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All medical data management happens in the source EHR, and EVAL reflects those records.",[592,705,707],{"id":706},"adding-and-editing-records","Adding and editing records",[597,709,710],{},"If a section has no records yet, it displays an empty state with a prompt to add your first entry. Sections with no data still appear on the page so you always know what types of clinical information you can track.",[597,712,713],{},"For manually managed patients (those without an EHR connection), adding a record follows the same pattern across all sections:",[715,716,717,723,726],"ol",{},[607,718,719,720,722],{},"Click the ",[610,721,688],{}," button next to the section heading.",[607,724,725],{},"A dialog opens with a coding system selector at the top and fields relevant to that data type.",[607,727,728,729,732],{},"Choose your coding system, search for the appropriate code, fill in the remaining fields, and click ",[610,730,731],{},"Save",".",[597,734,735,736,739,740,743,744,747],{},"To edit an existing record, click the ",[610,737,738],{},"⋯"," menu on the card and select ",[610,741,742],{},"Edit",". The same dialog opens with the record's current values pre-filled. To remove a record, choose ",[610,745,746],{},"Delete"," from the same menu.",[749,750,752],"h3",{"id":751},"coding-systems","Coding systems",[597,754,755],{},"Each data type supports multiple medical coding vocabularies. When you add a record, tabs in the dialog header let you switch between coding systems:",[604,757,758,763,768,772,778],{},[607,759,760,762],{},[610,761,630],{}," — ICD-10 or SNOMED CT",[607,764,765,767],{},[610,766,636],{}," — RXNORM or SNOMED CT",[607,769,770,762],{},[610,771,642],{},[607,773,774,777],{},[610,775,776],{},"Vitals and Labs"," — LOINC",[607,779,780,782],{},[610,781,660],{}," — HCPCS, CPT, SNOMED CT, or ICD-10",[597,784,785],{},"Every data type also offers a free-text option for codes not found in the standard vocabularies. Selecting a standard coding system gives you a searchable lookup — type a few characters and EVAL queries the relevant code database to show matching results.",[670,787,788],{},"If your organization uses a single coding standard (say, ICD-10 for diagnoses), the dialog remembers your last-used coding system. You won't need to switch tabs each time you add a record.",[592,790,612],{"id":791},"vital-status",[597,793,794,795,798,799,802,803,805],{},"The Vital Status section at the top of the Medical tab is different from the others — it's a single record, not a list. It shows whether the patient is ",[610,796,797],{},"Living"," or ",[610,800,801],{},"Deceased",", along with a last-updated date. Click the ",[610,804,738],{}," menu to edit this status. There is no delete option since every patient has a vital status.",[592,807,618],{"id":808},"panels",[597,810,811,812,814,815,818,819,822],{},"The Panels section shows which ",[621,813,624],{"href":623}," the patient belongs to. Each card displays the panel name and whether it's ",[610,816,817],{},"Shared"," (visible to the whole account) or ",[610,820,821],{},"Private"," (visible only to you).",[597,824,719,825,827,828,830,831,833,834,837],{},[610,826,688],{}," button to search for an existing care panel and add this patient to it. To remove the patient from a panel, click the ",[610,829,738],{}," menu on the panel card and select ",[610,832,746],{},". The default ",[610,835,836],{},"All Patients"," panel cannot be removed — every patient belongs to it automatically.",[701,839,840,841,845],{},"Adding or removing a patient from a care panel here has the same effect as managing patients from the ",[621,842,844],{"href":843},"../care-panels/managing-patients","care panel's Patients tab",". Changes sync immediately in both directions.",[592,847,776],{"id":848},"vitals-and-labs",[597,850,851],{},"Vitals and Labs work differently from the other sections. Instead of individual cards with edit/delete menus, records are grouped by measurement type. Each card shows the measurement name, its code, and a list of readings with values and timestamps.",[597,853,854],{},"Click a card to open a detail view showing all readings for that measurement. From there, you can click into an individual reading to edit it or add a new reading to the group. This grouping makes it easy to track a value over time — for example, seeing a patient's blood pressure readings across multiple visits.",[597,856,857,858,732],{},"For details on what each data type tracks and the fields available when adding records, see ",[621,859,245],{"href":860},"./patient-medical-data-types",[592,862,864],{"id":863},"getting-started","Getting started",[866,867,868,873],"card-group",{},[869,870,872],"card",{"icon":871,"title":245,"to":860},"i-mdi-database-outline","Reference for each data type — fields, statuses, and coding systems.",[869,874,877],{"icon":875,"title":233,"to":876},"i-mdi-clipboard-text-outline","./patient-results","Return to the Results tab for evaluation scores and progress tracking.",{"title":879,"searchDepth":880,"depth":880,"links":881},"",2,[882,883,884,888,889,890,891],{"id":594,"depth":880,"text":595},{"id":675,"depth":880,"text":676},{"id":706,"depth":880,"text":707,"children":885},[886],{"id":751,"depth":887,"text":752},3,{"id":791,"depth":880,"text":612},{"id":808,"depth":880,"text":618},{"id":848,"depth":880,"text":776},{"id":863,"depth":880,"text":864},"View and manage a patient's clinical data — diagnoses, medications, allergies, vitals, labs, procedures, and vital status — including EHR sync behavior.","md",null,{"icon":896},"i-mdi-medical-bag",true,{"title":241,"description":892},"Go0A5TMw3UBWmKXOK3JP1eKMTIOtUXqxdgkZXCqiqlE",[901,903],{"title":237,"path":238,"stem":239,"description":902,"children":-1},"Administer an assessment in a patient's chart, complete questions, save the result with optional signing, and manage completed results.",{"title":245,"path":246,"stem":247,"description":904,"children":-1},"Reference for each medical data type — diagnoses, medications, allergies, vitals, labs, and procedures — including fields, statuses, and coding systems.",1776705272556]