Add Pregnancy Information to a Chart Note

The Pregnancy button allows you access to the Due Date Calculator dialog in a chart note where you can configure and calculate last menstrual period, estimated date of conception, and estimated due date to be entered and/or calculated to provide an estimated gestational age for the pregnancy. Likewise, you can also add Date of Delivery or Miscarriage as well as how the outcome of the pregnancy. When pregnancy information is entered in the chart note, the information will be tracked and counted towards the applicable Meaningful Use objectives and/or quality measures. Use the following steps to add Pregnancy information for a patient.

 

 

  1. Open the patient's chart note.
     

  2. Click the button in the chart note.
     

  3. In the Due Date Calculator dialog, select the Date of Last Menstrual Period, Estimated Date of Conception, or Estimated Due Date in the corresponding field.

    If the Date of Last Menstrual Period is entered, the system will automatically calculate the Estimated Date of Conception, Estimated Due Date, and Estimated Gestational Age based on that information. Once these dates have defaulted, you have the ability to change them as needed. If the Estimated Date of Conception is modified, the Estimated Gestation Age will automatically be recalculated.

    If the Estimated Date of Conception is entered, the system will automatically calculate the Estimated Due Date and Estimated Gestational Age based on that information. Once these dates have defaulted, you have the ability to change them as needed. If the Estimated Date of Conception is modified, the Estimated Gestation Age will automatically be recalculated.

    If the Estimated Due Date is entered, the system will automatically calculate the Estimated Date of Conception and Estimated Gestational Age based on that information. Once these dates have defaulted, you have the ability to change them as needed. If the Estimated Date of Conception is modified, the Estimated Gestation Age will automatically be recalculated.
     

  4. In the Date of Delivery/Miscarriage field, select the Date of Delivery or Miscarriage, if applicable.
     

  5. In the Delivery/Miscarriage field, select Abortion, Delivery, or Miscarriage for the outcome of the pregnancy, if applicable.
     

  6. Check the Display results in list format option if you want the configured information to appear in the chart note in list format. If this option is not selected, the results will appear in paragraph format.



     

  7. When finished, click the OK button and the configured pregnancy information will appear in the chart note. The information will then be tracked in the History tab, and will also be counted towards the applicable Meaningful Use objectives and/or quality measures.



    Likewise, when pregnancy information is entered in the chart note, the information will appear in the Face Sheet under a customizable Pregnancy section. You have the ability to decide what information will appear in this section by right-clicking the Pregnancy header and selecting Add/Remove Pregnancy Date. In the Pregnancy Data Selection dialog you can then add and/or remove the applicable items you want displayed in the face sheet.