Add Health Concerns to a Patient's Care Plan

You can add health concerns and goals to a patient's care plan from the Longitudinal Care Plan page.

To navigate to Longitudinal Care Plan

1. From an encounter, click P on the SOAP menu and click Care Plan.

2. Click the Longitudinal tab.

Add a Health Concern

1. Click Add Concern.

2. Select the Category.
3. Select the Concern.
4. Select the Status (default is Active).
5. Select the Onset Date.
6. Type a comment (optional).
7. Click Save.

Add a Goal and Outcome to a Health Concern

1. Click ACTION and select Add Goal/Outcome.

2. Type the Title. 
3. Select the Status.
   1. If you select Achieved or Not Achieved, you must select the Status under Outcome.
4. After you are done with your selections, click Save.

Add an Intervention to a Goal

1. From the Goal, click ACTION and select Add Intervention.

2. Type the Title.
3. Select the Status.
4. After you are done with your selections, click Save.

Data Is Imported from Last Signed Encounter

• Health concern data is automatically imported from the last signed encounter (most recent date of service) into the new encounter.
• If you have another encounter open that has not been signed, data from the most recently signed encounter will be imported into the new encounter.
• You can edit the imported information without impacting the data in the past encounter - TO -  Select Action to edit the imported information without impacting the data in the past encounter.

 

See Also: 
Longitudinal Care Plan

Care Planning and Self-Care Support - Documented Process