Which documentation options are included in NoteWriter?

The correct choice is rooted in the functionalities of NoteWriter within EpicCare. NoteWriter is designed to facilitate the documentation of clinical notes in a structured and efficient manner. It specifically allows for comprehensive clinical assessments, which include the Review of Systems (ROS) and Physical Exam sections. These components are essential in capturing the patient's health status and clinical findings during a visit.

The Review of Systems gathers information regarding various systems in the body to identify any symptoms the patient may be experiencing, while the Physical Exam documents the clinician's findings from the examination. Both elements are key to building a thorough clinical note that reflects the patient's visit accurately.

In contrast, other options pertain to different aspects of the medical record or documentation that may not be the primary focus of NoteWriter. Follow-up and Patient Instructions relate more to care plans and guidance for patients post-visit, which, while important, are not part of the core documentation options in NoteWriter. LOS code and History of Present Illness, although relevant to the clinical encounter, do not encompass the structured note-taking aspect that NoteWriter offers. Patient demographic data is typically recorded in other sections of the electronic health record and does not fall under the specific capabilities of NoteWriter for documenting clinical notes.