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What is amending visit notes in Elation?

Amending visit notes in Elation allows Provider Level Users to make changes to signed visit notes and should be used with discretion. Best practice for clinicians is to always review their encounter documentation for accuracy and completion before signing visit notes. Provider Level Users can only amend visit notes that they have personally signed. Signing a visit note signifies that the Provider Level User has determined the visit note is complete and using one of the “Sign Note” options acts as an electronic signature to finalize the note.

Why is amending visit notes useful?

Amending visit notes is useful as it allows Provider Level Users to make changes if necessary to previously signed visit notes. Elation helps track the amendments made and provides an audit trail of the amendments. Some examples of cases when a visit note needs to be amended are when a patient is correcting a date of injury, or generally improving details of documentation.

How to amend a visit note

Provider Level Users can only amend visit notes that they have signed. Visit notes can be saved as drafts so that you, or other users at your practice, may add additional information to the visit notes if needed. Click “Save as Draft & Close” to save and close the draft.
Provider Level Users can amend visit notes that they have signed through the following steps:
  1. Click “Actions” on the right hand side of the visit note
  2. Click “Amend Note”
  3. A window will appear asking you to confirm that you would like to proceed with amending the note
  • All changes will be tracked and logged for auditing and legal purposes.
  1. Make the changes you wish to make on the visit note and select “Sign Amended Visit Note”
  • If you decide you do not need to amend the note after opening the amendment, select “Discard Amendment” to cancel.The note will appear in the Requiring Actions section of the chart for the Provider Level User making the amendment if it is saved as a draft or if the user exits the chart before signing off on the amendment.
A receipt of the amendment will appear at the bottom of the amended visit note with the date and time that the visit note was amended. Screen Shot 2022-12-08 at 9.58.28 AM.png

Viewing amendments made to the visit note

Elation helps track amendments made and provides an audit trail of the amendments. There are a few ways to view amendments made to visit notes:
  • View Changes
  • Audit Log

View Changes

The specifics of the amendments can be found by clicking “View Changes” at the bottom of the visit note next to the receipt of the amendment. In the window that appears, deletions will be displayed as strikethroughs and additions will be displayed in blue font. Screen Shot 2022-12-08 at 9.57.28 AM.png Screen Shot 2022-12-08 at 9.56.30 AM.png

Audit Log

Admin Level Users can view a log of amendments to the visit note through the Audit Log feature. Please reference the Patient Chart Guide- Audit Logs for more information on this feature. The action of starting and completing an amendment to a visit note is displayed in the Audit Log as a *VisitNoteEdit * Record Type. Screen Shot 2022-12-06 at 2.37.22 PM.png

Frequently Asked Questions

Can supervising providers or authorized staff delegates amend visit notes on behalf of other providers?

No, supervising providers or authorized staff delegates cannot amend visit notes on behalf of other providers. Provider Level Users can only amend visit notes that they have personally signed. However, authorized staff delegates are able to edit billing information on a visit note if they have been designated as a Billing delegate by the Provider Level User. Please note that billing edits will not have the same annotations that amendments do.

How are amended visit notes displayed when printed or shared?

When amended visit notes are printed or shared, they will display the most recent information within the visit note, and will also display the receipts of amendments made. These receipts show the date and time of the amendment and the name of the Provider Level User who made the amendment. Screen Shot 2022-12-08 at 3.18.27 PM.png

How do I share the amendments for auditing purposes?

We recommend taking a screenshot of the window that appears when clicking “View Changes” and sharing that screenshot. Deletions will be displayed as strikethroughs and additions will be displayed in blue font in the window.

How do I document an amendment requested by a patient?

Please reference the Visit Note Documentation Guide- Documenting amendment requests from patients for detail on how to document an amendment requested by a patient.