Past Pregnancies

1. At the top of the History section, click the Go to menu and select Past Pregnancies.
2. Click the plus icon to add a past pregnancy, and enter all available information in the fields provided.
   Note: If the patient had a historical, multiple fetus pregnancy, enter the date and the number of fetuses. Additional rows appear so you can document the outcomes of each fetus individually.
3. Click Add.
   If the past pregnancy information is populated from a closed OB episode, the information appears as read-only in the Past Pregnancy section, and a link to the closed episode appears.
4. To amend a closed episode, click the OB episode link at the bottom of the relevant past pregnancy.
   The closed episode appears in a new window.
5. Click Amend.
   The episode opens as a pull-out tab.
6. Make your edits and click Save.
   A note appears at the bottom with the date and user that amended the record.

1. Display the patient chart: On the Patient Actions Bar, click Clinicals, and then click Chart.
2. Click the History tab on the left side of the page.
   
3. At the top of the History section, click the Go to menu and select Past Pregnancies.
   
   A list of past pregnancies appears.
4. Click a past pregnancy to display the details.
5. If a closed OB episode is associated with this pregnancy, click the link to display the OB episode.
   
   The OB episode appears in a new window.
6. To print or fax the OB episode, click the Print/Fax OB Episode Form link at the top right of the window.
   The print/fax window appears.
   
   
7. To print the OB episode, click the Print link.
8. To fax the OB episode:
1. Clinical Provider — Enter the name of the clinical provider to whom you are faxing the OB episode (optional).
2. Fax Number — Enter the fax number.
3. Click Fax.
9. Click Back to close the print window.
   

 

By default, the following patient history sections are hidden for providers in non-OB/GYN related specialties: Gyn History, OB History, and Past Pregnancies. When the OB/GYN sections are hidden, they are not marked as reviewed as you proceed through the encounter workflow. If you unhide these sections, however, athenaOne marks these sections as reviewed in the full encounter summary.

 

To display the Gyn History, OB History, and Past Pregnancies sections:

1. At the bottom of the Intake checklist or the History section of the patient chart, click SHOW/HIDE SECTIONS.
2. Select Show Gyn, OB and Past Pregnancies Histories.
   Important: After you select this option to display the OB/GYN history sections for a patient, these sections are displayed for other users who look at that patient chart.

In the encounter workflow, athenaOne uses the rendering provider's specialty to determine whether to display the OB/GYN history sections by default in the Intake and Exam stages. Outside an encounter, athenaOne displays the OB/GYN history sections based on the user's specialty.

• If the user does not have a specialty, athenaOne bases its decision on the specialty of the patient's usual provider (set on the Quickview).
• If the patient does not have a usual provider, athenaOne uses the logic described in the "OB/GYN history sections conditionally shown" section to determine whether to display the OB/GYN history sections.

 

 

 

 

What is an OB episode?

athenaOne refers to the clinical and billing time period of a patient's pregnancy as an OB episode; the OB episode is a mechanism to track OB enrollments and information about clinical outcomes. Enrollment, EDD, and delivery reports organize information captured in the OB episode. Once saved, OB episode information is available for reporting. You can report on three main items: enrollment, EDD, and deliveries.

 

OB episode and athenaClinicals

In the patient chart, click the Menu icon and select Start OB episode. To view and edit an existing OB episode, click Pregnancy Problems in the Problems tab of the patient chart.

Note: To help you care for your transgender and nonbinary patients, the Start OB episode option is available when the Assigned sex at birth field is set to any of these values: Female, Choose not to disclose, or Unknown.

 

After you create an OB episode, the patient banner displays the following information about the episode: gravidity and parity, duration of pregnancy expressed as "weeks.days," estimated date of delivery (EDD), and blood type.
Note: If your practice has different chart sharing groups, the OB episode information appears only when viewing the patient chart with the open OB episode.

 

The top section of the OB Episode tab is used to track initial information about the pregnancy and to estimate the patient's EDD. After the initial data is saved, the Prenatal Flowsheet section also appears in the OB Episode tab.

 

After this information is completed and the OB episode is closed, the Past Pregnancies section and Obstetric History section of the patient's chart are automatically updated according to the OB episode outcome.

 

Note: When a provider orders a RhoGam injection (using any order type that is considered RhoGam), an entry appears on the Results section of the patient's OB Episode tab indicating the date of the injection. This information also prints on the OB Episode form.