On the TBI Instruments > Comprehensive TBI Evaluation screen, select the appropriate answer for each patient.
Select [Save
Draft] to save the information entered even if it is incomplete or in
the event the user wishes to review the data again prior to completing the
note.
When all information is entered and
verified, select [Save
and Prepare Note] to preview the note.
Click [Cancel]
to reset the questionnaire.
The application reformats the information entered into the
questionnaire and displays the resulting report. The instructions on the screen
suggest the user review the newly formatted content. If the user wants to make
changes to the material, the user should click [Cancel] button and
re-enter the answers. If the content is correct, the user clicks the [Submit
Note] button.
Be aware that once the note is submitted, it is no longer
editable within the TBI Instruments application and any updates will have to be
made within CPRS.
The clinician must sign the note in CPRS.