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Complete the Medical History Section

Use the Medical History section to document information about your patient's medical history, including their pre-existing conditions and medications. The Medical History section contains up to four subsections: History, Medications, Allergies, and Immunizations. If the patient is a newborn, or was delivered on scene, the Birth History subsection may also be present. Required fields in this section may vary based on the rules set by your department.

See the following topics related to completing the Medical History section and its subsections.

To complete the Medical History section in Windows
  1. In the side navigation of an open run record, tap Medical History. The section expands to show the available subsections.

    history_section.png

  2. If not already selected, tap History.

  3. Enter information in the fields using any of the following methods:

    • Using the stylus.

    • Tapping a field to type in an entry.

    • Selecting options from a window that opens.

  4. Optionally, to clear a selection made in a pick-list window:

    • Tap in the field.

    • In the upper right corner of the newly opened pick-list window, tap CLEAR.

    • Tap OK.

  5. To re-enter or clear the information in a single field, tap the clear icon.

  6. Repeat steps 3-5 as needed and applicable for the Medications & Allergies and Immunizations subsections.

  7. To verify all required fields are completed, check the record for errors.

  8. If necessary, to automatically enter information in the fields, import CAD data into the run record.

To complete the Medical History section in Web
  1. In the side navigation of an open run record, click Medical History. The History subsection is displayed.

    MedicalHistorySection.png

  2. Enter information in the fields using any of the following methods:

    • Clicking a field and typing in an entry.

    • Clicking a field and typing the first few letters of the value you want to enter. When a list of matches appears beneath the field, select the appropriate option.

    • To enter more than one item in fields that allow multiple values, continue typing in the field and select a new item.

  3. Optionally, to clear a selection or entry, click the x next to the entry.

    TTCDX_clearselection.png

  4. Repeat steps 2-3 as needed and applicable for the Medications, Allergies, and Immunizations subsections.

  5. To verify all required fields are completed, check the record for errors.

  6. If necessary, to automatically enter information in the fields, import CAD data into the run record.

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Last modified
16:17, 3 Feb 2017

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