Hospital

Doctor: consultation and orders

For: Doctors

The doctor sees Kiran in OPD, records the findings, orders tests and medicines, writes the initial assessment and decides to admit him.

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Step by step

1My patients#

The Doctor menu opens on My patients: patients admitted under you (with bed, day of stay and when you last wrote a progress note), today's OPD list and emergency cases you are attending. Click a name to open it. Your login must be linked to your doctor record (chapter 12).

2Start the consultation#

Open the appointment and choose Create › Patient Encounter, or start one from Doctor › Consultations. Record complaints and diagnosis.

3Order medicines and tests#

Add medicines with dose and duration, and lab or imaging tests. The notes field holds the doctor's comment for this visit.

4Submit#

Submit the encounter when done. Orders go to the lab, imaging and pharmacy, and the visit is added to the patient's history.

5Print the prescription#

Print gives the prescription in your hospital's format, ready to hand to the patient.

6Write a clinical note#

Write Note opens a note dialog. Choose the type of note and the template fills in the headings your hospital uses, here the doctor's initial assessment.

7Fill in the headings#

Type under each heading. A note cannot be saved empty or with the template untouched. The note is signed with your name, role and time, and appears in the care timeline.

8Decide to admit#

Schedule Admission sends the patient to admissions: choose the ward or bed type, expected length of stay, the admission nursing checklist and instructions for the ward.