Family History

This lesson will demonstrate how to insert the Family History Starter Pick List if your Summary docuplate does not already contain the Starter Pick List.  This lesson will also describe how to use the Family History Starter Pick List and how to insert an Item Comment.

The Family History field in the Summary chart section is used to record the patients family medical history.

Placing of the Insertion Point

Placing of the Insertion Point

With a patient chart open and the Summary chart section visible:

1.  Place your insertion point to the right of the field header.

2.  Left click your mouse to insert your cursor.

If the bold green brackets appear (as shown above), then the field is active and ok for you to begin entering data.

Inserting the Starter Pick List for Family History

Inserting the Starter Pick List for Family History

To insert the Starter Pick List for Family History:

1.  Type fam- into the Family History field (as shown above).

2.  Press the Spacebar to expand the Pick List.

Note: If the Pick List does not expand when you press the Spacebar, you may need to do a Shift + F11 search to download the item to your local database.  Once you have used the Pick List once, you will be able to expand it using the Spacebar method.

Family History Starter Pick List

Family History Starter Pick List

The Family History Starter Pick List will expand to include the information shown above.

The Family History Starter Pick List should be used as a guide.  It may not contain all the items you will use in your charting.

Choosing Items from the Family History Pick List

Choosing Items from the Family History Pick List

In SOAPware, text that appears Blue and Underlined indicates that a Pick List is attached to the SMARText Item.

To select items from a Pick List:

1.  Left click on top of the item (ie: "Positive family history for").

2.  A list of items will appear in your SMARText Quick Access dialog.

3.  Place a check box in the "Selected" field next to each of the items that you wish to insert into the Family History field.

Attaching Item Comment to Family History

Attaching Item Comment to Family History

To attach a free text comment to the SMARText item:

1.  Left click on top of the SMARText item (ie: Asthma - see above).  

2.  Begin typing your desired comments (ie: Mother, as shown above).  An "Item Comment" box will appear for you to type in.

3.  Save your comments.

The item comment will be inserted next to the SMARText item (see Diabetes - Type 2 example above).