Cerner Import-Copy H&P

Cerner – Adding History & Physicals

Open PowerChart and select patient

2 Options for Adding History and Physical’s to the patient’s chart

There are 2 ways to enter H&P’s: import a PDF OR copy and paste into a note.

OPTION 1: Import a PDF into the patient’s chart

Click Note| Scan| Import in the Dark menu of the left side of the chart
Click Scan | Import icon to open the Add Document pop up
If default Type is not History and Physical, click drop down to select
Change Author to surgeon if you are not the surgeon
Click Import button and the Network folder opens up. This will vary depending on how your office is set up.
We recommend that you have a folder set up on your network specifically for H&Ps that you can open to import the document into Cerner.

See next page for screenshot.

OPTION 2: Copy and paste note into the patient’s chart

Click Note| Scan| Import in the Dark menu of the left side of the chart
Click Add icon to open the Add Document pop up
If default Type is not History and Physical, click drop down to select
Change Author to surgeon if you are not the surgeon
Click in white space. On keyboard, select Ctrl V keys together to paste previous copied item. Text can be edited and formatted.
Click Submit button to save into the chart. Never click the Save button or Save and Close button because no one will be able to see it but YOU.
Follow steps on next page to make sure you haven’t accidently saved instead of signed/submitted documents

Checking to make sure documents are Signed or Submitted.

Click on Message Center located in 2^nd grey bar on top of screen
Towards the bottom of the Inbox Summary grey column, you will see “Saved Documents” If there is a number next to those words then you need to sign any documents in there so that other users such as nursing and HIM can see them. Click on words to open Saved Document screen.
Double click on patient’s name to open the sign screen
The sign button is defaulted
Click Ok to sign or OK & Next to sign and go to next document.