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Screening - Oral and Vision/Color

Navigation: Select Student > Health >Sreenings

Note: Health code values are loaded automatically with the installer. Enter any additional values manually. See the Appendix for documentation of valid values.

Add Vision and Color Screening

IL Examination Report ElementData ElementAdditional Information [Table]FieldName

Screening Details


Screening Provider Name
[HealthStudVision]ScreenerName
Date of examScreening DateDate at which screening was done

[HealthStudVision]ScreenDate

GradeGrade Level
[HealthStudVision]GradeLevelAtScreen

Screening Provider Type
[HealthStudVision]VisionScreenerTypeLuID

Vision and Color


Vision Referral Date
[HealthStudVision]ReferralDate
Recommendations -Corrective lensesVision Aid
[HealthStudOral]VisionAid
Uncorrected visual acuity - Distance (Right)Right Eye Vision Test ResultSee the Appendix for valid values for the following elements:HealthStudVisionyeTestLuID
Uncorrected visual acuity - Distance (Left)Left Eye Vision Test ResultSee the Appendix for valid values for the following elements:[HealthStudVision]LeftEyeTestLuID
Uncorrected visual acuity - Distance (Both)Both Eyes Test ResultSee the Appendix for valid values for the following elements:[HealthStudVision]bothEyeTestLUID
Best corrected visual acuity - Distance (Right)Right Eye Result w/ CorrectionSee the Appendix for valid values for the following elements:[HealthStudVision]rightEyeTestWithCorrectionLUID
Best corrected visual acuity - Distance (Left)Left Eye Result w/ CorrectionSee the Appendix for valid values for the following elements:[HealthStudVision]leftEyeTestWithCorrectionLUID
Best corrected visual acuity - Distance (Both)Both Eyes Result w/ CorrectionSee the Appendix for valid values for the following elements:[HealthStudVision]bothEyeTestWithCorrectionLUID
Uncorrected visual acuity - NearUncorrected visual activity (Near) bothSee the Appendix for valid values for the following elements:[S_IL_HSV_X]Uncorrected_Visual_Activity
Best corrected visual acuity - NearBest corrected visual activity (Near) bothSee the Appendix for valid values for the following elements:[S_IL_HSV_X]Corrected_Visual_Activity
Was refraction performed with dilation?Was refraction performed with dilation?Checkbox[S_IL_HSV_X]Refraction_Performed
External exam (lids, lashes, cornea, etc.)External exam (lids, lashes, cornea, etc.)

Dropdown with values - Normal, Abnormal & Not Able to Access

External Exam Comments

[S_IL_HSV_X]External_Exam

[S_IL_HSV_X]External_Exam_Detail

Internal exam (vitreous, lens, fundus, etc.) Internal exam (vitreous, lens, fundus, etc.) 

Dropdown with values - Normal, Abnormal & Not Able to Access

Internal Exam Comments

[S_IL_HSV_X]Internal_Exam

[S_IL_HSV_X]Internal_Exam_Detail

Pupillary reflex (pupils) Pupillary reflex (pupils) 

Dropdown with values - Normal, Abnormal & Not Able to Access

Pupillary reflex Comments

[S_IL_HSV_X]Pupillary_Reflex

[S_IL_HSV_X]Pupillary_Reflex_Detail

Accomodation and VergenceAccommodation and Vergence 

Dropdown with values - Normal, Abnormal & Not Able to Access

Accommodation and Vergence Comments

[S_IL_HSV_X]Accomodation_Vergence

[S_IL_HSV_X]Accomodation_Vergence_Detail

Glaucoma evaluation Glaucoma evaluation 

Dropdown with values - Normal, Abnormal & Not Able to Access

Glaucoma evaluation Comments

[S_IL_HSV_X]Glaucoma_Evaluation

[S_IL_HSV_X]Glaucoma_Evaluation_Detail

Oculomotor assessment Oculomotor assessment 

Dropdown with values - Normal, Abnormal & Not Able to Access

Oculomotor assessment Comments

[S_IL_HSV_X]Oculomotor_Assessment

[S_IL_HSV_X]Oculomotor_Assessment_Detail

OtherOther

Dropdown with values - Normal, Abnormal & Not Able to Access

Details on any other examination taken

[S_IL_HSV_X]Other_Examination

[S_IL_HSV_X]Other_Examination_Detail

Ocular historyOcular history

Checkbox 

Normal and Positive for details

[S_IL_HSV_X]Ocular_History

[S_IL_HSV_X]Ocular_History_Detail

Medical historyMedical history

Checkbox 

Normal and Positive for details

[S_IL_HSV_X]Medical_History

[S_IL_HSV_X]Medical_History_Detail

Drug allergiesDrug allergies

Checkbox 

Normal and Positive for details

[S_IL_HSV_X]Drug_Allergies

[S_IL_HSV_X]Drug_Allergies_Detail

Other informationOther informationText Box

[S_IL_HSV_X]Other_Information_Detail


Muscle BalanceSee the Appendix for valid values for the following elements:[HealthStudVision]muscleBalanceLUID
Examination - Color visionColor Blind Test ResultSee the Appendix for valid values for the following elements:[HealthStudVision]ColorBlindTestLuID

