I would agree to all of those, and those, within this system should be “tags”, but I think Chart Remarks has a lot of potential to be what we are looking for.
Let me stop being coy, so we can test that assumption. The question was should they, as a general category/form name be referred to as “Chart Notes”, “Patient Notes”, “Chart Addenda”, “Chart Remarks”, or something else?
Chart Notes and Patient notes are thought to be too general and perhaps confusing to some people, as sometimes what you could call “Visit Forms” or “Encounter Forms” might be equated to “Chart Note”, even if they are presented next to each other in a menu.
The issue is that for a simple remark too many users create an “Encounter” record, which has a date of service, facility and a number of other things attached to it, and is seen as a viable billable date of service by the practice management side of things. When incidental notes are added as an Encounter, it kind of junks things up for the billing office. From the clinical side, it is just as bad, because that is not appropriate documentation.
To push the users in a useful direction, we hope to provide an easy and more visible way to add permanent notes to the patient record without using the structure an “Encounter” brings with it. The name is very very important, as we need folks to intuitively grasp the difference.