The Surgical History section of the patient profile enables you to record the patient's procedures and surgeries.

💡 Tip: Entering dates for profile items is optional. You can enter partial dates, such as only the year, month and year, or a life stage.

Steps

1. Open the health profile from the patient's chart using one of the following methods:

2. Expand the Surgical History profile section.

3. To add a new item, click the +.

health profile with surgical history section expanded

4. Fill in the fields, using the following table as reference.

Field

Description

Procedures

Select from your diagnostic code library or enter as free text.

Life stage / Procedure date

Enter a life stage or specific date of the procedure.

Risk factor

Select to identify the profile item as a risk. Items selected appear in the list of patient risk factors (see Viewing patient risk factors).

Notes

Enter any additional information.

Additional fields

Expand to specify the status (such as resolved or in remission) and the resolution date.

5. Click Save. The new item is added to the list.

6. To view or edit details about an item, click it.

7. To delete an item, click the trash icon.

8. To view an item's history, click the history icon.

Updated May 31, 2021

Did this answer your question?