Attestations Tip Sheet for Epic

(Originally posted on: August 8, 2019

The pertinent ones are in bold
.CLINIC VISIT – I saw and evaluated the patient with the resident/fellow and agree with their findings and plan unless otherwise noted. @ME@
.INPATIENT SAME DAY – I saw and evaluated the patient on the date of my electronic signature and I agree with the findings and plan of the resident/fellow unless otherwise noted. @ME@
.INPATIENT LATE ENTRY SAME DAY – I saw and evaluated the patient on the date of the
Resident/fellow’s note and I agree with the findings and plan of the resident/fellow unless otherwise noted. @ME@
.INPATIENT LATE ENTRY DIFFERENT DAY – I saw and evaluated the patient on *** and I agree with the findings and plan of the resident/fellow unless otherwise noted.
@ME@
.REVIEWED ONLY/NON-SUPERVISED – I did not examine this patient on this date of service. I have reviewed the resident/fellow’s documentation and I agree with their findings and plan unless otherwise noted. @ME@
.REVIEWED AND DISCUSSED/NON-SUPERVISED – I discussed the patient’s medical history, exam findings, and diagnosis with the resident/fellow, and agree with the assessment and treatment plan as documented in their note. @ME@
.MINOR PROCEDURE [5 minutes or less, excluding endoscopy] – I was present with the resident/fellow during the entire procedure. Please see their note for details. Any clarifications/edits to the documentation are noted. @ME@
.MAJOR PROCEDURE/OR – I was present with the resident/fellow during critical/key portions of the procedure and immediately available throughout the procedure. Please see their note for details. Any clarifications/edits to the documentation are noted. @ME@
.PRIMARY CARE EXCEPTION CLINIC – I discussed the patient’s medical history, exam findings, and diagnosis with the resident/fellow, and agree with the assessment and treatment plan as documented in their note. @ME@
.ENDOSCOPIC PROCEDURE – I was present for the entire viewing with the resident/fellow which included the time from the insertion to the removal of the endoscope. Please see their note for details. Any clarifications/edits to the documentation are noted. @ME@
.INTERPRETATION – I reviewed the diagnostic test data and agree with the resident/fellow’s interpretation as documented in their note. Any clarifications/edits to the documentation are noted. @ME@

.CLINIC APP SHARED VISIT – I saw and evaluated the patient with the APP’s and agree with their findings and plan. I personally participated in the {HFHS EXAM/HISTORY/DECISION:24446} and my findings were ***. @ME@
.IP APP SHARED VISIT – I saw and evaluated the patient on the date of the APP’s note and I agree with their findings and plan. I personally participated in the {HFHS EXAM/HISTORY/DECISION:24446} and my findings were ***. @ME@
.CLINIC/MINOR PROCEDURE [5 minutes or less, excluding endoscopy] – I saw and evaluated the patient with the resident/fellow and agree with their findings and plan unless otherwise noted. I was also present with the resident/fellow during the entire procedure. Please see their note for details. Any clarifications/edits to the documentation are noted. @ME@
.CLINIC/MAJOR PROCEDURE – I saw and evaluated the patient with the resident/fellow and agree with their findings and plan unless otherwise noted. I was also present with the resident/fellow during critical/key portions of the procedure and immediately available throughout the procedure. Please see their note for details. Any clarifications/edits to the documentation are noted. @ME@
.CLINIC/INTERP – I saw and evaluated the patient with the resident/fellow and agree with their findings and plan unless otherwise noted. I also reviewed the diagnostic test data and agree with the resident/fellow’s interpretation as documented in their note. Any clarifications/edits to the documentation are noted. @ME@

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