In Clinical, 'History' refers to a patient's medical conditions, both active and inactive. Note also that whilst the data tab in the Clinical Window states Past History, this list can also include current, active conditions.

To view a patient's medical history select the Past History tab from the patient's Clinical Window.  See also Adding, Editing and Deleting History Items.

Each history item contains a value for year (the year in which the condition first occurred) and date (the date on which the patient informed you of the condition), a description of the item, a comment, and codes that flag the item for printing in summaries and as confidential. An unlimited number of items can be stored for each patient.

Data can be viewed by Year, Date, Condition, Side, Status, Summary, Confidential and Coded by clicking on the appropriate column heading, or by All Records, Active, Inactive or Summary items.

The Comment field displays comments for a selected item.

The Coded field indicates if the diagnosis was made by selecting from the DOCLE list of diagnosis.

When there is no significant past medical history to report, tick the associated check box to indicate this.