> ## Documentation Index
> Fetch the complete documentation index at: https://help.elationhealth.com/llms.txt
> Use this file to discover all available pages before exploring further.

# The Visit Note Object

Visit Note is the heart of Elation EMR.  Each visit note contains a list of `bullet` and each `bullet` belongs to a category and has free-text value.

## Object Definition

```json theme={null}
{
    "id": 99024920,                                             // long(64)
    "bullets": [                                                // list of "bullets"
        {
            "category": "Problem",                              // see below
            "text": "Dizziness",                                // string(500)
            "version": 1,
            "sequence": 0,
            "author": 10,
            "updated_date": "2022-05-20T04:06:13",
            "replaced_by_edit": null,
            "replaced_by": null,
            "edit": null,
            "deleted_date": null,
            "note_document": null,
            "note_item": null,
            "handout": null,
            "children": [                                       // Not visible in the Find Visit Notes endpoint
                {
                    "category": "Problem",
                    "text": "happens often",
                    "version": 1,
                    "sequence": 0,
                    "author": 10,
                    "updated_date": "2022-05-20T04:06:13",
                    "replaced_by_edit": null,
                    "replaced_by": null,
                    "edit": null,
                    "deleted_date": null,
                    "note_item": {
                        "id": 338362508,
                        "item": {
                            "id": 240582699,
                            "created_date": "2013-04-09T18:41:23Z",
                            "deleted_date": null,
                            "patient": 234160129,
                            "type": "PatientProblem",
                            "is_confidential": false,
                            "itemType": "PatientProblem"
                        }
                    },
                    "note_document": {
                        "id": 99483787,
                        "document": {
                            "authoring_practice": 65540,
                            "chart_date": "2010-06-10T17:57:35Z",
                            "created_date": "2010-06-10T17:57:35Z",
                            "deleted_date": null,
                            "document_date": "2010-06-10T17:57:35Z",
                            "document_type": 33,
                            "id": 2687009,
                            "last_modified": null,
                            "patient": 1638401,
                            "sign_date": "2010-06-10T17:57:35Z",
                            "signed_by": 4
                        },
                        "summary": null
                    },
                    "handout": 140758529736869
                }
            ]
        }
    ],
    "checklists": {                                             // ROS and/or PE
        "PE": [                                                 // Physical Exam
            {
                "name": "General",
                "value": "well nourished",
                "sequence": 0
            },
            {
                "name": "Neck",
                "value": "supple",
                "sequence": 1
            }
        ],
        "ROS": [                                                // Review of Systems 
            {
                "name": "General",
                "value": "Denies fever",
                "sequence": 0
            },
            {
                "name": "Eyes",
                "value": "Denies visual abnormalities",
                "sequence": 1
            }
        ]
    },
    "edits": [
        {
            "visit_note": 140755736526872,
            "create_user": 1273,
            "created_date": "2021-07-21T08:14:40Z",
            "previous_note_type": null,
            "previous_note_time": null,
            "new_note_type": null,
            "new_note_time": null,
            "previous_prev_weight": null,
            "new_prev_weight": null,
            "previous_prev_bmi": null,
            "new_prev_bmi": null,
            "previous_prev_time": null,
            "new_prev_time": null,
            "previous_bmi": null,
            "new_bmi": null
        }
    ],
    "signatures": [
        {
            "user": 12,
            "user_name": "Douglas Ross, MD",
            "signed_date": "2022-10-31T12:30:00Z",
            "role": "cosigner",
            "comments": null
        }
    ],
    "type": "Office Visit Note",                                // string(50).  This list is managed in the practice"s setting page
    "template": "SOAP",                                         // see below
    "amendment_request": null,
    "patient": 1638401,
    "physician": 131074,
    "practice": 34323,
    "document_date": "2010-06-10T11:05:08Z",
    "chart_date": "2010-06-10T11:05:08Z",
    "clinical_summary_link": "http://localhost/api/2.0/visit_notes/140758496444440/clinical_summary",
    "visit_summary_link": "http://localhost/api/2.0/visit_notes/140758496444440/clinical_summary",
    "signed_date": "2010-06-10T11:05:08Z",
    "signed_by": 131074,
    "created_date": "2010-06-10T11:05:08Z",
    "last_modified": "2022-05-20T11:06:12.507775Z",
    "deleted_date": null,
    "tags": [],
    "confidential": false
}
```

## Allowed Values

| Attribute                 | Allowed Values                                                                                                                                                                                                                                                                                          |
| :------------------------ | :------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| *bullets\[]*.**category** | "Problem", "Past", "Family", "Social", "Instr", "PE", "ROS", "Med", "Data", "Assessment", "Test", "Tx", "Narrative", "Followup", "Reason", "Plan", "Objective", "Hpi", "Allergies", "Habits", "Assessplan", "Consultant", "Attending", "Dateprocedure", "Surgical", "Orders", "Referenced", "Procedure" |
| **template**              | "Simple", "SOAP", "Complete H\&P (1 col)", "Complete H\&P (2 col)", "Complete H\&P (2 col A/P)", "Pre-Op"                                                                                                                                                                                               |

## Notes on visit note bullets

Parent bullets can have child bullets depending on the category and visit note template. If the bullet does support child bullets, the child bullet, itself, cannot have its own child bullets. Every visit note template supports varies on what bullet categories are supported, whether multiple bullets of that category are allowed, and whether that bullet category can support child bullets. The details for each template are listed below.

