Add Medical History

You can add medical history such as diseases, disorders, and surgical procedures of a patient.

1. On the appropriate template, in the Medical History section, click Add.
   The Past Medical History template opens.

   

   Note: By default, the Specialty field displays Orthopedics.
2. In the Medical and Surgical panels, do the following steps for the options without a link.
   1. Select the desired check box.
      The details icon and a blank date field appear.
   2. Click the date field.
      The Date Selection window opens.
   3. Click the calendar icon, and select the date when the disease or disorder first appeared or when the surgery is performed for the patient.
      Note: You can also enter the date in the field.
   4. To add the documented details to the grid in the Past Medical History panel, click Add To Grid.
   5. To document additional details for the selected option, click the details icon.
      The Manage Past Medical/Surgical History template opens.

      

   6. Enter the details of the medical or surgical history.
      Note: The fields that are marked with asterisk (*) are mandatory.
   7. Click Save to Grid & Close.
      The Manage Past Medical/Surgical History template closes. The details are added to the grid in the Past Medical History panel on the Past Medical History template.
3. In the Medical and Surgical panels, do the following steps for the options with a link.
   1. Click the link for the desired option.
      The Manage Past Medical/Surgical History template opens.
   2. Enter the details of the medical or surgical history.
   3. Click Save to Grid & Close.
      The Manage Past Medical/Surgical History template closes. The details are added to the grid in the Past Medical History panel on the Past Medical History template.
4. To add history for options that are not listed in the Medical and Surgical panels, do the following:
   1. Type the keyword for the patient's history in the Other field, then click the icon.
      A search window opens and displays the diseases, disorders, or surgeries filtered based on the keyword.
   2. Select a disease, disorder, or surgery on the search window, and click Select.
      The search window closes. The disease, disorder, or surgery is added in the Other field.
5. To document the pregnancy details of female patients, click Add Pregnancy Detail in the Medical panel.
6. On the Past Medical History template, click OK.
   The Past Medical History template closes. The items added Past Medical History template appear in the Medical History grid on the relevant template.