Consider adding MDM next to the Plan at the bottom where this is:
Plan|CDS|Intrustions|Goals|Health concerns
I (just my way of doing things) rarely use Goals or Health Concerns and don't know what CDS is.
Medical Decision Making so:
Plan|MDM|CDS etc.
and have MDM under the Assessment box. Wouldn't necessarily need an entirely new field. Just if you select it, it puts it one line below your assessments:
Not sure about progress notes and consultation notes, but it ALL THE RAGE in ED notes. I guess they are forced to use them to explain what diagnoses they considered and why it could be or could not be. It is really helpful documentation.
