Chapter 9 - New Patient Visits Flashcards Preview

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Flashcards in Chapter 9 - New Patient Visits Deck (6):
1

Do you document significant past diagnoses as medical or surgical history?

Medical history

2

In the History section, if a particular diagnosis isn’t part of the Medication History table, can you add that diagnosis?

Yes

3

In the History section, how do you add a comment to a medical history item?

Click the sheet of paper icon for that item.

4

In the History section, how do you add comment to a family history item?

Right-click in that item’s cell.

5

Fill in the blank: Document historical vaccinations in the ________________ activity.

Immunizations

6

Nurse Terry marks Asthma = Yes for medical history, and in the details window uses the date convention “y-2” in the Date field. When Dr. Mica looks at the history report later, it lists “y-2” as a detail. Why?

The Date field for medical and surgical items in free text, so date conventions won’t work there.