Open a Patient Folder

1. Log in as a Consultation Department user.

2. On the homepage, patients waiting for consultation are listed under Queued Patients.

3. You can also search for a patient using their Name or Folder Number.

4. Click the patient's name to open their folder.

Note:

Patients who have already been seen are listed under Medical Cases in Progress. Click Open under Action to continue the consultation.

Once the folder opens, the patient's information will be displayed.

General Consultation

Complaint

1. Click the Complaint tab.

2. Enter the patient's Presenting Complaint(s).

3. Enter the History of Complaint(s).

4. (Optional) Under On Direct Questioning, expand a category and select Yes or No based on the patient's response.

5. Complete any additional information if required.

6. Click Save.

Examination

1. Click the Examination tab.

2. Enter the patient's General Observation.

3. Under Cardiovascular and Respiratory:

4. Click Clinically Stable if applicable, or

5. Click More Options to enter detailed findings.

6. Enter any additional examination details if needed.

7. Click Save.

Diagnosis

Heads-up: A diagnosis must be added before medication can be prescribed.

1. Click the Diagnosis tab.

2. Select the patient's Pregnancy Status (Yes or No) for Females.

3. Choose the diagnosis type:

4. Provisional

5. Final

6. Query

7. Search for the diagnosis using the Diagnosis Name or ICD-10 Code.

8. Select the diagnosis from the results.

9. If it is not listed, click on Click to Add to select diagnosis and save it.

10. Select New Case or Old Case.

11. To change a diagnosis from Provisional to Final, edit the diagnosis type.

12. To remove a diagnosis, click the Delete (Trash) icon.

13. Click Save.

Note: Only Final Diagnoses are included in the facility's Morbidity Report.