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

{
    "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