FEM - Progress Final Medical Report

When an employee has an accident, is injured or contracts an occupational disease on duty and needs to be compensated for medical treatments, reports need to be filled in and other supporting documents of the practitioners findings need to be submitted to The Federated Employers Mutual Assurance Company.

The FEM - Progress Final Medical Report is for the Practitioner to track and capture the progress of the Patients medical condition. The progress report must be submitted on a monthly basis to the employer until the employee's condition has become stabilised thereafter a final medical report will need to be submitted.

  • The contents of this User Manual will consist of the following information:
    • Incident Details.
    • Condition and Treatment Details.
  • Log in to the GoodX Web App with your GoodX username and password.
  • The Diary screen will open.



  • Click on the desired booking to access the Sidebar.


  • Click on the Clinical button to access the Clinical Case screen.

  • The Clinical Case screen will open.


  • Click on the Forms Library drop-down menu on the Sidebar.


  • Select the form named FEM - Progress Final Medical Report.


  • The form will be added to the Sidebar under the Active Forms section. 


  • The  FEM - Progress Final Medical Report form will open.



Incident Details

All information regarding the Employee's personal details, Employer details, and the details of the claim and incident. The available details from the patient's file will be filled in automatically, these fields will not be able to be changed, all open fields should be filled in. If any of the details are incorrect or need to be updated, please refer to the user manual: View or Update Debtor and Patient Information.  

  • The following information will appear in the Incident details section, this is all the information relating to the incident. Please Fill in the open fields.


    • Claim Number: The claim number that has been received from The Federated Employers Mutual Assurance Company. This is the number that will be used to submit the claim.
    • Date of Accident: The date that the incident took place. 
    • Staff Number: The number that has been allocated to the patient by their employer.


    • Employer Name: The registered name of the company with whom the patient is employed.
    • Registration: The company registration number of the company that the patient works for.
    • Address: The physical address of the company. 
    • Post Code:  The postal code of the physical business address.

 

    • Employee Name: The Name and Surname of the patient that has been injured. 
    • ID Number: The identification number of the patient.
    • Address: The physical address of the patient.
    • Post Code: The postal code of the physical business address.

Condition and Treatment Details 
All the details regarding the progress or final prognosis of the patient's condition as a result of the incident as well as all treatment details.

  • Please fill in or select the relevant option for each field:


    • Is the condition healing satisfactorily?: Is the condition improving as what the practitioner has expected it to.
      • Tick the checkbox if it is healing as expected.
    • If not, state briefly the hindering or complicating factors: If the patient isn't healing as the practitioner expected all hindrances and complications must be explained. This is a free text field that will need to be filled in. 
 

    • Will further treatment by (choose) result in further improvement of employee's condition? If the patient receives further treatment by the consulting practitioner or a specialist will their condition improve?  Tick the check box if relevant.
      • Click on the Choose drop-down menu to select an appropriate option:

        • Yourself: Treating practitioner 
        • Specialist: A practitioner that specialises in a specific medical field.

    • Previous Consultation: All the details regarding the consultation prior to this one.


        • Click on the Consultation Date field. 

        • The Calendar to select the date of the previous consultation will open.

          • Click on a date to select it.

      • Consultant: The details of the practitioner that treated the patient with the previous consultation. This is a single-line text field.

      • Result: The outcome of the consultation. This is a single-line text field.


    • Fit for Work Date: The Date that the practitioner feels the patient is ready to return to work. 
      • Click on the Fit for Work Date field to open the Calendar to select a date.

        • Click on a date to select it.
    • X-rays Taken Since Last Report: If the patient has been for X-rays since their last consultation the details thereof will be added to this section.


      • Click on the Date field.

        • The Calendar to select a date for when the previous X-rays were taken will open.

          • Click on a date to select it.

      • By Whom: The person or radiology practice who did the imaging of the x-rays. Add the relevant details in the provided text box. 

      • Result: What the X-rays have shown regarding the current condition of the patient's injuries.

    • Operative/Manipulative Procedures Since Previous Report:  If the patient underwent any surgeries or other treatments since the last time they saw the practitioners, details thereof will be listed in this section.


        • Click on the Date field.

        • The Calendar to select a date for when the Operative/Manipulative Procedures were done will open.

          • Click on a date to select it.

      • By Whom: The details of the surgeon who performed the surgery and at which facility. Add the relevant details in the provided text box.

      • Local or General Anaesthetic: The type of anaesthesia that was administered. 
        • Make a selection from the drop-down menu:

          • Local: Temporarily numb a specific area of the body, patients are awake during this type of anaesthesia, which is typically administered by injection. 
          • General: The patient was put into a controlled state of unconsciousness monitored by an anesthesiologist administered with a gas mask or through an intravenous line.

      • If General: Duration: If general anaesthesia was administered, how many minutes did the patient receive anaesthesia. Add the number of minutes in the provided text box.

      • Brief Report: A detailed description of the details relating to the surgical procedure or manipulative treatments that the patient has undergone as a result of their condition or injury. This is a free text field that can be filled in.


    • Have any anti-sera or vaccines or plaster of Paris bandages been used in the course of treatment since the previous report? If so, state dates and quantities: Has any anti-venom or vaccines been administered to the patient? Has the patient received any plaster of Paris bandages to set broken bones as a treatment for their condition? If so, state the dates and quantities of each. This is a free text field that can be filled in.


    • Have you ordered physiotherapy (with whom) since the previous report?: Has the practitioner recommended physiotherapy as a treatment for the patient's condition since the previous consultation? If so, please provide the details thereof including the details of the physiotherapist. This is a single-line text field.


    • Has the condition sustained by the employee as a result of the accident become stabilised?  The practitioner will be able to indicate if the patient's condition has improved with treatment and become stable since the first consultation or if there is no longer anything that can medically be done for the patient.
      • Tick the checkbox if the option is relevant.
    • If so, has the accident resulted in any permanent disability? If the patient's condition has become stabilised, has the patient been left with a permanent disability. 
      • Tick the checkbox if the option is relevant.
    • If so, describe in Detail such Permanent anatomical defects and/or impairments of function as now exist as a result of the accident: If the patient has been left with any permanent disabilities, give a detailed explanation of the defects and impairments the patient now has as a result of the accident. This is a free text field that can be filled in.

  • Click on the Signature field to add a signature to the report.


  • Click on the date field to open the Calendar to add the date that the form was completed by the practitioner, treatment date. This field will always default to today's date.


    • The Calendar will open in order for the practitioner to select the relevant date.

      • Click on a date to select it. 

  • Click on the Complete button to finalise the form when satisfied with the content.


  • The Complete button will change to a completed status.


  • Click on Close to return to the main Diary screen without saving.


  • Click on the drop-up menu next to Save and Close for more saving options.

    • Save: The user is able to save the changes made to the form without closing the form. 
    • Save Lines To New Macro: Allows the user to create a new macro. 
  • Click on Save and Close to save the clinical form and close the screen to return to the main Diary screen.



Last modified: Thursday, 5 August 2021, 9:44 AM