This section helps practices to record patient's medical history. It is divided into two sections; Medical History and Medical History (Ob/Gyn). The Medical History (Ob/Gyn) section is further divided into two sections; Medical and Infections History.

 

Note: The Gynecological History tab is visible in the system only for female patients.

 

To record patient's medical history:

1.On the History screen, click the Medical History tab on the left side to record the patient’s medical history records.
2.If patient does not know or denies disclosing medical history, select the No Known Medical History check box.
3.In the Medical History section:
•Enter the illness in the Illness field,
•Enter the Age of when the illness was identified.
•Select the illness Status from the drop-down list,
•Enter the duration the patient has had this illness,
•Enter the treatment the patient has undergone for this illness, if any, and
•Click the add button to insert the record.
4.In the Medical History Notes field, enter any notes pertaining to patient’s medical history record.
5.In the Medical History (Ob/Gyn) section:
•Select appropriate options to record patient's medical history.
•To enter notes specific to any element of medical history, enter the notes in the text box provided next to that element.
•Enter Medical History Notes, if any.
•In the Infections History section, select appropriate options to record patient's infection history.
•To enter notes specific to any element of infection history, enter the notes in the text box provided next to that element.
•Enter Infection History Notes, if any.
6.Click Save & Next. The Psychiatric History screen is displayed.

*Notes:

•Click the Delete iconDelete appointment to delete the selected record.
•The Date column on the left side in the grid only appears if the History section is opened from the Charting section. It is basically to capture the visit date during which the history details were recorded in the system. It will not appear if the History section is opened from the Patient Demographics section.

Medical History New