The Cover Sheet is the first screen you see after opening a patient record (unless the site or user defines another tab as the initial screen). The Cover Sheet displays an overview of a patient's condition and history. It shows active problems, allergies and postings, active medications, clinical reminders, lab results, vitals, and a list of appointments or visits.
You can quickly review the active problems (asterisks identify acute problems, and dollar signs identify unverified problems. Service Connected conditions are indicated by abbreviations in parentheses if Problem List patch GMPL*2.0*26 is installed. The pound symbol "#" shows problems that have inactive codes, which users can update using the Change action on the problems tab). Scroll bars beside a box mean that more information is available if you scroll up or down. Single-click on one of the five menus: File, Edit, View, Tools, or Help, to see choices of things you can do or other options available to you.
The File menu contains three menu items that you will use often:
· Select New Patient
This menu item opens the Patient Selection dialog.
· Update/Provider/Location
This menu item opens the Provider & Location for Current Activities dialog. This dialog enables you to change the clinician or location associated with an encounter.
· Review/Sign Changes
This menu item enables you to view the orders you have placed that require an electronic signature, select the orders you want to sign at this time, and enter your electronic signature code (if you are an authorized signer).
Select any item to get more detailed information. For example, you can select the Patient Identification box (or button) to get more information about the patient. You can select on a Visit to see details. For example, a patient could have Zantac listed in the Allergies/Adverse Reactions dialog. By selecting it, you bring up a details screen that contains information, such as the causative agent, signs and symptoms, originator, dates, etc.
Select a tab at the bottom of the screen to go to that section of the patient chart.
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