Enter Ophthalmic Chief Complaints
Technicians can document HPI details in the Technician Conversation section of the Generic HPI - OPH template for ophthalmic complaints except for retina.
Note: You must document the retina chief complaint on the Retina History of Present Illness - OPH template.
- On the Reason for Visit panel, do one of the following to open the Generic HPI - OPH template:
- Click a chief complaint in the left pane.
- Select a chief complaint in the Reason for Visit/History of Present Illness grid.
The Generic HPI - OPH template opens with the chief complaints appearing in the Chief complaint details grid. - Select a chief complaint in the Chief complaints details grid.
The chief complaint fills the Concern(s) field. The CC details completed by field displays the current user's name.Note: If you select retina from the Chief complaints details grid, the system displays a message above the grid and changes the fields on the HPI Generic OPH template to read-only
- In the Technician Conversation section, click one or more of the following HPI details links and select a value from the list.
- Location
- Duration
- Frequency
- Onset
- VA affected
- Timing
- Severity
- Quality
- Context
- Assoc Sx
- Pertinent neg
- Previously TX
The system builds a summary statement in the Chief complaint details field and automatically selects the HPI detail link's corresponding check box to indicate data is present. - Enter additional details in the field or click My Phrases to edit the summary statement.
- Click Update.
The Chief complaint details for the selected chief complaint are uploaded to the CC Details column of the Chief complaint details grid.
- Repeat steps 2-5 for all remaining chief complaints listed in the Chief complaint details grid.
- To add a complaint, click the Concern(s) field, select a chief complaint, and repeat the steps above.
- Click Close.