Articles on: EMR

How to mark off Critical Info in Patient Medical History

Patient History can be quite comprehensive and is usually taken down during the Initial Visit of a Patient. From thereon follow-ups are usually much shorter. During Followups it is not practical to read through the entire history each time a Patient visits. What is required is a quick way to scan through critical bits of Patient History.

For example, During history taking you might ask the patient whether the patient suffers from any one of the several chronic conditions. The Patient may answer in affirmative to only a few e.g. Yes to Diabetes, but no to HTN, IHD, TB, and Asthma. Next time the patient comes to you, you want Diabetes to appear in the Patient’s Medical Summary before you start your consult.

Clinicea has an inbuilt intelligence, which not only tracks but also auto-compiles critical History information and presents it to you in a concise format in Medical Summary. It also provides supports visual cues which lets you easily mark off critical items rather than having to search for it.

Let us have a look at how to mark off Critical Information in Patient History:

1. Open a Patient Chart | Start Filling out the Patient’s Medical History.

You will notice that Clinicea if you answer in affirmative, Clinicea will auto-include the items in Medical Summary.

2. This information will autoflow to the patient’s Medical Summary on the right, next time you open this Patient’s chart.

You can also add information from the Medical History to the Medical Summary. Just click on the three vertical dots icon on the right-hand side and select Include in Summary.

Updated on: 06/06/2023

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