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Women's Health History - Cal-PM

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Enter information on the client's health history. This form was previously titled Client Condition - Pregnancy.

  1. In the Add, Edit, or Delete a Record field, select whether to add a new record, or to edit or delete an existing record.
  2. In the Client ID field, enter the client name or ID number and select the client.
  3. In the Episode Number field, select the episode.
  4. In the Selected Record field, choose the relevant record, if any. The Filed Records field displays data for the selected record(s).
  5. In the Assessment Date field, enter the date of the assessment
  6. In the Pregnancy Start Date field, enter the estimated start date for the client's pregnancy.
  7. In the Pregnancy End Date field, enter the last date of the client's pregnancy, if known.
  8. In the Initial Treatment Date (2300-DTP-03) field, enter the client's initial treatment date. If defined, will reflect on billing.
  9. In the Date of Last Menstrual Period (2300-DTP-03) field, enter the date of the client's most recent menstrual period. If defined, will reflect on billing.
  10. In the LBMP field, enter an integer for the frequency.
  11. In the Frequency field, enter the related LBMP frequency
  12. In the LNMP field, select whether this is unknown.
  13. In the Premenstrual Symptoms, select the appropriate response(s).
  14. In the Menarche field, enter an integer.
  15. In the Menopause field, select the appropriate response.
  16. In the Onset Age field, enter the client’s onset age of menopause.
  17. In the Contraception field, select the appropriate response(s).
  18. In the Sexually Active field, select the appropriate response.
  19. In the Have you ever been treated for a sexually transmitted disease? field, select the appropriate response.
  20. In the Have you ever been pregnant? field, select the appropriate response.
  21. Select Add/Update to file or update a Para Entry.
  22. In the Delivery Date field, enter the delivery date.
  23. In the Delivery Method field, select the appropriate response.
  24. In the Birth Weight field, enter the birth weight.
  25. Select File Para Records to file the Para record.
  26. Select Remove to remove the Para record.
  27. In the Gravida field, enter an integer.
  28. In the Abortus field, select the appropriate response.
  29. In the Have you ever had a miscarriage? field, select the appropriate response.
  30. In the Note Section, enter applicable notes.

Note: The Electronic Billing 837 Professional will report the value of 'Y' in Loop 2000C-PAT09 if the client is pregnant (Pregnancy Start Date/Pregnancy End Date) within the billing period.  The billing period is identified by the fields First date of Service to Include and Last Date of Service To Include in the Electronic Billing form. 

► Registry Settings
► SQL Tables
  • SYSTEM.client_condition_preg