Health and Review of Systems
Document the client's current health. Functionality can be added to this form through Site Specific Section Modeling.
- Go to: Avatar CWS > Assessments > Product Assessments
- In the Select Client screen, enter the client ID in the Client Name/ID field, click Select Client Name/ID Search. Select OK.
- If the client has multiple episodes, select the client's episode, click OK.
- If the client has previous heath and review of system records, a pre-display screen displays. Select the record, click Edit. Or, to add a new record, select Add.
- In the Assessing Date field, enter the date.
- In the Duration of Visit (Min) field, select the length of the client visit.
This amount can affect the service duration, for services that are duration based. - In the Draft/Final field, select Draft if the information is in process.
Select Final if the information has been finalized. - In the Type of Client field, select New or Established.
- In the Chief Complaint field, enter a description of the client's main physical complaint.
- Enter appropriate responses In the Location, Quality, Severity, Duration, Timing, Context, Modifying Factors, Associated Signs and Symptoms, Past History, Family History, Social History, and Comments fields.
- In the Include In Syndromic Reporting field, select Yes or No.
- In the Diagnosis 1 field, type a diagnosis in the search field and press the Search icon. Select the diagnosis from the results.
- In the Part Of A Multiple Birth field, select Yes or No.
Note: If Yes is selected, enter the order in the Birth Order field. - Complete the Review of Systems section.
- When finished, click Submit.
- ► Test Script
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For implementing new systems or new functionality, download the following standard test script for this feature. Please contact your Netsmart representative for more information about Test scripts.
