Document a Retina Reason for Visit
You can document the history of present illness for the retina reason for visit on the Retina History of Present Illness - OPH template.
- From the Reason for Visit panel, do one of the following to open the Retina History of Present Illness - OPH template.
- Select retina from the left pane.
- Select retina listed in the Reason for Visit/History of Present Illness grid.
The Retina History of Present Illness - OPH template opens. - For a follow-up visit, complete the Follow up reasons and Eye fields for up to two reasons and do the following:
- Click the Referred for field and select a condition from the list. Select the top blank line and enter a reason that is not listed.
- Click the corresponding Eye and select affected eyes.
- In the left side column of HPI questions, click each field to select a value and enter the affected Eye
- For certain details, select a value to identify the Eye in the corresponding field on the right.
- Complete the appropriate Medical questions.
- Click Build Note in the lower left of the template.
- To clear out the HPI note after you have generated it, click Clear above the Note field on the right.
- To clear out all HPI fields, click Clear All in the top right corner of the template.
- If you are a technician, select the Technician conversation entered by check box at the bottom of the template.
The name of the current user appears in the corresponding field.
- If you are signing off on the HPI, select the History of present illness completed by check box.
The name of the current user appears in the corresponding field.
- Click Save & Close.
The retina HPI note appears in the Reason for Visit panel.