For doctors

Back to the guide

You see only your own schedule, your own patients, your own notes and your own income. Nobody else’s are shown to you, and yours are not shown to other doctors unless you choose to share.

My day

This is the screen you land on.

• Pick a day from the row at the top. Today is chosen.
• Appointments lists the patients booked with you on that day. A patient marked as waiting has been checked in by reception. Patients who are checked in carry their token number.
• Under each name you see how often you have seen the patient before, the vitals taken before they came in, and your last note.

For each patient:

1. Press History and notes (it reads Record and notes on a first visit) to open the patient’s record.
2. Write your note, prescription and anything else, as described below.
3. Come back and press Finish visit.

Earlier visits still open appears when you saw a patient on an earlier day and never finished the visit. Press Finish visit on each.

Waiting for you appears when test results have come in on your orders, or patients you asked back are due. Click a name to open the record.

The patient’s record

The record has the patient’s details on the left and your clinical work on the right.

Vitals

The Vitals card is at the top of the record. For each thing measured it shows:

• the latest reading,
• a small line through the last few readings, so a rise or a fall is seen at a glance,
• how much it changed since the time before, and when that was.

It covers blood pressure, pulse, temperature, oxygen, blood sugar, weight, body mass index and breathing rate. Body mass index is worked out when both weight and height were taken.

The nurse or the desk normally takes vitals before the patient comes in. Any note they left for you shows under the readings. To take them yourself, press Record vitals.

Every reading opens the full list, with who took each one.

Clinical notes

1. Type your note in New note.
2. Check For which visit. It is set to the visit you came from.
3. Press Save note.

Things to know:

• A saved note cannot be changed. If something is wrong, press Correct this note under it and write the correction. Both stay on record.
• Your notes are private to you. Tick Share my notes if you want this patient’s other doctors in the clinic to read them. Untick it and they are hidden again at once.
• A note you have not saved is kept on that computer, under your own sign-in, so a refresh or a power cut does not lose it.
• The admin can open notes, but each time they do it is recorded.

Allergies

The Allergies card shows what the patient must not be given. Everyone who opens the record sees it.

• To add one, type what the patient is allergic to, and the reaction if you know it, and press Add.
• An entry made by mistake is removed with the small cross beside it. It is struck out, not erased.

The list is checked every time you prescribe.

Writing a prescription

1. Press New prescription.
2. Type the diagnosis if you want it printed.
3. In Add a medicine, start typing a brand name or a generic name. The pharmacy’s own list appears, and each medicine shows whether it is in stock today.
4. Click a medicine to add it. If the pharmacy does not stock it, choose the last line to write it as you typed it.
5. For each medicine fill in the dose, how often, for how long and the quantity. Add instructions such as “after food”.
6. Add any advice, and a Come back on date if you want the patient to return. Setting that date also puts the patient on the follow-up list.
7. Press Save and print.

The prescription opens on the clinic’s letterhead with your name, qualifications and registration number. Press Print.

Warnings. If a medicine clashes with a recorded allergy, or with a pair on the clinic’s list of medicines not to give together, a warning appears before the prescription is saved. Read it. To go ahead, tick the box to confirm. Your confirmation is kept on the prescription.

The warnings come from this patient’s allergy list and from the clinic’s own list of pairs. They are a prompt, not a full drug reference. No warning does not mean no risk.

A saved prescription cannot be changed. To fix one, press Replace on it, correct it and save. The earlier one stays on record, marked as replaced.

What the pharmacy gave. A saved prescription goes to the pharmacy till by itself. Once the pharmacist fills it, each medicine on your list shows how many the pharmacy gave. If the brand you picked was out of stock, the pharmacist may give another brand of the same generic, strength and form, and records why. Anything else needs you to replace the prescription.

Ordering tests

1. Press Order tests.
2. Tick the tests you want. Laboratory tests and imaging are listed separately.
3. Add a note for the lab if needed, such as “fasting”.
4. Press Order and print the slip. The patient takes the slip to the lab.

When a result is typed in, it appears beside the test in Tests and results. A value outside the normal range is marked Outside normal. Opening the record marks new results as read.

You can type a result in yourself with Enter result. The desk and the admin can too.

Letters and certificates

1. Press Write a letter.
2. Choose where to start from: a referral letter, a sick note, a fitness certificate, or a blank letter.
3. For a referral, type who it is to. Names you use are remembered for next time.
4. Type the diagnosis or reason. The wording fills itself in with the patient’s name, age, record number, your name and the date.
5. Change the wording as you wish.
6. Press Issue and print.

Each kind of letter is numbered in its own register. A letter cannot be changed once issued.

Asking the patient back

At the foot of Letters and follow-up:

1. Choose the date the patient should come back by.
2. