Review a Patient's Chart
- When you first open a chart, you will see the Medical Summary screen. You can navigate to different sections of the chart using the buttons on the left.
- Use the Demographics section of a patient's chart to review and edit patient and family demographics, such as patient information, contact information, insurance policies, and siblings.
- Growth charts display plotted growth data, such as patient weight, height, and other vitals over time.
- The Immunization History section of the patient's chart displays the patient's vaccine records. You can review immunizations, vaccine-preventable diseases, and forecasting of the patient's upcoming immunizations.
- The Visit History screen displays a list of all visits, past or present, including any chart notes, documents, or other information related to each visit.
- When you review a patient's immunization record, either in a chart note or in the Immunization History section of the chart, PCC EHR can display a list of upcoming immunizations for the patient.
- The Documents section of a patient's chart displays all documents in that chart, sorted by category.
- The Flowsheets section of the patient's chart displays an historical review of a patient's diagnoses, completed labs, medical tests, screenings, and radiology, and vitals. For example, you can see the results of every time a patient had a specific lab test.
- When you open a chart, the Medical Summary is the first screen. It contains a configurable summary of patient information.
- PCC EHR tracks allergies in each patient’s chart. When the chart is up-to-date, PCC EHR can automatically warn you about drug allergies as you prescribe, create lists of patients based on allergies, and display custom alerts to users whenever they work with a patient’s chart.
- Use the Care Plan component, found on the Medical Summary or other protocols, to track, coordinate, and print the management plan for chronic patient issues.
- As a pediatric practice, you receive requests for medical information about your patients on a regular basis. Sometimes you are asked to transfer a patient’s chart, or export all known medical information, or in some other way send a patient’s records to a third party. You know best whether you can satisfy the request with […]
- Medical Summary Component Reference
- The Recent and Upcoming Appointments component, which can appear on the Medical Summary, Phone Notes, or any chart note, displays important information about a patient's appointments at your practice.
- Use the Reminders box on the Medical Summary screen to note important patient issues that everyone who opens the chart should see.
- The Siblings component includes a list of patient siblings and a button for opening their chart. It can appear on the Medical Summary, Phone Notes, or any chart note.
- Use the Confidential Information section on the Medical Summary screen to note private patient issues that should be hidden during casual chart review.
- Use the Family Medical History component to chart medical history for family members.
- The Medical, Family, and Social History components store and display relevant patient history. These chart-wide components can appear on the Medical Summary, Phone Notes, or any chart note protocol.
- The Medication History panel, on the Medical Summary screen, displays prescription information and medication history.
- The patient Problem List is a list of patient issues. These items can be based on any diagnosis. On the Medical Summary screen, you can add or remove problems, and rearrange problems. The Problem List makes prominent patient issues clear to anyone who opens the chart.
- Edit Immunizations in Partner
- Partner contains a customizable list of immunization rules that are based on the recommendations of the American Academy of Pediatrics. The
curimmsprogram can automatically compare a patient's immunizations against those rules and display what immunizations the patient may be missing.
- If your practice uses Partner and does not use PCC EHR, you can still track and review a patient's immunizations record. It will be based on charges posted or immunization records that your practice entered manually. Partner can produce automatic school forms and warn a provider that a patient may be missing an immunization.