Procedure Outcomes Section

This section appears in the encounter for appointment types that are mapped to the "Structured Procedure Visit" or the "Exam-Only Structured Procedure Visit" encounter layout. You can use the Assign Appointment Types to Layouts page to map appointment types to encounter layouts.

Your organization must have the Structured Procedure Documentation feature enabled.

1. In an open encounter, scroll down to Procedure Documentation in the Intra section of the exam.
   
2. Click the plus icon to add a procedure template.
   
   The outcome fields for the selected procedure template appear in the Procedure Outcomes section below.
   
3. Click in the Procedure Outcomes section to edit.
4. Select a Result from the list.
   
   Note: A selection is required. If you leave the Result field blank, an alert appears when you attempt to close the encounter.
5. Add a Complication. The field displays No Complications by default.
   Note: If you select an option other than No Complications, a Grade drop-down menu appears.
   

6. Select a Grade to describe the severity of the complication.

7. To add more complications, click the plus icon .
8. To delete a complication, click the X icon.
9. Enter any Notes concerning the procedure outcome.
10. Click Save.

Before you can use the Procedure Outcomes section, you must specify the complications and their grades using the Procedure Complications admin page.