Background
Access the Preventive Health Form
Form Overview
Expanded View: Colon
Expanded View: Lung
Expanded View: Cervical
Expanded View: Breast
Expanded View: Hepatocellular
Recent Results
Immunizations
Encounter Note Output
Background
The Preventive Health Form is a quick and easy way to access basic preventive health information for clients. The form's current focus is on cancer screening measures including colon, lung, cervical, breast, and hepatocellular cancer.
Please send any suggestions or feedback on the form to EMRHelp@vch.ca.
Access the Preventive Health Form
The Preventive Health Form can be accessed in several ways:
A. In New Encounter, type prevent\ below Problem.
B. In New Encounter, click on the Preventive Health icon.
C. From New Encounter, Actions panel, select Form and search. Easiest search is preventive.
Form Overview
Expanded View: Colon
Click on the + next to Colon to expand the section.
Notes Section:
- Discussed and Declined checkboxes: Ticking the boxes will pull "Discussed" and/or "Declined" into the free text field below (depending on which was ticked).
- Free text field: Allows clinician to enter notes regarding visit. These notes will pull into the Encounter note when the Preventive Health Form is saved.
- Read-only free text field: Displays notes from previous Preventive Health Form.
Recent Results Section:
- Last FIT Result: Displays most recent FIT result (pulled from Medical Record > Results).
- Last Colonoscopy Result: Displays most recent colonoscopy result (pulled from manual entry via Preventive Health Form).
- Manually Add Colonoscopy Result: Manually enter summary of last colonoscopy result and date of exam.
Actions Section:
- Existing Intervention for Colon Cancer Screening: Will display existing colon cancer screening intervention for the client.
- Add Intervention "Colon Cancer Screening Due": To add a new intervention, enter due date into date field and click on button.
- Order FIT test: Adds FIT test order to the Encounter.
Expanded View: Lung
Click on the + next to Lung to expand the section.
Notes Section:
- Discussed and Declined checkboxes: Ticking the boxes will pull "Discussed" and/or "Declined" into the free text field below (depending on which was ticked).
- Free text field: Allows clinician to enter notes regarding visit. These notes will pull into the Encounter note when the Preventive Health Form is saved.
- Read-only free text field: Displays notes from previous Preventive Health Form.
Recent Results Section:
- Last LDCT Result: Displays most recent LDCT result (pulled from manual entry via Preventive Health Form).
- Manually Add LDCT Result: Manually enter summary of last LDCT result and date of result.
Actions Section:
- Existing Intervention for Lung Cancer Screening: Will display existing lung cancer screening intervention for the client.
- Add Intervention "Lung Cancer Screening Due": To add a new intervention, enter due date into date field and click on button.
- Order LDCT via BCCA: Opens the BC Cancer Lung Screening Program (LDCT) Scan Referral Form.
Expanded View: Cervical
Click on the + next to Cervical to expand the section
Notes Section:
- Discussed and Declined checkboxes: Ticking the boxes will pull "Discussed" and/or "Declined" into the free text field below (depending on which was ticked).
- Free text field: Allows clinician to enter notes regarding visit. These notes will pull into the Encounter note when the Preventive Health Form is saved.
- Read-only free text field: Displays notes from previous Preventive Health Form.
Recent Results Section:
- Last Pap Result: Displays most recent Pap result (pulled from manual entry via Preventive Health Form or Medical Record > Results).
- Manually Add Pap Result: Manually enter summary of last Pap result if last Pap was from before 2019, and the date.
Actions Section:
- Existing Intervention for Cervical Smear / Pap Test: Will display existing cervical smear / pap test intervention for the client.
- Add Intervention "Pap Due": To add a new intervention, enter due date into date field and click on button.
- Hysterectomy checkbox: Tick the box if client has had a hysterectomy. This will carry forward into future forms.
- BCCA Gyn Cytology Requisition: Opens the Cervical Cancer Screening Lab Requisition Form.
Expanded View: Breast
Click on the + next to Breast to expand the section.
Notes Section:
- Discussed and Declined checkboxes: Ticking the boxes will pull "Discussed" and/or "Declined" into the free text field below (depending on which was ticked).
- Free text field: Allows clinician to enter notes regarding visit. These notes will pull into the Encounter note when the Preventive Health Form is saved.
- Read-only free text field: Displays notes from previous Preventive Health Form.
Recent Results Section:
- Last Mammogram Result: Displays most recent Pap result (pulled from manual entry via Preventive Health Form).
- Manually Add Mammogram Result: Manually enter summary of last mammogram result and date.
Actions Section:
- Existing Intervention for Mammogram: Will display existing mammogram intervention for the client.
- Add Intervention "Mammogram Due": To add a new intervention, enter due date into date field and click on button.
- BCCA Breast Screening Appt Form: Opens the BCCA Breast Screening Appt Form.
Expanded View: Hepatocellular
Click on the + next to Hepatocellular to expand the section.
Notes Section:
- Discussed and Declined checkboxes: Ticking the boxes will pull "Discussed" and/or "Declined" into the free text field below (depending on which was ticked).
- Free text field: Allows clinician to enter notes regarding visit. These notes will pull into the Encounter note when the Preventive Health Form is saved.
- Read-only free text field: Displays notes from previous Preventive Health Form.
Recent Results Section:
- Last Abdominal US Result: Displays most recent abdominal ultrasound result (pulled from manual entry via Preventive Health Form).
- Manually Add Abdominal US Result: Manually enter summary of last abdominal ultrasound and date of ultrasound.
- Hep A Immune and Hep B Immune checkboxes: Tick boxes to indicate if client is hepatitis A or B immune. Selected values will carry over into future Preventive Health Form.
Actions Section:
- Existing Intervention for HCC Screening Ab U/S: Will display existing hepatocellular abdominal ultrasound screening intervention for the client.
- Add Intervention "HCC Screening Ab U/S Due": To add a new intervention, enter due date into date field and click on button.
- Order Abdominal U/S Radiology: Adds abdominal ultrasound order to Encounter.
Recent Results
The Recent Results section will display the last two results for each of the investigation types listed. The most recent result will appear in the Most Recent Result column and the second most recent result will appear in the Previous Result column. Abnormal results will appear in red.
You can enter contraception information at the bottom section of the form ("On Contraception?" radio buttons and free text Comments text box). Anything entered in these fields will carry over to future Preventive Health Forms.
Immunizations
The Immunizations section will display records pulled in from the client's Medical Record > Immunizations. This includes immunizations that were entered in PARIS.
Note: Some immunizations may not appear in this list. For a comprehensive history of the client's immunizations, go to Medical Records > Summary and look under Histories.
Encounter Note Output
When you save the Preventive Health Form, documentation from the Notes fields will automatically be pulled into your encounter note.
See below for an example of the encounter note output: