Assigning medical conditions to patients

You can assign medical conditions and allergies to patients in Health History to remind you of and to keep a record of any conditions, illnesses, or allergies your patients may suffer from. For example, you could assign a medical condition to document that a patient experiences excessive bleeding or has diabetes.

Important: The HIPAA Privacy Rule established national standards to protect an individual's medical records and other personal health information. The rule applies to health care providers and requires appropriate safeguards to protect personal health information and sets limits and conditions on the uses and disclosures that health care providers may make of such information without a patient's authorization.

To assign a medical condition to a patient

1.   In any module except the Office Journal and eDex, click File, point to Switch To, and then click Health History.

The Health History window appears.

2.   If necessary, click the Select Patient toolbar button and select the patient you want to assign a medical condition to.

3.   Click the Add toolbar button, and then click Medical Condition.

The Add Medical Condition dialog box appears.

4.   Click the Medical Condition search button.

Note: You can also type the name of the condition in the Medical Condition text box.

The Select Medical Condition dialog box appears.

5.   Select the appropriate condition from the list, and then click OK.

6.   If necessary, complete one or more of the following tasks in the Add Medical Condition dialog box:

·        Reported Date – Set the date the patient reported the condition.

·        Start Date – Set the date you started tracking the condition.

·        Inactivated Date – Set the date you inactivated the condition.

·        Show as Critical – Select to flag the condition as critical. The Health History button will be colored red.

·        Display Pop-up Alert for this Patient – Select to generate a pop-up alert each time the patient is selected.

·        Note – Type a note. To date the note, click the calendar button and select a date from the calendar. (Default is the current date.)

7.   Click OK.

The selected condition is added to the patient's Medical Conditions list in the Health History window.