Perio Risk Assessment: Patient History

The Patient History screen contains four areas for required data input. Select the appropriate option for each field, then click Next. More elaboration of the terms is detailed below:

Dental Care:

This refers to standard treatment at a dental practice. Select “Emergency” if the patient has only received emergency treatment and otherwise never visited a dentist.

Smoking History:

This refers only to cigarette smoking. For PreViser™ use, based on current research, a "smoker" is limited to cigarette smoking. Other forms of tobacco could be deleterious but there is insufficient evidence at this time to include them in a Perio Risk Assessment. Therefore, do not include cigar or pipe smoking, chewing tobacco, or other activities in classifying a patient's "Smoking History."

Diabetic:

This refers to all types of diabetes. If the patient is diabetic, rate the level of glycemic control as Good, Fair, or Poor. For specific information on these ratings please see the Diabetes Classification page in the Appendix.

Perio Exam Date:

This refers to the date of the exam, not the date of data entry. Input the date of the exam, in DD/MM/YYYY format. The system will calculate the patient's age for this Risk Assessment based on the Exam Date compared to the patient's birth date.

Note: The exam date must be equal to or earlier than the date when you transmit the Risk Assessment, according to the system’s logic which will not recognise a future date as valid. Therefore, you can enter a future exam date and save the Assessment for later (as Unfinished) but cannot transmit the data for Risk Calculation until that date is current or past.

By default on unfinished assessments, the Exam Date on the Patient Details page list appears as today's date (the date you start the new Risk Assessment).

You can also select a date by clicking the calendar icon next to the date field, which opens the calendar tool in a small popup window, shown below:
On the calendar tool, click on the date of the exam, which closes the calendar window and returns you to the Patient History screen with the Date field completed. If you wish to select a date from a different month, simply use the drop-down lists to change the month or year, then click on the date from the month displayed.


If a Patient is over age 89:

Note that PreViser™ software requires the Patient age to be between one and 89 years old to be risk-assessed.

To comply with US HIPAA standards prohibiting the transmittal of information for patients age 90 or over, PreViser™ will not allow data to be sent for a patient of this age. For these patients, you can modify the data entry in order to Finish the risk assessment.

Age is calculated by the difference between the Exam Date and Date of Birth. If you try to Finish a Risk Assessment for a patient age 90 or older, a message will inform you that the patient age must be between 1 and 89 years. You can then Save for Later, go back to the Patient Details page, and temporarily change the Birth year so that the system calculates the patient's age as 89 instead of older. This slight change in age will allow the information to transmit and Finish the report, but will not affect the risk score. See the Medical Privacy documentation for more details about this requirement.

Prepared By:

This name appears in the report heading to indicate who prepared it. By default, this field displays the current Name which appears on the Account Options page. However, you may change that name if you wish, which allows you to permanently indicate which clinician prepared a particular report. This may be useful if you have multiple doctors and hygienists using PreViser and you want the reports to show the individual preparer's name. Also, if you acquire a patient or patients' records (by referral or by buying a practice, for example), all the past Risk Assessments are marked with the name of the original person or practice that prepared the report.

For more specific details:

For information and definitions of terms on this page, please refer to the Perio Risk Assessment Definitions of Terms resources in the Appendix.

To move on from this page:

Clicking the Previous button from this screen returns to the Patient Details screen.

Clicking the Next button saves all the values you have entered for this Risk Assessment, and loads the Dental Info screen.

Note: You can leave some required fields blank at this point if you will be saving the Risk Assessment as Unfinished and completing it later. The system allows you to move among the various components of a Risk Assessment without forcing you to complete all required fields. The system will check and enforce that all required values have been entered when you click “Finish” on the final screen at the point where data is transmitted to PreViser for calculation.