The Chart with the Patient Banner open and the Clinical Profile chart tab selected and highlighted
The Chart with the Patient Banner open and the Clinical Profile chart tab selected and highlighted

About the Clinical Profile

The Clinical Profile contains the patient's clinical information and is divided into:

  • Problems includes a patient's problems and primary diagnosis

  • Treatments lists a  patient's historical in-clinic and out-of-clinic medical treatment events, like: Surgeries, Radiotherapy, ER Visits, and Hospitalizations.

  • Chart Alerts is where you enter Code status, Diabetic status, Hospice, Study patient, billing and insurance alerts, and more

  • Care Plan includes: Pain Care Plans, Clinical Quality Exceptions, and Other plans

  • Medications shows a patient's Medication List and Cumulative Drug Dose/Offsite Drug Dose history

  • Allergies lists your patient's allergies, and is where you add, verify and reconcile them

  • Health Maintenance includes: Smoking Status, Screenings, Immunizations, Patient Services, and Patient Education

  • Observations contains: Performance Status, Cognitive Status, Depression Status, and Adverse Events

  • Family History is where you record the medical histories of your patient's relatives

  • OB/Gyn History is where you enter details about a female patient's Menstrual Cycle, Pregnancy, Menopause, and related medication history.

  • Devices lists your patient's implantable device history.

  • Patient History includes: Social History, Distress Thermometer, and Depression Screening & Plan