# "Simple" template bullet format

| Supported bullet category | Supports multiple parent bullets of the same category | Supports child bullets |
| :------------------------ | :---------------------------------------------------- | :--------------------- |
| Followup                  | No                                                    | No                     |
| Instr                     | Yes                                                   | Yes                    |
| Narrative                 | No                                                    | No                     |
| Orders                    | Yes                                                   | No                     |
| Procedure                 | Yes                                                   | No                     |
| Reason                    | No                                                    | No                     |
| Referenced                | Yes                                                   | No                     |

# "SOAP" template bullet format

| Supported bullet category | Supports multiple parent bullets of the same category | Supports child bullets |
| :------------------------ | :---------------------------------------------------- | :--------------------- |
| Assessment                | No                                                    | No                     |
| Followup                  | No                                                    | No                     |
| Instr                     | Yes                                                   | Yes                    |
| Objective                 | No                                                    | No                     |
| Orders                    | Yes                                                   | No                     |
| PE                        | Yes                                                   | No                     |
| Plan                      | No                                                    | No                     |
| Problem                   | No                                                    | No                     |
| Procedure                 | Yes                                                   | No                     |
| Reason                    | No                                                    | No                     |
| Referenced                | Yes                                                   | No                     |
| ROS                       | Yes                                                   | No                     |

# "Complete H\&P (1 col)" bullet format

| Supported bullet category | Supports multiple parent bullets of the same category | Supports child bullets |
| :------------------------ | :---------------------------------------------------- | :--------------------- |
| Allergies                 | Yes                                                   | Yes                    |
| Assessplan                | Yes                                                   | Yes                    |
| Data                      | Yes                                                   | No                     |
| Family                    | No                                                    | No                     |
| Followup                  | No                                                    | No                     |
| Habits                    | No                                                    | No                     |
| Hpi                       | No                                                    | No                     |
| Instr                     | Yes                                                   | Yes                    |
| Med                       | Yes                                                   | Yes                    |
| Orders                    | Yes                                                   | No                     |
| Past                      | Yes                                                   | Yes                    |
| PE                        | Yes                                                   | No                     |
| Procedure                 | Yes                                                   | No                     |
| Reason                    | No                                                    | No                     |
| Referenced                | Yes                                                   | No                     |
| ROS                       | Yes                                                   | No                     |
| Social                    | No                                                    | No                     |
| Surgical                  | Yes                                                   | Yes                    |

# "Complete H\&P (2 col)" bullet format

| Supported bullet category | Supports multiple parent bullets of the same category | Supports child bullets |
| :------------------------ | :---------------------------------------------------- | :--------------------- |
| Allergies                 | Yes                                                   | No                     |
| Assessment                | Yes                                                   | Yes                    |
| Data                      | Yes                                                   | No                     |
| Family                    | Yes                                                   | No                     |
| Followup                  | No                                                    | No                     |
| Habits                    | Yes                                                   | No                     |
| Instr                     | Yes                                                   | Yes                    |
| Med                       | Yes                                                   | No                     |
| Past                      | Yes                                                   | No                     |
| PE                        | Yes                                                   | No                     |
| Problem                   | Yes                                                   | Yes                    |
| Procedure                 | Yes                                                   | No                     |
| Reason                    | No                                                    | No                     |
| ROS                       | Yes                                                   | No                     |
| Social                    | Yes                                                   | No                     |
| Surgical                  | Yes                                                   | No                     |
| Test                      | Yes                                                   | No                     |
| Tx                        | Yes                                                   | No                     |

# "Complete H\&P (2 col A/P)" bullet format

| Supported bullet category | Supports multiple parent bullets of the same category | Supports child bullets |
| :------------------------ | :---------------------------------------------------- | :--------------------- |
| Allergies                 | Yes                                                   | No                     |
| Assessplan                | Yes                                                   | Yes                    |
| Data                      | Yes                                                   | No                     |
| Family                    | Yes                                                   | No                     |
| Followup                  | No                                                    | No                     |
| Habits                    | Yes                                                   | No                     |
| Instr                     | Yes                                                   | Yes                    |
| Med                       | Yes                                                   | No                     |
| Orders                    | Yes                                                   | No                     |
| Past                      | Yes                                                   | No                     |
| PE                        | Yes                                                   | No                     |
| Problem                   | Yes                                                   | Yes                    |
| Procedure                 | Yes                                                   | No                     |
| Reason                    | No                                                    | No                     |
| ROS                       | Yes                                                   | No                     |
| Social                    | Yes                                                   | No                     |
| Surgical                  | Yes                                                   | No                     |

# "Pre-Op" bullet format

| Supported bullet category | Supports multiple parent bullets of the same category | Supports child bullets |
| :------------------------ | :---------------------------------------------------- | :--------------------- |
| Allergies                 | Yes                                                   | Yes                    |
| Assessplan                | Yes                                                   | Yes                    |
| Attending                 | No                                                    | No                     |
| Consultant                | No                                                    | No                     |
| Data                      | Yes                                                   | No                     |
| Dateprocedure             | No                                                    | No                     |
| Family                    | No                                                    | No                     |
| Followup                  | No                                                    | No                     |
| Habits                    | No                                                    | No                     |
| Hpi                       | No                                                    | No                     |
| Instr                     | Yes                                                   | Yes                    |
| Med                       | Yes                                                   | Yes                    |
| Orders                    | Yes                                                   | No                     |
| Past                      | Yes                                                   | Yes                    |
| PE                        | Yes                                                   | No                     |
| Procedure                 | Yes                                                   | No                     |
| Reason                    | No                                                    | No                     |
| Referenced                | Yes                                                   | No                     |
| ROS                       | Yes                                                   | No                     |
| Social                    | No                                                    | No                     |
| Surgical                  | Yes                                                   | Yes                    |
