EMR User Manual
6.3 Medical Hx
Available sub tabs within this section include: Vitals, Lifestyle, Medical History, Review of Systems, Patient Intake (Add-On Feature).
To customize which tabs populate within this area and populate on your Exam Notes click on the Tools Icon drop-down menu and select 'Exam'. The settings window generates allowing you to select which modules you would like to include.
- Vitals: Populate vital findings (Note: Including height and weight will auto-calculate the BMI & assign the related category
- Lifestyle: Habits may be documented
- Medical History: Pertinent history may be documented
- Review of Systems: Checking 'All systems have been reviewed & are normal' will print in reports
- You can choose specific categories for all 'WNL' (within normal limits) or you can check applicable boxes for findings
- You can also use 'All other systems have been reviewed & are normal' and this will apply normal findings to all other items (other than the systems where findings were noted)
- Patient Intakes (Add-On Feature): Custom questions from your online intake forms once completed will populate a snap shot within this area
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