EHR Patient Overview Sheet

From PANACeA THIRRA

Contents 1 PATIENT OVERVIEW SHEET 2 Side bar 3 OVERVIEW 4 Patient Portrait 5 Demographic 6 Family Cluster 7 Immunisation 8 History 9 Upload 10 External Modules 10.1 Main Body 11 Clinical Consultation 12 Drug Allergies 13 Other Allergies 14 Vital Signs 15 Appointments 16 Current Medication 17 Medication History 18 Medical History 19 Family History 20 Lab Orders 21 Imaging Orders 22 Procedure Orders 23 Social History 24 Immunisation History 25 Antenatal History 26 Past Consultations 27 Patient Booklet

PATIENT OVERVIEW SHEET

The Patient Overview Sheet is the equivalent of the paper based patient medical card. It contains the patient's demographic information and medical history, including details of previous consultations.

Side bar

OVERVIEW

Click the OVERVIEW link to return to the main page of the Patient Overview Sheet.

Patient Portrait

Upload a portrait picture of the patient to reduce errors in opening the wrong patient's record. In the broadband version, click on the thumbnail to view a larger picture.

Demographic

Edit patient's demographic info. This includes biodata, contact information and demise information.

Family Cluster

THIRRA is able to build family cluster with one patient as the Head of the Family.

Immunisation

Add immunisations that the patient has taken previously.

History

Upload

Files such as patient portraits, scans, snapshots, etc. can be uploaded and tagged, for future retrievals. All portrait files are resized to optimise storage space.

External Modules

Links to external modules such as Generic Engine for Modules (GEM), etc. Past information recorded in GEM is inside this section.

Main Body

Clinical Consultation

Click on the link to either start a new clinical consultation or continue with the previous consultation.

Drug Allergies

List of drug allergies, that will be used to check when prescribe medicine during clinical consultation.

Other Allergies

List of other allergies, non-drugs related, e.g. pollen, etc.

Vital Signs

The most recent vital signs recorded is displayed. Go to Vitals History to see list of past readings.

Appointments

Appointments for future visits.

Current Medication

Current medication are medicine prescribed in previous sessions, and the course is yet to be completed, provided the patient adhered to dosages prescribed.

Medication History

List of the most recent medication prescribed for the patient, excluding the Current Medication list.

Medical History

List of the most recent clinical diagnosis. Diagnoses recorded during consultations are transferred here.

Family History

List of the most recent clinical diagnosis of patient's family members.

Lab Orders

List of the most recent lab orders. All lab results require the doctor to review them. A warning will show if the results is awaiting a review.

Imaging Orders

List of the most recent imaging orders.

Procedure Orders

List of the most recent procedure orders.

Social History

The most recent social history recorded is displayed.

Immunisation History

List of immunisation taken by the patient.

Antenatal History

List of all pregnancies of the patient.

Past Consultations

List of previous consultation visits. Click on the date to view the details of the consultation, in printer friendly form.

Patient Booklet

This generates PDF output for printing on small labels to be pasted on patient booklets.