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Data Elements
Ticklers
Health History
Health Screenings and Immunizations
Reports, Utilities, Security
HEALTH HISTORY
Clinical Fusion® enables you to easily view and add health history
information for a specific individual.
- Problems: outlined list of problem name, additional descriptive text, discovery
date, onset date, hospitalization dates, resolution status, resolution date, and security
level to view problem. You
can view all diagnosis, procedures,
tests/orders, medications, ticklers, and progress notes for each problem.
- Assessments: color code outline of all risk factors (green, yellow, red) for a specific
person based on answers to the subjective and objective questions in the contacts. Assessments
can be viewed for a specific date range and grouped by category, question, or answer.
- Alerts: a list of quality measures that the specific individual meets. The alerts
are setup in the administration program.
- Contacts: all contacts for a specific person including whether the contact has been
printed, reviewed, signed, or completed; contact type, date, provider, and primary
diagnosis.
- Measurements:all measurements for a
specific person including date, height, weight,
BMI, BMI percentile, BMI category, head circumference, and two user measurement variables. You
also have the ability to print height,weight,
BMI, and head circumference growth charts.
- Vital Signs: all vital signs for a specific person with date, blood pressure,
temperature, respiratory rate, and pulse rate.
- Medications: all medications prescribed or dispensed to a specific person including
medication name, date, dose number, per day, number of days prescribed, flag for chronic
medications, comments. Prescriptions can be printed.
- Immunizations: all immunizations for a specific person including immunization,
date, provider, site.
- Family History: family history information for a specific person including
condition, relationship, onset age, and comment.
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