You can document new ocular history on the Ocular History - OPH template.
- On the Histories tab, click the Add in the Past Ocular panel to open the Ocular History – OPH template.
- Select an ocular category.
The category determines the specific lists of choices for disease and procedure or management that open.
- Enter the following details, as needed:
- Disease - the associated SNOMED code automatically fills the corresponding field
- Eye
- Date Dx
- Procedure - the associated SNOMED code automatically fills the corresponding field
- Eye - eye involved in the procedure
- Global end Date – refers to the global time period for post-operative days included as part of the billing for the procedure; this is the last date of the global time period and based on the selected procedure date and the global time period defined by the practice
- Proc Date - procedure date
- Surgeon
- Location
- Outcome
- Click Save.
- To document another condition and treatment, click Clear for Add and repeat the steps above.
- Click Close.
The information documented for past ocular history appears in the Past Ocular History panel.
