How to Add a Complaint in the Patient Profile

  • Updated

Adding a complaint to a patient profile allows you to record the patient's reason for seeking care, including relevant clinical details, referral information, assigned practitioners, and the current status of the condition. This information helps maintain an accurate record of active and historical complaints throughout the patient's treatment journey.

 

When to Use This 

Use this article when: 

  • You want to document a new complaint, injury, condition, or reason for care on the patient's profile 

 

Adding a Complaint in the Patient Profile 

  1. Open the patient's profile 
  2. In the General tab, find Active Complaints 
  3. Click +Add 

 

 

The Complaint window will open 

 

 

  1. Enter the information about the complaint

     

Title
  • Enter a brief description of the patient's primary complaint or reason for seeking care
Onset Date 
  • Enter the date when the complaint, symptoms, or condition first began
Onset Location
  • Enter the body region where the symptoms or condition first occurred
Laterality
  • Select whether the complaint affects the Left, Right, or Both sides of the body
ICD Code 
  • Enter the applicable ICD diagnostic code associated with the patient's condition, if known
Treating Practitioner
  • Select the practitioner who is currently responsible for managing and providing treatment for this complaint
Requested Practitioner
  • Select the practitioner the patient has requested to see or has been assigned to see for care
Referring Practitioner
  • Select the healthcare provider who referred the patient for assessment or treatment, if applicable
Referral Category
  • Specify the general category of the referral
Referral Type
  • Indicate the type of referral received
Details
  • Enter any additional information relevant to the complaint, including symptoms, circumstances, history, or treatment considerations.
Priority
  • Select the urgency level for the complaint: Low, Medium, High, or Urgent
Status
  • Indicate whether the complaint is currently Active, Inactive, or Discharged

 

  1. Click Save 

 

Result 

The complaint is added to the patient's profile and appears in the Active Complaints section. The complaint can be selected when creating appointments and completing charts, supporting accurate documentation and continuity of care.

 

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