Encounter Medicine

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Encounter TEMPLATES

The note starts finished.

Nine years of static emergency medicine templates — the differential, the risk stratification, the disposition — now searchable, clickable, and ready to paste into any EHR.

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The Chest Pain topic as Encounter Templates shows it: a note whose differential, risk stratification, orders, and disposition are clickable, with a HEART score calculator and a Copy button that produces plain text.
← All topicsChest Pain

Given history, exam, and workup I have low suspicion for ACS, pneumothorax, pulmonary embolus, tamponade, aortic dissection, or other emergent problem as a cause for this presentation.

Risk stratification:not in the note until an item is checked
  • Last stress test: Up to 10 words. Do not enter patient information.
  • Last heart catheterization: Up to 10 words. Do not enter patient information.
  • HEART Score: Up to 10 words. Do not enter patient information.

Disposition:

Discharge home with strict return precautions for worsening chest pain, shortness of breath, or new symptoms. Instructed to follow up promptly with primary care.

Don’t enter patient information. Nothing you type here is saved.

The new home of tydotphrase — the original EM dot-phrase library trusted by 5,000+ clinicians

Find it. Make it yours. Paste it.

HOW IT WORKS

  1. 01

    Find the complaint

    Search by name, by the alias you actually say, or by the dotphrase you already use — CP, chest pressure, and .chestpain all land on Chest Pain. Every topic is one click deep.

    The library search box with “CP” typed in, and the one topic it matches.
    CP
    All systems

    1 topic

    Cardiopulmonary

    Chest Pain.chestpain

  2. 02

    Make it yours

    The differential, the orders, and the disposition are clickable, and the HEART score works out right in the note. Turn off what you didn’t consider, pick the path you took, and the sentence rewrites itself.

    The differential opened to its option set: five diagnoses included, two turned off.

    Given history, exam, and workup I have low suspicion for ACSpneumothoraxpulmonary embolustamponadeaortic dissectionpericarditisesophageal rupture as a cause for this presentation.

  3. 03

    Copy. Paste. Sign.

    One button gives you the plain text the note shows — no formatting to fix, and *** left exactly where your EHR expects a blank.

    The plain-text preview of the Low risk chest pain note, as it will paste after checking the last stress test and scoring HEART.
    Given history, exam, and workup I have low suspicion for ACS, pneumothorax, pulmonary embolus, tamponade, aortic dissection, or other emergent problem as a cause for this presentation.

Risk stratification:
- Last stress test: ***
- HEART Score: 2 (low risk)

Disposition:

Discharge home with strict return precautions for worsening chest pain, shortness of breath, or new symptoms. Instructed to follow up promptly with primary care.

    Pasting into the chart? Encounter Notes writes the whole note

THE LIBRARY

The whole body, one page deep.

Every topic on the map is a complete MDM — the differential, the risk stratification, the disposition — usually in several variants, with the education behind each one. The system order is the one you already know from tydotphrase.

Cardiopulmonary

  • Chest Pain.chestpain
  • Pulmonary Embolism.pe
  • Atrial Fibrillation.afib
  • Asthma Exacerbation.asthma
  • Hypertension.htn

GI

  • Abdominal Pain.abdpain
  • GI Bleed.gibleed
  • Nausea, Vomiting, and Diarrhea.nvd

GU

  • Kidney Stone.stone
  • Urinary Tract Infection.uti

Pregnancy

  • Early Pregnancy Bleeding.pregbleed
  • Hyperemesis Gravidarum.hg
  • Pregnancy & Postpartum Problems.pregnancy

Neuro

  • Headache.headache
  • Ischemic Stroke.stroke
  • Syncope.syncope

MSK & Trauma

  • Low Back Pain.lbp
  • Neck Problems.neck
  • Joint Pain and Arthropathy.jointpain
  • Foot and Ankle Problems.footankle
  • Laceration.lac
  • Fall.fall
  • Motor Vehicle Collision.mvc

Derm, ID & Heme/Onc

  • Skin and Soft Tissue Infections.cellulitis
  • Anaphylaxis and Urticaria.anaphylaxis
  • Viral Syndromes.viral
  • Breast Infections.mastitis
  • Sickle Cell Disease.sicklecell

Endocrine & Electrolytes

  • Hyperglycemia.hyperglycemia
  • Potassium Disorders.potassium

HENT

  • Throat Problems.sorethroat
  • Ear Problems.ear
  • Dental Problems.dental

Ophtho

  • Red Eye.redeye
  • Painless Vision Loss.visionloss

Psych, Tox & Environmental

  • Toxic Ingestions.overdose
  • Alcohol Withdrawal.etohwithdrawal

Peds

  • Febrile Infant (0-60 days).febrileinfant
  • Bronchiolitis.bronch
  • Pediatric Asthma.pedsasthma

157

note variants — low risk, admit, procedure

329

education items, cited to the guideline

EDUCATION

The reading behind every sentence.

Each variant carries the teaching that justifies it — the HEART score cutoffs, the 0/1-hour troponin pathway, the fetal dose of a CTPA — cited to the guideline and kept out of the note.

Teaching is for you. The chart is for the patient. The two never mix in the paste.

The education panel beside the Low risk chest pain note: HEART Score expanded with two cited paragraphs, four more items collapsed, and a references list.

HEART Score

High-Sensitivity Troponin Pathways

CT PE in Pregnancy

ACOG Committee Opinion No. 723 supports that diagnostic imaging including CT should not be withheld from pregnant patients when clinically indicated. Fetal risk of anomalies, growth restriction, or abortion has not been reported with radiation exposure less than 50 mGy.5

Fetal radiation doses
StudyFetal Dose (mGy)
CT pulmonary angiogram0.01–0.66
VQ scan0.01–0.5
CT abdomen (low dose)~1.4
CT abdomen (high dose)1–25
CT pelvis (high dose)10–50

CTPA results in lower fetal radiation exposure compared to VQ scanning.5

Lead Misplacement

LVH with Strain Pattern

References (5)

FAQ

Questions, answered.

Is this tydotphrase?

Yes. Encounter Templates is the new home of tydotphrase: nine years of MDM templates and clinical education, same author, moved here and made searchable and editable. Old tydotphrase links will redirect to the new pages.

Do I put patient information into it?

No, and please don’t. You browse a library and copy text out; the site never sees a patient’s name, a chief complaint, or a note. That is by design — it is what keeps a free clinical reference free of patient data.

Does it work with Epic, Cerner, or Meditech?

It works with anything you can paste into. Copied text is plain text, with *** left exactly where your EHR expects a blank — Epic’s F2 walks through them as usual. Or fill the blanks on the page first and copy the finished note.

Do I need an account?

Not to look around: open the library and try a few templates. After a few clicks it asks you to sign in. The account is free, and it is where your own edited versions will live.

The library is open.

Free while it’s in beta. Sign in once and the whole library is yours to read, edit, and copy.

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