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",[626,683,684],{},"Recurrence"," and ",[626,687,688],{},"Relapse"," indicate a condition that previously improved but has returned.",[691,692,693],"tip",{},"Keep diagnosis statuses current — they provide important clinical context when reviewing evaluation results. A PHQ-9 score takes on different meaning when you can see at a glance that the patient has an active depression diagnosis versus one in remission.",[592,695,697],{"id":696},"medications","Medications",[597,699,700],{},"Medications record what the patient is taking or has taken, including dosage and administration details. Each card shows the medication name, dosage, status, recorded date, and code.",[597,702,703],{},[626,704,628],{},[630,706,707,712,717,723,729,735,741],{},[633,708,709,711],{},[626,710,637],{}," — RXNORM or SNOMED CT.",[633,713,714,644],{},[626,715,716],{},"Medication",[633,718,719,722],{},[626,720,721],{},"Dosage"," — Free-text field for dose amount (e.g., \"100mg\", \"50 units\").",[633,724,725,728],{},[626,726,727],{},"Instructions"," — Free-text field for administration details (e.g., \"Take once daily with food\").",[633,730,731,734],{},[626,732,733],{},"Category"," — Classification of the medication type.",[633,736,737,740],{},[626,738,739],{},"Medication Status"," — Whether the medication is currently active.",[633,742,743,745],{},[626,744,655],{}," — Defaults to today.",[597,747,748,750],{},[626,749,661],{}," Active, Completed, Entered In Error.",[597,752,753,755,756,759,760,763],{},[626,754,668],{}," means the patient is currently taking this medication. ",[626,757,758],{},"Completed"," indicates a medication that has been finished (e.g., a course of antibiotics). Use ",[626,761,762],{},"Entered In Error"," for records that were created by mistake.",[592,765,767],{"id":766},"allergies","Allergies",[597,769,770],{},"Allergies document known allergies and sensitivities — anything from drug allergies to environmental triggers. Each card shows the allergen name, status, recorded date, and code.",[597,772,773],{},[626,774,628],{},[630,776,777,782,787,793],{},[633,778,779,781],{},[626,780,637],{}," — ICD-10 or SNOMED CT.",[633,783,784,644],{},[626,785,786],{},"Allergy",[633,788,789,792],{},[626,790,791],{},"Allergy Status"," — Whether the allergy is currently active.",[633,794,795,745],{},[626,796,655],{},[597,798,799,801],{},[626,800,661],{}," Active, Inactive, Resolved.",[597,803,804,805,807,808,810,811,813],{},"An ",[626,806,668],{}," allergy is currently relevant to the patient's care. ",[626,809,680],{}," means the allergy is no longer a concern but is kept on record. ",[626,812,676],{}," indicates the allergy has been clinically resolved (e.g., a childhood allergy the patient has outgrown).",[592,815,817],{"id":816},"vitals","Vitals",[597,819,820,821,824],{},"Vitals track physiological measurements — blood pressure, heart rate, temperature, weight, and other clinical observations. Unlike other data types, vitals are ",[626,822,823],{},"grouped by measurement type",". Each card represents a type of vital sign and shows all readings for that type.",[597,826,827],{},[626,828,829],{},"Fields when adding a new reading:",[630,831,832,837,843,849,855,860],{},[633,833,834,836],{},[626,835,637],{}," — LOINC (the standard for observation codes).",[633,838,839,842],{},[626,840,841],{},"Vital Name"," — Search and select from LOINC codes.",[633,844,845,848],{},[626,846,847],{},"Value Quantity"," — The numeric measurement value.",[633,850,851,854],{},[626,852,853],{},"Unit of Measure"," — The unit for the measurement (e.g., mmHg, bpm, °F).",[633,856,857,859],{},[626,858,649],{}," — The reliability of this reading.",[633,861,862,864],{},[626,863,655],{}," — Date and time of the measurement. Defaults to the current