ClinicalΒΆ
The Clinical menu is the doctor's and the nurse's record of the patient:
- the queue of patients waiting for the doctor today;
- consultations, with diagnoses coded in I.C.D.-10;
- allergies and long-standing problems;
- the discharge summary;
- the daily ward chart;
- operations and the casualty register, with medico-legal cases;
- the blood bank;
- immunisation, antenatal care, births and deaths;
- the consent forms, letters and certificates to print.
| Option | Use it to | Page |
|---|---|---|
| My Queue | See the patients waiting for you today and call the next one in | O.P.D. Queue |
| Consultations / New Consultation | Write the doctor's note of a visit: vitals, complaints, examination, diagnosis, advice | Consultations |
| Clinical Record | See everything clinical about one patient, and record allergies and long-standing problems | Consultations |
| Discharge Summaries / New Discharge Summary | Write the summary the patient takes home | In the Wards |
| Ward Chart | Record the day of an admitted patient: temperature, pulse, B.P., intake and output, medicines given, notes | In the Wards |
| Operations / New Operation | Record an operation, its note, and the implants and consumables used | Operations and Casualty |
| Casualty Register / New Casualty Case | Record an emergency, and the M.L.C. when the police must be told | Operations and Casualty |
| Blood Donors, Blood Stock, Cross-match and Issue | Run the blood bank | Blood Bank |
| Immunisation | Keep a child's vaccination card | Mother and Child |
| A.N.C. Register / New A.N.C. Card | Follow a pregnancy visit by visit | Mother and Child |
| Birth Register / New Birth, Death Register / New Death | Keep the registers of births and deaths | Mother and Child |
| Consents and Forms | Print consent forms, referral letters, the M.L.C. intimation and certificates, in English or Hindi | Consents and Forms |
| Follow-up Recall | See the patients due to come back | Consents and Forms |
Please Note
Every clinical screen shows a Please Note line once the patient is chosen. It lists the patient's allergies and long-standing problems from the Clinical Record, so nobody prescribes penicillin to a patient allergic to it.
