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Checking the note for medicolegal omissions

2 min readFor clinical staff

After End, Rebrief reads the finished note against the whole visit. It looks for details a dental records review would expect but the note does not have. The anesthetic, consent, isolation and post-op instructions are typical examples. Each one it finds appears in the note as a faded line, and you decide whether to add it.

What it looks for

Rebrief suggests a line only when all of these are true.

  • The visit implies it. A composite implies etch and bond, for example.
  • Nothing in the visit mentions it.
  • Nothing said in the visit contradicts it.

It suggests at most three lines for a note. Most notes get none.

The chip on the note's bar

A chip with a shield on the note's bar shows where the check stands.

  • Before End it reads Checks for medicolegal omissions at End.
  • While the check runs, its dot pulses and it reads Checking for medicolegal omissions…
  • With nothing missing, it reads No medicolegal omissions found, with a green dot.
  • With lines waiting, it reads something like 2 medicolegal omissions to check, with a red dot.

On a narrow note, the chip uses shorter words or just the shield.

Select the chip while it has lines waiting. Rebrief takes you to the first faded line.

Adding or skipping a line

Each suggested line sits in the note where it belongs, in faded text. At its end are a shield, Add and Skip.

  • Point at the shield to read why Rebrief suggests the line.
  • Add makes the line part of your note, as your own words.
  • Skip removes the line.

From the keyboard, Tab adds a line and Esc skips it. The keys act on the line that shows them beside Add and Skip. If the line joins a numbered list, the steps renumber.

Adding a line is your word that it happened. Read each line, and only add what was really done.

Good to know

  • A faded line is not part of the note until you add it. It is not saved, and Export leaves it out.
  • The check reviews the note on the Note tab. Notes written on your templates are not checked.
  • If you select Regenerate after End, Rebrief checks the rebuilt note again.
  • If the chip reads Check for medicolegal omissions, the check hasn't run on this note yet. Select the chip to run it now.