The Visit Note Object

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)
      "children": [                               // ALPHA. Not visible in the Find Visit Notes endpoint
        {
          "category": "Problem",
          "text": "happens often"
        }
      ]
    }
  ],
  "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_time': None,
      'new_note_time': None,
      'previous_prev_weight': None,
      'new_prev_weight': None,
      'previous_prev_bmi': None,
      'new_prev_bmi': None,
      'previous_prev_time': None,
      'new_prev_time': None,
      'previous_bmi': None,
      'new_bmi': None
    }
  ],
  "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",
  "signed_date": "2010-06-10T11:05:08Z",
  "signed_by": 131074,
  "created_date": "2010-06-10T11:05:08Z",
  "deleted_date": null
}

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