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