Orthopedic Dynamic Parameters
Each dynamic HPI template has a list of sections (for example, family history, lab data, and diagnostic data) with associated findings that you can configure in the Dynamic HPI Config practice template. There are several sections that are common to all of the Orthopedic-related dynamic HPI templates.
Note: An asterisk (*) indicates that the section includes a freetext entry option to enter the appropriate data if the desired information is not available.
| Parameter | Description |
|---|---|
| intro | Includes the 'name, age and gender and/or the complains of' text as an introduction for the symptom in the concatenated text |
| symptom* | The lateral view is used to document the patient's symptoms (for example, pain, swelling, weakness, and so on.). Multiple values can be selected. The right and left sides can be documented separately and the symptoms can be designated as:
|
| onset | Includes a list of acute or chronic options to describe the symptom or chief complaint The acute traumatic and non-traumatic links open the Onset popup template to document the associated time frame. Select acute non-chronic to reveal the options to record the duration time frame and/or the timeframe in which the patient's condition deteriorated. |
| place of injury* | List of options that describe the surroundings in which the injury took place (for example, during sports, home, work, and so on) The links for during sports and MVA open a new page with associated values and depending on the selection may open yet another page of options. |
| mechanism of injury* | Includes a list of possible descriptions for the cause of the chief complaint (for example, assault, fall, surgery, twisting, and so on) |
| frequency | The values listed describe how often the symptom or chief complaint occurs. |
| status | Indicate the status of the chief complaint (for example, unchanged, stable, resolved, and so on) |
| severity* | Includes a list of descriptors to indicate the severity of the chief complaint |
| quality* | Describe the symptom (for example, deep, shooting, superficial, and so on) |
| timing* | Describes when the symptom occurs (for example, at night, intermittent, with mild activity, and so on) |
| aggravated by* | A list of descriptive values of actions and aids that contribute to the symptoms or chief complaint |
| relieved by* | Includes a list of actions and aids that alleviate the symptoms or chief complaint |
| associated symptoms* | List of symptoms related to the chief complaint |
| pertinent negatives* | List of symptoms that have been ruled out |
| previous diagnostics* | List of analytical tests |
| prior medications | List of four types of medications related to orthopedic injuries Each link opens another page of related medications with the option to free text an entry. The initial page also includes the option to document the patient's response to treatment. |
| prior injections | Record the injection type and location, the patient's response to treatment, percent of relief, and/or degree of relief |
| previous treatment | Documents the treatment type, the patient's response to treatment, percent of improvement, and/or degree of relief |
| previous therapy | Document previous remedial treatment The yes option opens a page with values for the type of therapy, program type, response to treatment, percent improvement, and duration of treatment. |
| past surgeries | Document prior surgeries, no prior surgeries Click the Surgery link next to the back arrow to return to the initial dynamic HPI page. Here you can record the date of the surgery, response, percent improvement, and/or duration of improvement. |
| previous episodes | Document time frame, date, number, and frequency of previous episodes Select no to record that they were no prior episodes. |
| previous injury | Document the date and number of previous episodes Select no to record that the client "experienced no previous episodes" in the concatenated text. |
| work status* | Includes description options for the client's current employment status (for example, returned with limitations, job modified or reduced, and so on) |