Chapter 9 - New Patient Visits

Question 1

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

Answer 1

Medical history

Question 2

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

Answer 2

Yes

Question 3

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

Answer 3

Click the sheet of paper icon for that item.

Question 4

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

Answer 4

Right-click in that item’s cell.

Question 5

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

Answer 5

Immunizations

Question 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?

Answer 6

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