create_visit_note
Document home health visits in PointCare EMR by creating a visit note with vital signs, assessment, and care plan.
Instructions
Create a visit note for a patient in the PointCare EMR system.
This tool documents a home health visit including vital signs, assessment, and care plan. Use search_patient first to get the patient ID.
Required fields: patientId, visitType, visitDate, timeIn, timeOut Recommended fields: vitalSigns, subjective, objective, assessment, plan
Input Schema
TableJSON Schema
| Name | Required | Description | Default |
|---|---|---|---|
| patientId | Yes | Patient ID from search_patient (e.g., PT-10001) | |
| visitType | Yes | Type of visit | |
| visitDate | Yes | Date of visit (YYYY-MM-DD format) | |
| timeIn | Yes | Time nurse arrived (HH:MM format, 24-hour) | |
| timeOut | Yes | Time nurse departed (HH:MM format, 24-hour) | |
| vitalSigns | No | Vital signs recorded during visit | |
| subjective | No | Patient's reported symptoms, concerns, and statements | |
| objective | No | Nurse's observations and physical assessment findings | |
| assessment | No | Clinical assessment and interpretation of findings | |
| plan | No | Care plan and next steps | |
| interventions | No | List of interventions performed during visit | |
| patientResponse | No | How patient responded to care/interventions | |
| education | No | Patient education topics covered | |
| nextVisitDate | No | Scheduled next visit date (YYYY-MM-DD) | |
| notes | No | Additional notes or comments |