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Autotext Dot Phrases for Cerner EHR

All templates, "autotexts", procedure notes, and other documents on these pages are intended as examples only for educational purposes.  Your documentation in the medical record should always reflect precisely your specific interaction with an individual patient.  Do not merely copy and paste a prewritten note element into a patient's chart - "cloning" is unethical, unsafe, and potentially fradulent.

venturafamilymed

Exam: Knee

Neuro:

CN II-XII grossly intact, EOMI, PERRLA


DTR: Ach Pat Bi Tri BR

Right: 2+ 2+ 2+ 2+ 2+

Left: 2+ 2+ 2+ 2+ 2+


(_ right, _ left) babinski; (_)clonus; (_)hoffman's; (_) Rhomberg


MM Str: HF Q H DF PF EHL | D T B WE FF IO

Right: 4 4 4 5 5 5 | 5 5 5 5 5 5

Left: 2 2 2 0 1 0 | 2 2 2 2 0 0

Sensation: grossly intact to light touch throughout


TRANSFER/GAIT: deferred, difficulty performing with PT

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