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Part of Assess 360

The exam that documents itself

Physical Exam runs 19 exam regions through the same drill-down tree as the interview — mark a whole region within normal limits in a tap, or follow an abnormal finding down to its exact detail. Every tap composes straight into the note.

19exam regions covered
1tap to mark a region normal
0duplicate entry into the note
Physical Exam · Patsy Allison
GeneralWell-appearing
SkinWNL
HeartIrregular rhythm
LungsClear, WNL
Composed note preview

PE — General: well-appearing. Skin: within normal limits. Heart: irregular rhythm, no murmur. Lungs: clear to auscultation, WNL.

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Exam regions
Head-to-toe, from General through Neurological.
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Tap to mark normal
Clear a whole region as WNL in one tap.
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Note, auto-composed
Free text you add is always preserved above it.
Capabilities

Fast on a normal exam, thorough on an abnormal one

A routine, all-normal exam should take seconds — an abnormal finding should still get full detail. Physical Exam is built for both.

19 regions, one tree

General, Skin, Heart, Lungs, Abdomen and more — each opens the same multi-level drill-down of findings.

Mark within normal limits

Clear a whole region as WNL in one tap — a normal exam takes seconds, not minutes.

Drill into any abnormal

Follow a finding down to its exact detail — location, quality, severity — so the note reads like a clinician wrote it.

Gender-specific body figures

Visual body maps track exactly where a finding sits, speeding documentation for regions like skin or musculoskeletal.

Auto-composed note

Every tap writes itself into a running note in plain clinical language — any free text you add is preserved above it.

Picks up from Review of Systems

A positive ROS finding opens straight into its matching exam region through the identical drill-down tree — nothing re-described.

The drill-down engine

From a region down to the exact finding

Expand a region, tap what you observe, and the note writes itself below — in the clinician's own words, not a checkbox summary.

Physical Exam
General
Appearance
Well-appearing Chronically ill Acutely ill
Nutritional status
Skin
Head
Final note

General :: well-appearing.

How it works

Three steps to one exam note

1
Examine

Walk all 19 regions — mark within-normal-limits in bulk as you go.

2
Drill in

Anything abnormal opens its own tree of qualifiers.

3
Compose

Every tap writes itself into the note — ready to sign.

Why it matters

A normal exam shouldn't take as long as an abnormal one

Most charts make you click through 19 identical normal findings even when nothing is wrong. Physical Exam lets you clear a whole region in one tap when it's normal — and only slows down for the regions that actually need the detail.

  • Breadcrumb navigationAlways see exactly how deep you've drilled, with one tap back up.
  • Free text preservedAnything you type stays put even as auto-composed lines update above it.
  • Picks up from the interviewA positive Review of Systems finding opens straight into its matching exam region.
Region progress · 15 of 19
GeneralWell-appearing
Heart1 abnormal
MusculoskeletalNot started
Regions complete
15 / 19
Questions

Physical Exam, answered

A checkbox form only captures a region as normal or abnormal. Physical Exam drills down multiple levels into the actual finding — location, quality, severity — so the note reads like a clinician wrote it, not like a form was filled in.

No — marking a region within normal limits clears it in one tap, so a routine exam takes seconds while an abnormal one still gets full detail where it's needed.

Yes. The auto-composed lines sit at the top of the note and anything you type stays exactly where you left it — recomposing never overwrites your own words.

Physical Exam and Review of Systems share the same drill-down tree structure, so a positive symptom points straight to its matching exam region inside Assess 360 — nothing re-described.

See a full exam composed in real time

Book a demo and watch 19 regions walk from a tap to a finished note.

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