Clinical Information (Web App)

• The Script will be used to Prescribe Medication to the patient. The Patient will take this Script to the Pharmacy to get his/her medication.

• Click on the Dairy Booking and click on the Clinical button on the Side panel
  

• Choose the Text and Image Form from the Forms Library on the right-hand side:

• The Form will be under Available Forms to start using on this Patient:

• Script Form:

• As Informed by a Patient - This is for reference from the Patient. The Patient has explained to the Doctor what is wrong with him. 

• The Patient Part:
  

• All the information in the Patient part comes from the Debtor and Patient Information as created on the Debtor add screen.
• Patient Signature - an Electronic signature from the Patient that all his/her information is correct. This is not a compulsory field.
• Click on the Plus sign 

• Click on the Edit button to start creating the Signature; you can use a touch screen or your mouse to make a signature

• Click on Finished if you are happy with the Signature or Cancel to start again with the Signature
• Reset - To clear the Signature and try again
• Edit - You can make changes on the Signature, add more to the signature
• Click on close to cancel the signature, Click on Save to save the signature

• The Script Items Part:
  

• Diagnosis - Type in the ICD10 code or the description 
• Code - Stock code or description
• Dose - The strength of the tablets, syrup, cream the patient must get
• Repeat-  How many times the Patient is allowed to refill the medication
• Route - How the patient must be using the Medication for example Oral, Nasal or with Infusion.
• Frequency - How many times a day the Patient must use the Medication
• Quantity - How many items of the tablets, syrup, cream the patient must get
• Days supplied - How many days the patient must use the Medication 
• Signata - How the patient must use the medication, for example, 2 Tablets before lunch
• - Will show the medication generic items list
• Add Script Item - To add more medication on the script
• Add Favourite Codes - a list will open with the medication you use the most

New Function - Patient weight is now visible on the Script:

• On the script above Medication note, the Dr can now see the Patient weight. This will let the Dr prescribe medication more accurately. 

TAKE NOTE: In order to see the patient weight, Dr must first complete the weight field in the General Examination.

• Select a debtor >> On the sidebar select Clinical >> Select a Form to Add >> General Examination >> Physical Examination >> Vital Measurements >> Weight >> Complete.

• Medication Note - This is free text, the Doctor can use this to write or type any information that is important 
  

• Doctor Signature - an Electronic signature from the Doctor that the information is correct.
  
• Click on the plus sign 

• Click on the Edit button to start creating the Signature; you can use a touch screen or your mouse to make a signature

• Click on Finished if you are happy with the Signature or Cancel to start again with the signature
• Reset - To clear the Signature and try again
• Edit - You can make changes on the Signature, add more to the signature
• Click on Close to Cancel the signature, click on Save to Save the signature

• Click on Finalise if all the information is correct, The Finalise will turn green.

• Email - You can email this document for your records or to the Patient. Click here for instructions on how to email the form.
• Print - You can print this form for your records or for the Patient. Click here for instructions on how to print the form.
• Expand All - Will open all the stages
• Collapse All - Will close all the stages (Minimise)

• Please remember to click on Save to save this form on the Patient profile.

• Click on Close if you do not want to save the form on the Patient Records