Fast Notes stores your patient data in your local device (not the cloud) for up to *14 days. Therefore, you can re-open any patient file and make changes, even if you have already sent the file to the Vault. Here are the steps necessary to open patient files and makes changes:
Open Patient File
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Tap the 'No Patient' in the lower left corner and select the 'Recent Patient' option. 
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A list of patients will be visible— tap a patient file and 'Open Record' to get access to the file. 
Modify the Patient File
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To change patient name and/or information, tap the patient name and select the 'Edit Patient' row. 
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Tap on 'Anesthesia' to update or change details of the anesthetic section for a surgical procedure. 
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Tap on the 'Procedure' or 'Exam' to open and make changes. 
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Preview and Finalize will push the update to Vault and overwrite the previous file (if it was previously sent to the Vault). 
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