Morton CDSS: $200/year, QRef included · QRef app on its own: $14.99/yearCDSS $200/yr · QRef app $14.99/yr

How to create a pre-anesthetic assessment step by step

Open "New clinical case"

Click New clinical case in the top-right corner of the home page.

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New clinical case button highlighted on the home page
New clinical case button highlighted on the home page

Create the case without a codex

Click Create without codex to start from scratch. If you’re picking up a previous case, enter its Codex and click Continue.

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New case window with the Create without codex option highlighted
New case window with the Create without codex option highlighted

Choose the pre-anesthetic phase

Select Pre-anesthetic and click Next. On the templates screen, pick a saved template to save time or, if you don’t have one, click Next to start a new one.

cdss.morton.coffee/caso/nuevo
Pre-anesthetic phase selection highlighted
Pre-anesthetic phase selection highlighted

Choose the procedure context

Mark the procedure’s urgency —Elective, Urgent, or Emergent— and click Create clinical case. You can change it later.

cdss.morton.coffee/caso/nuevo
Context selection with the Create clinical case button highlighted
Context selection with the Create clinical case button highlighted

Accept the disclaimer

Read the disclaimer and click Accept and continue.

Complete the case sections

Complete each codex section in order, starting with Clinical case data; finishing one unlocks the next.

cdss.morton.coffee/caso/editor
Codex editor with the Clinical case data section highlighted
Codex editor with the Clinical case data section highlighted

Generate the analysis

Open the Analysis section and click Generate analysis. Morton reviews all the case information and suggests the findings that matter for anesthetic practice. Check the ones you want to include, click Add to prenote, and then Next.

cdss.morton.coffee/caso/editor
Analysis section with the Generate analysis button highlighted
Analysis section with the Generate analysis button highlighted

Build the anesthetic plan

Open the Anesthetic plan section and click Generate recommendations. Check the ones you want to include; to add more, click Document additional items and select the options. Click Add to prenote and then Save.

cdss.morton.coffee/caso/editor
Anesthetic plan section with the Generate recommendations button highlighted
Anesthetic plan section with the Generate recommendations button highlighted

Generate the prenote

Confirm with Yes in the “Case finished” window that appears when you save the plan. The “Prenote” panel opens; click Generate prenote and the full note appears with all the case information.

cdss.morton.coffee/caso/prenota
Prenote panel with the Generate prenote button highlighted
Prenote panel with the Generate prenote button highlighted
Done.

Your prenote is ready with all the case information. Review it, adjust it, and copy it into your institution’s medical record. The case stays in your history under its Codex, so you can pick it up again or move on to the intraoperative phase.

What if something goes wrong?

A section shows as "Locked"

Sections unlock in order. Complete the previous one to unlock the next.

You generated the prenote again and content was added on top

Each generation adds the new content without erasing your edits. Delete anything that no longer applies before you save.

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