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Environmental History provides documentation for socioeconomic information on the patient.

 

1.Complete the information in the sections below, as needed.

 

•Environmental History: Environmental History consists of:

oRelationship Status, which may be selected as Not Answered, Single, Married, Divorced, Separated, Widowed, or Significant Other.

oDomestic Violence Risk provides a Not Answered, Yes, or No risk.

oOccupational History may be recorded as Not Answered, Full Time, Part Time, Homemaker, Retired, Unemployed, or Disabled.

oOccupational Exposures provides documentation of hazards, including Chemicals, Sounds ,Overuse Injury, Stress, and Other. (Selecting Other allows free-text entry.)

oThe Occupation field provides a magnifying glass lookup to search for the Industry Code association with the patient's employer. The Date range of employment may be entered or selected from the calendar icon available. A start date may be entered with no end date.

 

•Living Condition

oAssessment Performed may be selected as Not Answered, Yes, or No. If Yes is selected, the Date field displays the current date, and the Living Condition is enabled for completion.

oLiving Condition options include Home, Nursing Home, Home Health Care, College, Lives Alone, With Spouse/Significant Other, Assisted Living, Homeless, and Other. (Selecting Other allows up to 50 characters of free text.)

 

•Health Equipment Use

oAssessment Performed may be selected as Not Answered, Yes, or No. If Yes is selected, the Date field displays the current date, and the Health Equipment Use fields are enabled for completion.

oHealth Equipment Use allows documentation for use of Oxygen, CPAP, BiPAP, Nebulizer, Wheelchair, Walker, Ventilator, Wheeled Walker, Cane, Shower Chair, Bedside Commode, Tens Unit, and Hospital Bed.

oBegan Use and Ended Use may be entered for any Health Equipment Use option.

 

NOTE: List View, Narrative View, Patient Summary, and the Health History report in Print EMR have all been updated to display these options. In addition, each health equipment option has been associated with a SNOMED code to be compliant with CMS guidelines for 2021.

 

•Patient from Multiple Birth: Allows for documenting if the patient was born from a multiple birth pregnancy. The default is Not Answered. If Yes is selected, the Birth Order drop-down is enabled with options 1-9 and Unknown.

 

•Number of children: Allows for documenting the number of children the patient has.

 

•Number of grandchildren: Allows for documenting the number of grandchildren the patient has.

 

•Social Activities provides a way to document the patient's involvement in Volunteer Work, Religious Group(s), Sports, and Social Group(s).

 

•Education options include Not Answered, None, Elementary, Some High School, High School, Some College, College, and Graduate.

 

2.Once documentation is completed, select Save.

 

NOTE: If information is not saved, the system will prompt, "Are you sure you wish to exit without saving?"