date and time.",[597,866,867,869],{},[626,868,661],{}," Final, Preliminary, Amended, Corrected, Cancelled, Entered In Error, Unknown.",[597,871,872,873,876,877,880,881,673,884,887,888,890],{},"Most readings are ",[626,874,875],{},"Final"," — confirmed measurements. Use ",[626,878,879],{},"Preliminary"," for readings that may be updated later, ",[626,882,883],{},"Amended",[626,885,886],{},"Corrected"," for readings that have been revised, and ",[626,889,762],{}," for mistakes. Non-final statuses display a warning indicator on the reading so reviewers know the value may not be definitive.",[892,893,894],"note",{},"Vitals record date and time (not just date) because the timing of clinical measurements matters — a blood pressure reading at 8 AM may differ meaningfully from one at 4 PM.",[896,897,899],"h3",{"id":898},"viewing-readings-over-time","Viewing readings over time",[597,901,902],{},"Click a vital card to open a detail view with all readings for that measurement type listed chronologically. This makes it easy to spot trends — for example, whether a patient's weight has been increasing or their resting heart rate has been improving over several months of treatment.",[592,904,906],{"id":905},"labs","Labs",[597,908,909],{},"Labs track laboratory test results — blood panels, metabolic screenings, and other diagnostic tests. They work identically to Vitals: records are grouped by test type, each card shows all results for that test, and individual readings include a value, unit, and timestamp.",[597,911,912],{},[626,913,914],{},"Fields when adding a new result:",[630,916,917,922,927,932,937,942],{},[633,918,919,921],{},[626,920,637],{}," — LOINC or SNOMED CT.",[633,923,924,644],{},[626,925,926],{},"Test Name",[633,928,929,931],{},[626,930,847],{}," — The test result value.",[633,933,934,936],{},[626,935,853],{}," — The unit for the result.",[633,938,939,941],{},[626,940,649],{}," — The reliability of this result.",[633,943,944,946],{},[626,945,655],{}," — Date and time. Defaults to the current date and time.",[597,948,949,951],{},[626,950,661],{}," Same as Vitals — Final, Preliminary, Amended, Corrected, Cancelled, Entered In Error, Unknown.",[691,953,954],{},"Labs and Vitals share the same structure because both are clinical observations — the difference is the source. Vitals come from direct patient measurement (a nurse taking blood pressure), while Labs come from laboratory analysis (a blood draw processed in a lab). If you're comfortable with how Vitals work, Labs work the same way.",[592,956,958],{"id":957},"procedures","Procedures",[597,960,961],{},"Procedures document medical procedures performed on the patient — surgeries, biopsies, imaging studies, and other interventions. Each card shows the procedure name, date performed, status, and code.",[597,963,964],{},[626,965,628],{},[630,967,968,973,979,985,990,996,1002],{},[633,969,970,972],{},[626,971,637],{}," — HCPCS, CPT, SNOMED CT, or ICD-10.",[633,974,975,978],{},[626,976,977],{},"Name"," — Free-text name for the procedure.",[633,980,981,984],{},[626,982,983],{},"Code"," — The procedure code from the selected coding system.",[633,986,987,989],{},[626,988,649],{}," — Where the procedure stands in its lifecycle.",[633,991,992,995],{},[626,993,994],{},"Outcome"," — The result of the procedure.",[633,997,998,1001],{},[626,999,1000],{},"Performed Date"," — When the procedure was performed (or is scheduled).",[633,1003,1004,1006],{},[626,1005,655],{}," — When this record was created. Defaults to today.",[597,1008,1009,1011],{},[626,1010,661],{}," Preparation, In Progress, Not Done, On Hold, Stopped, Completed, Entered In Error, Unknown.",[597,1013,1014,1015,1018,1019,1022,1023,1025,1026,673,1029,1032,1033,1036],{},"Procedures have the most status options because they track a full