EHR Clinical Consultation
From PANACeA THIRRA
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== Vital Signs == | == Vital Signs == | ||
Form to record patient's [[EHR_Vital_Signs|vital signs]] and anthropometric data for charting. | Form to record patient's [[EHR_Vital_Signs|vital signs]] and anthropometric data for charting. | ||
+ | |||
+ | == Physical Examination == | ||
+ | Form to record [[EHR_Physical_Examination|physical examination]] of patient, by anatomical system. | ||
== Lab Orders == | == Lab Orders == | ||
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== Immunisation == | == Immunisation == | ||
- | Form to record [[ | + | Form to record [[EHR_Prescribe_Immunisation|immunisations]] for the current clinical session. |
== Referral == | == Referral == | ||
- | Form to add [[ | + | Form to add [[EHR_Referral|referral]]. THIRRA will automatically generate a pre-polutated referral letter. |
== External Modules == | == External Modules == | ||
- | Links to [[ | + | Links to [[EHR_External_Modules|external modules]] such as [[Generic Engine for Modules]] (GEM), etc. |
- | == | + | == Antenatal == |
+ | The [[EHR_Antenatal_Info|Antenatal Module]] is activated if the patient is a female and is passed menarche. The age of menarche can be configured in config.php | ||
+ | == Consultation Session Information == | ||
+ | The user can change the date and time to back date the session if necessary. | ||
Latest revision as of 07:42, 28 April 2011
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.
Physical Examination
Form to record physical examination of patient, by anatomical system.
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.
Antenatal
The Antenatal Module is activated if the patient is a female and is passed menarche. The age of menarche can be configured in config.php
Consultation Session Information
The user can change the date and time to back date the session if necessary.
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.