Version 14.19
 This window map article points out some of the important aspects of the window you're working with in OP but is not intended to be instructional. To learn about topics related to using this window, see the Related Articles section at the bottom of this page. |
About Patient Chart: History
Path: Clinical, Practice Management, or Billing tab > Patient Chart button > History
The History window in the Patient Chart documents a patient’s history. The window captures and displays multiple sections of the patient's history (Past Medical History, Family Medical History, Social History, and Perinatal History) in a simple-to-use and easy-to-read format.
Note: Just like a paper chart, the electronic chart in OP contains personal health information and should be kept protected and confidential. Always close all windows on your screen and log out of OP when you are not at your workstation. |
Patient Chart: History Map
Number | Section | Description |
1 | Past Medical tab | The Past Medical tab documents or reviews a patient’s past medical history. You can link or add history to the problem list from this area. |
2 | Family tab | The Family tab documents or reviews a patient’s family medical history. Family members are linked based on how they are documented in the Contacts field. |
3 | Social tab | The Social tab documents a patient’s social history such as pets, smokers in the home, siblings, visitation status, etc. |
4 | Perinatal History tabs | The Perinatal History tab documents notes for newborn history, birth info, and maternal/pregnancy history. |
5 | Mark Reviewed button | The Mark Reviewed button adds a log entry indicating a medical review of records was conducted. |
6 | Print button | The Print button prints the history report. |
7 | History button | The History button opens the History window in the patient's chart. |
Version 14.10
About Patient Chart: History Tab
Path: Smart Toolbar > Chart button > History tab
The Patient Chart is the central point of access to all areas of a patient's complete Medical record. Use the Patient Chart to access and maintain patient records.
The History tab documents a patient’s history. The Patient History captures and displays multiple sections of the patient's history (Past Medical History, Family Medical History, Social History, and Perinatal History) in a simple-to-use and easy-to-read format.
Note: Just like a paper chart, the electronic chart in OP contains personal health information and should be kept protected and confidential. Always close all windows on your screen and log out of OP when you are not at your workstation. |
Patient Chart: History Tab Map
Number | Section | Description |
1 | Print button | The Print button prints the history report. |
2 | Past Medical History tab | The Past Medical History tab documents or reviews a patient’s past medical history. You can link or add history to the problem list from this area. |
3 | Reviewed button | The Reviewed button adds a log entry indicating a medical review of records was conducted. |
4 | Family History tab | The Family History tab documents or reviews a patient’s family medical history. Family members are linked based upon how they are documented in the Contacts field. |
5 | Social History tab | The Social History tab documents a patient’s social history such as pets, smokers in the home, siblings, visitation status, etc. |
6 | Perinatal History tab | The Perinatal History tab documents notes for newborn history, birth info, neonatal course, and maternal/pregnancy history. |
7 | Left tabs | The left tabs open a different section within the patient’s medical records. The Patient Chart contains the following left tabs: |