lifecycle — from ",[626,1016,1017],{},"Preparation"," (scheduled but not yet started) through ",[626,1020,1021],{},"In Progress"," to ",[626,1024,758],{},". Use ",[626,1027,1028],{},"Not Done",[626,1030,1031],{},"Stopped"," for procedures that were planned but didn't happen, and ",[626,1034,1035],{},"On Hold"," for procedures that are temporarily paused.",[592,1038,1040],{"id":1039},"common-patterns-across-all-types","Common patterns across all types",[896,1042,1044],{"id":1043},"medical-coding-systems","Medical coding systems",[597,1046,1047],{},"Every data type uses at least one standard medical coding vocabulary. When you add a record, the dialog shows tabs for the available coding systems, and a free-text option for codes not in the standard vocabularies.",[597,1049,1050],{},"The coding systems used in EVAL are industry standards:",[630,1052,1053,1059,1065,1071,1077],{},[633,1054,1055,1058],{},[626,1056,1057],{},"ICD-10"," — International Classification of Diseases, used primarily for diagnoses and allergies.",[633,1060,1061,1064],{},[626,1062,1063],{},"SNOMED CT"," — Comprehensive clinical terminology, available across most data types.",[633,1066,1067,1070],{},[626,1068,1069],{},"RXNORM"," — Standard for medications and drug names.",[633,1072,1073,1076],{},[626,1074,1075],{},"LOINC"," — Logical Observation Identifiers, used for vitals and lab tests.",[633,1078,1079,1082],{},[626,1080,1081],{},"HCPCS / CPT"," — Procedure coding systems used in healthcare billing and documentation.",[896,1084,1086],{"id":1085},"ehr-sourced-records","EHR-sourced records",[597,1088,1089],{},"When a patient's data comes from an EHR connection, all medical records on the Medical tab are read-only. You can view the data but cannot add, edit, or delete records — those changes must be made in the source EHR system. The EHR banner at the top of the tab shows the connection name and when data was last synchronized.",[896,1091,1093],{"id":1092},"recorded-date-vs-other-dates","Recorded Date vs. other dates",[597,1095,1096,1097,1099,1100,1102],{},"Most data types have a ",[626,1098,655],{}," that defaults to today — this is when the record was entered into EVAL. Some types have additional date fields with clinical meaning: Procedures have a ",[626,1101,1000],{}," (when the procedure happened), and Vitals/Labs include a timestamp (when the measurement was taken). These dates may differ from the recorded date when you're entering historical data.",{"title":1104,"searchDepth":1105,"depth":1105,"links":1106},"",2,[1107,1108,1109,1110,1111,1115,1116,1117],{"id":594,"depth":1105,"text":595},{"id":618,"depth":1105,"text":619},{"id":696,"depth":1105,"text":697},{"id":766,"depth":1105,"text":767},{"id":816,"depth":1105,"text":817,"children":1112},[1113],{"id":898,"depth":1114,"text":899},3,{"id":905,"depth":1105,"text":906},{"id":957,"depth":1105,"text":958},{"id":1039,"depth":1105,"text":1040,"children":1118},[1119,1120,1121],{"id":1043,"depth":1114,"text":1044},{"id":1085,"depth":1114,"text":1086},{"id":1092,"depth":1114,"text":1093},"Reference for each medical data type — diagnoses, medications, allergies, vitals, labs, and procedures — including fields, statuses, and coding systems.","md",null,{"icon":1126},"i-mdi-database-outline",true,{"title":245,"description":1122},"o20lHOOBzlUUZNHvDuQnPS7l8BzE5BvjuoeeiWTes4o",[1131,1133],{"title":241,"path":242,"stem":243,"description":1132,"children":-1},"View and manage a patient's clinical data — diagnoses, medications, allergies, vitals, labs, procedures, and vital status — including EHR sync behavior.",{"title":249,"path":250,"stem":251,"description":1134,"children":-1},"View and manage a patient's profile, classification, addresses, contact information, insurance, and external identifiers on the Identity tab.",1776705272884]