Heading With Status

The Heading With Status section is a labelled chart section that includes a status indicator alongside the heading and body. The status tells you (and anyone reviewing the chart later) where this concern stood at the time of the visit — active, improved, worsened, or resolved — without having to read the body text to find out.

Use it for ongoing topics you’ll follow across multiple visits: a patient’s chronic back pain, a wound healing over weeks, a treatment plan you’ll reassess each visit. The status field makes the chart skimmable — a glance through the chart history tells you the trajectory.

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Status Options

The available statuses cover the common progress states:

Status	Meaning
Active	The concern is present and being managed. Default for a new entry.
Improved	The concern is still present but symptoms have reduced since last visit.
Worsened	Symptoms have become more severe since last visit.
Resolved	The concern is no longer present.
Incorrect / Not Applicable	Captured in error or no longer relevant — used to mark old entries that shouldn’t appear in the active record.

Resolved and Incorrect / Not Applicable entries are kept in the chart but typically don’t appear in the Patient Workspace Medical Summary under active concerns.

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Adding a Heading With Status Section

1. In the chart editor, click the + button on the page you want the section on (usually +A for Assessment).
2. Choose Heading With Status from the section-type menu.
3. The section appears with a status dropdown next to the heading.
4. Set the heading (for example, Chronic Low Back Pain), pick the status for this visit, and write your notes in the body.

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Tracking Across Visits

The point of using Heading With Status (as opposed to a plain Basic Heading) is the status timeline. When you carry the section forward into a follow-up chart, the previous status is visible — you can update it for the current visit and a reader gets the trajectory at a glance.

In the Patient Workspace, the Medical Summary lists each Heading With Status entry the patient has active across all charts. Resolved entries drop off the Medical Summary so the active concerns aren’t cluttered with closed-out items, but they remain in the chart audit trail.

Tip

For any clinical concern you expect to revisit, start with a Heading With Status — the small extra effort of setting a status each visit pays off when you (or a colleague reviewing the case) want a quick read on whether a patient is getting better. A Basic Heading buries that signal in the body text; Heading With Status surfaces it.

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Related Pages

• Pro Charting Sections — overview of all PRO section types and when to use each
• Basic Headings — simpler labelled section without a status field
• Diagnoses — the structured equivalent for billable / ICD-coded conditions, with the same status-tracking model
• Smart Templates — reuse a set of Heading With Status sections across many charts