Vision AidText box with details of corrective lenses if recommendedHealthStudVision]VisionAid
DiagnosisOutcome & Comment


Screening OutcomeSee the Appendix for valid values for the following elements:

[HealthScreenLookup]CodeType (Screening element, such as LeftEyeTestCode)

[HealthStudVision]VisionScreenOutcomeLuID


CommentRecommendation[HealthStudVision]ScreenComment
Preferential seating recommendedPreferential seating recommended

Checkbox

Textbox - Details

[S_IL_HSV_X]Preferential_Seating

[S_IL_HSV_X]Preferential_Seating_Detail

Corrective lensesCorrective lenses

Checkbox

Textbox - Details

[S_IL_HSV_X]Corrective_Lenses

[S_IL_HSV_X]Corrective_Lenses_Detail

Recommend re-examinationRecommend re-examination

Dropdown

Textbox - Details

[S_IL_HSV_X]Recommended_Examination

[S_IL_HSV_X]Recommended_Exam_Detail

Oral Health Screening

IL Examination Report ElementData ElementAdditional Information [Table]FieldName

Screening Details


Date of Most Recent ExaminationScreening Date

[HealthStudOral]ScreenDate


Screening Provider Name

[HealthStudOral]ScreenerName


Screening Provider Type

See the Appendix for valid values for this field

[HealthScreenLookup]CodeType (Screening element)

[HealthScreenLookup]CodeType (Screening element)

[HealthStudOral]OralScreenerTypeLuID

Grade LevelGrade
[HealthStudOral]GradeLevelAtScreen
Check Services provided at Examination Date Services provided at Screening Date

Checkbox for following (Multiple checkbox can be checked)

Dental Clleaning

Sealant

Flouride Treatment

Restoration of teeth due to Caries

Value stored in each field is 1 or 0

[S_IL_HSO_X]Dental_Cleaning

[S_IL_HSO_X]Sealant

[S_IL_HSO_X]Fluoride_Treatment

[S_IL_HSO_X]Teeth_Restoration

Oral Health StatusAssessment

Dental Sealants Present on Permanent MolarsDental Sealant Present

Dropdown with value - Yes, No

[HealthStudOral]IsDentalSealantPresent

MalocclusionDropdown with value - Yes, No[HealthStudOral]IsHistoryCariesPresent
Caries Experience / Restoration History

History of  Caries Present

Dropdown with value - Yes, No[HealthStudOral]IsMalocclusionPresent
Untreated Caries Untreated Caries PresentDropdown with value - Yes, No[HealthStudOral]IsUntreatedCariesPresent
Urgent TreatmentTreatment Urgency

See the Appendix for valid values for this field

Dropdown with value - Yes, No

[HealthScreenLookup]HealthCategory (user-defined display value)

[HealthStudOral]TreatUrgencyLuID


Outcome & Comments


Screening Outcome

See the Appendix for valid values for this field

[HealthScreenLookup]OralScreeningOutcome

[HealthScreenLookup]OralScreeningOutcome

[HealthStudOral]OralScreenOutcomeLuID

Additional commentsComments
[HealthStudOral]ScreenComment
Treatment NeedsTreatment Needscheck all that apply. For Head Start Agencies, please also list appointment date or date of most recent treatment completion date.
Restorative Care - Checkbox & DateRestorative Care - Checkbox & Date

For amalgams, composites, crowns, etc

Checkbox checked if treatment needed

Date to be updated when the treatment is needed

[S_IL_HSO_X]Restorative_Care

[S_IL_HSO_X]Restorative_Appt_Date

Preventive Care - Checkbox & DatePreventive Care - Checkbox & Date

For sealants, fluoride treatment, prophyl
axis

Checkbox checked if treatment needed

Date to be updated when the treatment is needed

[S_IL_HSO_X]Preventive_Care

[S_IL_HSO_X]Preventive_Appt_Date

 Pediatric Dentist Referral Recommended - Checkbox & Date Pediatric Dentist Referral Recommended - Checkbox & Date

Checkbox checked if treatment needed

Date to be updated when the treatment is needed

[S_IL_HSO_X]Pediatric_Dentist_Referral

[S_IL_HSO_X]Treatment_Completion_Date

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