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.
- 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.