Adding Medical History

In a patient record, the Conditions/History tab is where you track medical and surgical history for a patient, and pertinent family medical history. A patient’s history will inform treatment decisions.

Adding a new medical history record

1. From the Home screen, Patients tab, select Browse Patients.

2. Perform a find for the patient for whom you wish to add a record.

3. Select the Conditions/History tab.

4. Click the New History button.
5. A data entry window will open for creating a new history record, where you can enter details:The Date field will be autofilled with today’s date; this field is editable.
   1. Enter a descriptive Title for the record.
   2. Enter details into the Notes field.