Leslie, keep in mind what you do as a physician and what goes in the medical record are two only vaguely related entities, even with the old paper chart. The electronic record, AC included, makes them even more unrelated, which is why my rant about the use of templates. Just keep doing good medicine, and count on your knowledge of the patient to fill in the gaps on each subsequent visit. My guess is you will develop your own unwritten code for deciphering your notes when you next see the patient; i.e., that you only use the dropdown for "no fever or chills" to mean "worried well", but use "Low grade fever, mild chills" for "really bad URI." These things are just tools, some worse than others. They are not the goal. Try not to despair.
