Freed Section

Where it goes in eCW

Chief Complaint

✅ Its own dedicated field — only if your note has an explicit "Chief Complaint" or "CC" header. If not, the content isn't lost — it's simply included as part of the HPI content instead.

History of Present Illness (HPI)

✅ One generic text field. This is the destination for all Subjective content that isn't Chief Complaint or ROS — including Current Medication, Medical History, Allergies/Intolerance, Gyn History, OB History, Surgical History, Hospitalization, Family History, and Social History.

eCW has no separate destination for any of these — even though eCW's own chart likely has dedicated Allergy, Medication, and History modules elsewhere, Freed's integration doesn't write to them. All of this content is concatenated into the one HPI field, with your original headers preserved as plain-text labels inside it (not as structured, separately-filterable data).

+ If there is already text, Freed will append the note to existing text

Review of Systems (ROS)

✅ Its own dedicated field — only if your note has an explicit "Review of Systems" or "ROS" header. Without one, ROS-type content stays lumped into HPI rather than being dropped.

Objective

✅ One generic text field. This is the destination for all Objective content, including Vitals and Physical Exam as well as Imaging, Procedures, and Labs — pushed as a single combined block, with no separate structured destination for any individual subsection.

It's routed to whichever Examination category is already active in your eCW encounter (e.g., "BH Mental Status Exam" for a behavioral health visit); if none is active, Freed matches by content.

+ If there is already text, Freed will append the note to existing text

Assessment and Plan

✅ The only section with per-item structured routing — matched to an ICD-10 code per diagnosis, first against the patient's existing eCW problem list, then against Freed's own ICD coding. There are two approaches:
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​Scenario 1: Start with Blank Note in eCW
· Use this approach if you want to use the ICD-10 codes in Freed. ICD-10 codes are managed on the Codes tab (available on Premier/Groups plans) — add/remove codes there before pushing. Note that Copy all from the Note tab does not include codes; they must be copied separately from the Codes tab.
· Each ICD-10 coded diagnosis in Freed will create a corresponding diagnosis in eCW, in the Assessment section.
· In the Plan > Treatment section, details from your visit will be placed in the 'Internal Clinical Notes' field by default — in eCW, you can choose whether this content goes into 'Treatment Notes' or 'Internal Clinical Notes' via your EHR Push preferences.
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​Scenario 2: Manually add Dx in eCW
· Before pushing your Freed note into eCW, manually add existing Dx. Use this approach if you want to use existing ICD-10 in eCW.
· Freed will first review existing diagnosis in the assessment section, and only add diagnosis that are not already present. Freed won't override existing assessment.
· In Plan > Treatment section, details from your visit will be placed in the 'Internal Clinical Notes' field by default — in eCW, you can choose whether this content goes into 'Treatment Notes' or 'Internal Clinical Notes' via your EHR Push preferences.
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For best results, make sure every problem in your Assessment & Plan can be matched to an ICD-10 code — diagnoses that can't be matched may not transfer reliably.

Patient Instruction

❌ Patient Instructions are not pushed to eCW

Sections that are just "N/A"

Skipped entirely rather than pushed as literal placeholder text.

Message

What to do

The active ECW patient chart changed while preparing the note.

Return to the intended Progress Notes chart and retry.

ECW showed conflicting patient or encounter context.

Refresh ECW Progress Notes, confirm the patient chart, and retry.

We couldn’t verify the active ECW patient chart.

Refresh ECW Progress Notes, confirm the patient chart, and retry.

ECW didn’t respond while we verified the active patient chart.

Retry the push. If it continues, refresh ECW Progress Notes.

Your ECW session may have expired while we verified the patient chart.

Refresh ECW, sign in if prompted, and retry.

We couldn’t find an active ECW encounter.

Open ECW Progress Notes for the encounter and retry.