We are currently updating the OP Help Center content for the release of OP 14.19 or "OP 19". OP 19 is a member of the certified OP 14 family of products (official version is 14.19.1), which you may see in your software (such as in Help > About) and in the Help Center tabs labeled 14.19. You may also notice that the version number in content and videos may not match the version of your software, and some procedural content may not match the workflow in your software. We appreciate your patience and understanding as we make these enhancements.

Newborn History (Encounters)

Version 14.19

Overview

This section will introduce users to the section of the visit note that is used to document or review newborn history. The user will be guided through the fields to easily review and document additional information.

Add or Edit Newborn History

  1. Click the Patient Chart button from the Clinical, Practice Management, or Billing tab.
  2. Search for and select the patient.
  3. Click Encounters and select Open Note.
  4. Click History and select the Newborn tab.
Note:  If additional Newborn History needs to be documented, select the Show all questions checkbox.
  1. Click on N/A once to mark as + (positive) or click a second time to mark as - (negative).
  2. Complete other Newborn History actions:
  • Click into the Comment field and type additional information to further describe or clarify the history question,.
  • Click the plus (+) button located to the right of the Comment field to add the newborn history question to the problem list, .
  • Select the checkbox in the Pert column to include pertinent newborn history to the encounter note summary, .
Note:  If the Pert column is not visible, click the column selector button. From the list select the Pert checkbox.

Add Custom Question

  1. Click into the Custom question field and select Newborn History.
  2. Type the question in the text field.
  3. Click the Add button to insert the question and save the entry.

Version 14.10

Overview

This section will introduce users to the section of the visit note that is used to document or review newborn history. The user will be guided through the fields to easily review and document additional information.

Add or Edit Newborn History

  1. Click the Chart button.
  2. Search for and select the patient.
  3. Click the Encounters tab.
  4. Open or create an encounter note.
  5. Click the History tab.
  6. Click the Perinatal History tab and the Newborn History tab opens.
Note:  If additional Newborn History needs to be documented, select the Show all questions checkbox.

  1. Click N/A to mark as + positive or click a second time to mark as - negative.
  • Add additional information into the Comments field.

Note:  To include pertinent newborn history on the Encounter note summary, select the checkbox in the Pert column.

Add Custom Question

  1. Click the Custom question dropdown arrow.
  2. Select Newborn History.
  3. Type the question in the text field.
  4. Click the Add question (green plus icon) button to insert the question and save the entry.