Patient history

A patient's History View records all information added using Zedmed's modules and clinical notes.

Each encounter starts with a date, time and duration in bold, and the information can be searched, filtered and actioned as explained in the sections below.

Search for specific information 

Select the Search History button, enter a term and select Find Next.  This Searches the range in the Visible field.

•  Headers = black
•  RFEs = green
•  Problems = red
•  Scripts & referrals = blue
•  Notes= black 

Filter what is displayed

Adjust the amount of detail shown
Select the 1, 2 and 3 buttons to increase or decrease the level of detail shown.
Selecting displays one line per appointment, and the filter must be changed to 2 or 3 to show information for that appointment.

Period shown
Select Last 10, Last 1 Year, 3 Years or All in the Visible field's drop-down to set the period shown.

Include MHR uploads
Toggle the button on to show information added to the patient's MyHealthRecord by other providers. 

Filter by a specific problem, medication or allergy
a) In Summary views, select the Problems, Allergies, Pregnancy or Medications tab.
b) Right-click a specific entry and select Filter History View to these Encounter Segments.

Update what is displayed

Remove notes
Up until midnight on the day the information was recorded, you can reopen the encounter. Any changes made, including the removal of clinical notes, will be reflected in the History View.

Add Notes
The day after the clinical encounter, you can append an encounter's notes by right-clicking the encounter date and selecting Add Further Notes.  This opens a field that will add New Addendum notes to that encounter. 

Add a Problem/RFE
To add to a previous consult, right-click the text (red or green) and select Define Problem.

Add information from the current encounter 
Selecting the refresh icon will add information from the Current Encounter.

Reprint/Rename a referral
Right-click the blue referral text and select open or rename.