Example of an initial Obstetrical Intake form

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  • Create Date December 7, 2022
  • Last Updated December 7, 2022

Example of an initial Obstetrical Intake form

This eForm will write a summary into the encounter pane as well as place information in the Medical History, the Family History, and the Ongoing concerns.

Original by John Robertson. These instructions and eForm modified and brought up-to-date by Adrian Starzynski, Dec 2022.

Instructions for adding measurements that go with the eForm:

On the OSCAR main screen go to Administration>System Management>Customize Measurements. Click on add a measurement type.

Add the following measurement types, with the first box filled out exactly as below (not inculding the parentheticals), the subsequent 3 boxes can be individualized, and the last box should have either "no validation" for the text input measurements, or the appropriate numeric range.

Text input measurements:

CC
HPI
TRAN (Transfusions - Yes/No measurement)
SLAP (Sleep Apnea - Yes/No measurement)
ASLT (Assault/Abuse - Yes/no measurement)
HN (for head and neck exam)
CHST (for respiratory exam)
CVS
ABD
PELV
QTIP (Q tip test)
PVRV (Post Void Residual Volume)
SES (for assessment)
PLAN
PROC

Numeric input measurements:

G (for gravida)
P (for para)
TERM (for term deliveries)
SAB (for spontaneous abortions)
TOP (for termination of pregnancy)
Live (for Live births)
EGA
SFH
FHR

Attached Files

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Initial484Obstetrical484Visit484April4842013.zipDownload