How to View OBGYN History?
OB/ GYN History of a patient can be added/edited by clicking on the ‘OB/Gyn History’ link. In case the patient has no significant OB/Gyn History, the user can check the ‘Unremarkable’ checkbox. If the patient is pregnant, users can enable the checkbox labelled ‘Patient is Pregnant’. This prompts a dropdown to appear besides the checkbox and a section labeled ‘Past Pregnancies’ is displayed at the bottom of the page.
From the dropdown, select ‘Yes’ or ‘No’ to specify whether the pregnancy was planned or not.
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Similarly, add a pregnancy in the ‘Past Pregnancy’ section and fill out the relevant details.
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Select a status (planned/unplanned) for this pregnancy.
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Additionally, this feature can also be specified via the Case Review section. Add a new Case Review and select an option from a dropdown named ‘Is Pregnancy planned?’
OB/ GYN History of a patient can be added edited by clicking on the OB/Gyn History link. In case the patient has no significant OB/Gyn History, the user can check the ‘Unremarkable’ box. The user can mark if the patient is currently pregnant by checking the ‘Patient is pregnant’ box.
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The following enhancements have been made to the OB/ GYN report to improve overall user experience.
- The negative values in OB/ Gynecology History are highlighted in red on the SOAP note
- The date, comments for DEXA and Colonoscopy under “gynecological” section of the OB/ GYN History
To view the changes in the OB/ GYN History, follow the steps described below.
Suppose the following selections are made while recording the OB/ GYN History:
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- When the SOAP note is created for this patient, the negative values of the OB/ GYN history appear highlighted on it.
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- In the Gynecology History section, fields for DEXA and Colonoscopy are added below Mammogram.
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- Add the relevant information in these fields and click on Save button. The SOAP note is updated accordingly.
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- Colposcopy field is added in the Gynecology History section. User can add date and comments for Colposcopy in the respective fields.
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- Upon saving the changes, SOAP note is updated accordingly.
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The following enhancements have been made to the OB/ GYN report to improve overall user experience:
- The negative values in OB/ Gynecology History are highlighted in red on the SOAP note
- The date, comments for DEXA and Colonoscopy under “gynecological” section of the OB/ GYN History
To view the changes in the OB/ GYN History, follow the steps described below.
- Navigate to: Patient > Clinical > History > Gynecological
- Suppose the following selections are made while recording the OB/ GYN History:
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- When the SOAP note is created for this patient, the negative values of the OB/ GYN history appear highlighted on it.
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- In the Gynecology History section, fields for DEXA and Colonoscopy are added below Mammogram.
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- Add the relevant information in these fields and click on Save button. The SOAP note is updated accordingly.
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- Colposcopy field is added in the Gynecology History section. User can add date and comments for Colposcopy in the respective fields.
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- Upon saving the changes, SOAP note is updated accordingly.
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Colposcopy in SOAP Note
A dropdown of ‘Reason for No BCM’ is added in the OB/GYN History.
‘Reason for No BCM’ dropdown values can be added from settings. To view more, click here.
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User selects a value from the dropdown as a Reason for No BCM
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Upon saving, the Reason for No BCM is displayed under the OB/GYN History Section.
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On selecting a ‘Current BCM’ the ‘Reason for no BCM’ drop down gets disabled.
This prevents user from recording logically contradictory information in patient history. Once a current BCM is recorded the option to enter a reason for no BCM becomes unnecessary.
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Similar enhancement is made in the ‘Social History’. To view more, click here.
User can add comments in the overall comments box in the OB/Gyn History component.
Additional patient information can be recorded here.
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Similar enhancement is made in the provider notes. To view more, click here.