EHR Clinical Consultation
From PANACeA THIRRA
m |
m |
||
Line 38: | Line 38: | ||
== Referral == | == Referral == | ||
- | Form to add [[ | + | Form to add [[EHR_Referral|referral]]. THIRRA will automatically generate a pre-polutated referral letter. |
== External Modules == | == External Modules == |
Revision as of 04:38, 28 April 2010
CLINICAL CONSULTATION
The user do not need to follow any specific order in the consultation. None of the items is mandatory except Consultation Session Information.
Only one clinical consultation session is allowed to be opened at any one time. To start a new consultation session, the previous one, if any, must be ended before a new one can be started.
If this window was closed either intentionally or unintentionally such as when the workstation crashes, the user can still resume the previous open consultation session.
Progress
Click on the Progress link to view the progress of the current consultation.
Complaints
Form to record the reasons for this encounter.
Vital Signs
Form to record patient's vital signs and anthropometric data for charting.
Lab Orders
Form to record lab orders for in-house and external labs.
Imaging Orders
Form to record imaging orders for in-house and external imaging facilities.
Diagnosis (categorised)
Form to add diagnosis, based on category of classification, e.g. ICD-10.
Diagnosis (searchable)
Form to add diagnosis using search terms.
Prescription (categorised)
Form to add prescription, based on drug system of ATC.
Prescription (searchable)
Form to add prescription, based on search terms of generic drug names or indication.
Immunisation
Form to record immunisations for the current clinical session.
Referral
Form to add referral. THIRRA will automatically generate a pre-polutated referral letter.
External Modules
Links to external modules such as Generic Engine for Modules (GEM), etc.
Consultation Session Information
Closing Consultation Session
Click the [Close Consultation] button to end the current consultation session. Clinical details of closed sessions, cannot be modified once the session is ended.