Internal – Pre-visit planning and Checklists
Patient: [text] Pre-visit review [checklist value="PHQ9 Due|Future appointment already scheduled|Potentially eligible for smoking counseling"] Preventive Visit Eligibility [select name="preventive" value="|? already scheduled|? preventive visit already done| ❓possible add-on at this visit|? not applicable (e.g. self-pay)"] [conditional field="preventive" condition="(preventive).is(' ❓possible add-on at this visit')"][comment memo="Send PF message to Susan and Michelle this message: Is this patient eligible for preventive visit?"][/conditional] [conditional field="preventive" condition="(preventive).is('? preventive visit already done')"] Next visit is due [date] [/conditional] Needed updates HTN and DM diagnosis and medication start dates entered --> [select value="|N/A|Yes|No"]
There are 8 form elements.