Updated AVS expanding to inpatient areas

Spanish and larger font options, better design, printing no longer mandatory, and more

An updated After Visit Summary (AVS) has already rolled out to all ambulatory clinics and to the Emergency Department. The new AVS will roll out to inpatient areas on March 27.

Enhancements include:

  • Easier to read and better organized for the patient
  • Large and XL font sizes available
  • Option to print in Spanish: Both Spanish and English versions will be documented in the medical record, and both versions will print out for the patient. Note: Not all content will be available in Spanish.
  • MyChart will now store a snapshot PDF of the AVS tied to that visit (so the AVS of a specific visit will no longer change once it’s in MyChart).
  • Printing: Patients can choose if they want a printout of the AVS or not, and server printing is used when available.
  • For patients not on MyChart: Shorter MyChart signup instructions with activation code on the first page of the AVS
  • Ability to make additional reports for printing (e.g., Bright Futures)
  • Customization to meet other requests from Joint Office of Compliance, end users, and patient advisory councils

Learn more and get instructions on these updates on the Epic Education A–Z site.

Questions? Email jennifer-j-dennis@uiowa.edu.



  1. I work in an outpatient procedural area and I prefer to have the post op instructions on the first page. It is easier for the patients family/escorts to access instructions and contact numbers

    • Thank you for your feedback. This concern has been discussed thoroughly with the entire AVS project team, the HCIS team, and Dr. Hightower, CMIO. The new AVS allows for six inches of patient instructions on the front page. Once that is exceeded, the instructions will be printed at the end. There is a page break however, so instructions can be placed on the top when presented to the patient. This setting will not be changed because of Epic configuration restrictions and because we do not want to push other vital information out of the patients view. Providers are responding by tightening up their instructions (smart phrases) to be more succinct where appropriate and many have responded positively to the current formatting.

  2. I am concerned about the weight being in bold print on the front page of the discharge instructions along with the rest of the vital signs. Many of our patients are very sensitive about their weight. I personally believe that my weight is between myself and my doctor, and does NOT need to be advertised on the front page in bold print. I can see many of our patients being highly offended by this!

  3. Thank you for your feedback. Unfortunately, we are unable to adjust the font size in the vital signs section in the AVS report. A person’s vital signs are not shared with anyone outside of a patient’s doctor and their care team.

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