select Bill, Active medications or Active problems to include the corresponding data in the printout.
  • Note
    • By default, all sections of note, excluding the billing information is included in the printout.
    • Select Bill to included billing data in the printout.

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Frequently Asked Questions

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Can I add dynamic macros to a custom block?

No, dynamic macros cannot be added to a custom block.

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Can I add more dynamic macros?

No, additional dynamic macros cannot be added. Elation will notify you if we add additional options.

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Can I create a new PE or ROS template from the Elation Note?

No, you cannot create a new PE or ROS template from the Elation Note. Open a legacy note, create the new PE or ROS template there, and you’ll be able to apply it to any Elation Note moving forward.