ChartOrdersNotesFormsResults
Brendon M. Petty DOB 07/14/1981 · MRN 00123456AB Encounter · Radiology
FormsHistory
All activityFillsPrintsSignaturesWritebacksDeletions Last 30 days ▾
Today — Aug 3
09:14 · b.dennstedt
Fall-Risk Questionnaire transferred to Brendon's device via QR — filling in progress, page 2 of 4
09:12 · ✦ junior
Prefilled 6 demographic fields on Fall-Risk Questionnaire from the encounter  ✦ receipt · undo
08:55 · b.dennstedt
Added RM Outpatient Registration and Notice of Health Information Practices from the library
Jul 3
11:31 · system
Surgical Consent written back to chart (DocumentReference) · signature hashes verified ✓ verified
11:30 · dr.romero
Signed Surgical Consent (AES · WebAuthn) — locked 4 fields it attests to
11:24 · patient
Brendon signed Surgical Consent (SES · drawn) on the patient monitor
11:02 · b.dennstedt
Printed Surgical Consent — local print, addendum included (2 overflow refs)
10:58 · ✦ junior
Prefilled 6 fields from the encounter  ✦ receipt
10:55 · b.dennstedt
Added Surgical Consent from the library (v3, pinned)
Junior · Forms history
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