Musculoskeletal exams documented as you call them out.
Clinic notes with range of motion, special tests and imaging review captured as you examine, plus injection and therapy plans.
Orthopedics
Musculoskeletal exam note
median time to a signed clinic note
patients per clinician each clinic day, up from 36
Measured over a 12-week pilot at the clinic quoted on this page.
A sample visit and the note drafted from it.
Visit transcript
[00:12] Surgeon: How's the right knee been since your last visit?
[00:15] Patient: Worse on stairs. It swells after long walks, and the gel helps a little.
[01:40] Surgeon: Range of motion is zero to 115. Small effusion, crepitus with flexion, and the ligaments are stable.
[02:05] Surgeon: Your X-ray shows narrowing on the inner side of the joint. That's osteoarthritis in the right knee. We can do a steroid injection today and start physical therapy.
[02:19] Patient: Let's do the injection. I can make therapy twice a week.
Draft note
Subjective: Right knee pain, worse on stairs, with swelling after long walks. Some relief from diclofenac 1% gel (per medication list).
Exam: Right knee range of motion 0 to 115 degrees. Small effusion. Crepitus with flexion. Ligaments stable.
Imaging: X-ray shows medial joint space narrowing.
Assessment: Primary osteoarthritis, right knee.
Plan: Corticosteroid injection, right knee, today. Medication and dose not stated; add before signing. Physical therapy twice a week.
Suggested code: M17.11 Unilateral primary osteoarthritis, right knee
Fictional patient. Transcript shortened for this page.
How the clinic uses Charted.
Torrin Orthopedics runs high-volume clinic days, with 7 surgeons and 5 physician assistants each seeing 35 or more patients. Exam findings were dictated between rooms or typed at the end of the day, and range-of-motion numbers were easy to mix up.
Surgeons now call out the exam as they go, the way they would for a scribe. Charted puts each finding in the right part of the exam section, gives the imaging read its own section and drafts the injection or therapy plan. When a detail is missing, such as an injection's medication and dose, the draft flags it.
During the pilot, median time to a signed clinic note was 3 minutes, and each clinician's average clinic day grew from 36 patients to 41 without longer hours. The group now uses Charted in all three of its offices.
