Working with Notes

Working with Notes

Overview  

ICANotes+ enables you to create a variety of note types. Once notes are created, they can be compiled and signed, with access provided on the Dashboard under categories such as In Progress Notes, Finished Notes, and Signed Notes. 

 

  • Quick Note
  • Case Management
  • Couples/Family Therapy
  • Progress Note
  • SOAP Note
  • Complete Evaluation
  • Discharge Summary
  • Clinical Summary

 

Note: It is recommended to create notes on current or past dates. If a note is created and compiled with a future date, it will not appear on the Dashboard.

 

In this knowledge base article, the Progress Note is considered as an example. Similarly, you can access these features in the respective notes.  

 

Creating Notes from Multiple Locations  

There are two locations you can create the notes from. Calendar and Chart Face.

 

Creating Notes from Calendar  

When you access an appointment from the calendar, you will see an option Start Note from Appointment checkbox as shown in the screen below. On selecting the checkbox, the Note Type dropdown will appear with a list of notes. Select a note that you want to create and click Save.

 

 

 

 

Creating Notes from Chart Face  

When you navigate to the client's chart face, you will see all the notes as highlighted in the screen below. You can click on the desired note to create a one.

 

 


 

Adding / Updating Shrub Content

ICANotes+ allows you to build your shrub content automatically based on your selection in the left pane. You can select the applicable categories and sub-categories from the left pane and the system will automatically build and display the shrub content in the yellow card as depicted in the screen below:

 

 

 

 

 

Creating Follow-up Notes 

Within the notes, you can record follow-up visit details for the client on a need basis. The follow-up visit details will appear on the compiled note. 

 

 

When you click the Follow-up dropdown, all the pre-configured options for the follow-up visit will appear as shown below. Choose an appropriate one based on the needs of the client.

 

 

When you compile the note, the follow-up visit details will appear as shown in the screen below:

 

 

 

 

Recording Health Concerns and Risk Factors in Notes  

You can record client's health concerns and risk factors in the notes. You can print them on the compiled note if you want to do so. Locate the Health Concerns and Risks section on the Progress Note as shown below:

 

You can record the health concerns and the risk factors on the following notes:

 

  • Couples/Family Therapy
  • Progress Note
  • SOAP Note
  • Complete Evaluation

 

In the following screen, you can locate that the health concerns and risks are entered. You can also choose to print them on the compiled note by selecting Yes in the Include Notes/Risk Factors in PN option underneath the health concerns box.

 

 



 

When you compile the notes, the health concerns and risks will appear as shown in the screen below:

 

 

 

 

 

 

Recording Medical History in Notes 

You can record the client's medical history in the notes. You can print them on the compiled note if you want to do so. Locate the Medical History section on the Progress Note as shown below:

 

You can record the medical history on the following notes:

 

  • Progress Note
  • SOAP Note
  • Complete Evaluation

 

In the following screen, you can locate that the medical history is entered. You can also choose to print it on the compiled note by selecting Yes in the Include Med History in PN option underneath the medical history box.



 

 

When you compile the notes, the medical history will appear as shown in the screen below:

 


 

 

 

 

Recording Private Notes  

There could be an instance when the providers may want to record some notes for the client but they don't want to print them on the compiled note. ICANotes+ allows the providers to record private notes.

 

The provider can record private notes for the following:

 

  • Case Management
  • Couples/Family Therapy
  • Progress Note
  • SOAP Note
  • Complete Evaluation

 


 

On clicking the Enter Private Notes button, the following screen appears that allows you to record the confidential notes. You can enter multiple notes on different dates by clicking the Enter New Note Date and Separator button from the top right corner as shown below.


Private notes will not appear on the compiled note. 



 


 

 

 

Linking Notes to an Appointment 

There is an option to link your note with an appointment. When you create a note, the Link Note to Appointment option appears on the top as depicted in the screen below:


 

 

Clicking the Link Note to Appointment option opens the following screen. It lists all the appointments you have created for the client on the calendar. Select the desired appointment to link the note and click Save.

 

 

 

Once the note is mapped with the appointment, you can see the following message showing the linked appointment's date and time. However, you can change the appointment by clicking the Change appointment link.

 

 

 

  

Compiling Notes  

Once you record the shrub content and all the necessary details, you can compile the notes by clicking the Compile and Preview button as depicted in the screen below:

 

 

 

When you compile the note, it appears as shown in the screen below:



 

On the compiled note, you can,

  • Copy the note content
  • Download the note
  • Print the note
  • Capture the electronic signature on the note
  • Go to chart face from the note
  • Generate invoice
  • Create Clinical Summary
  • Create Discharge Summary

 

 

 

FAQs 

You can find the Frequently Asked Questions (FAQs) on our Knowledge Base page.


Click here for quick access to the FAQs.

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Need additional assistance?

Phone: 443-203-5857 

Text: 866-301-0085

Email: ticket@icanotes.com

Chat: http://app.icanotes.com 

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Proprietary Notice Information: This article is provided for informational purposes only, and the information herein is subject to change without notice. While every effort has been made to ensure that the information contained within this article is accurate, ICANotes cannot and does not accept any type of liability for errors in, or omissions arising from the use of this information.
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