To maintain a full longitudinal record and to ensure that there is always an audit trail of changes made, each version of a clinical note is stored and viewable.
To view Versions of a clinical note:
- Locate the Clinical Note (see Clinical Notes to learn how to filter or search).
- Click Show.
- If more than one version exists, then the Versions button will appear - click Versions.
- The latest version will display, you can cycle through versions using the Previous or Next buttons.
Information stored for each version includes:
- Create date and time
- Update Date and time
- Signature - who added the note
- Approval date and time
- Approver Signature - Who Approved the note
- The contents of the note
- If the note was a draft.
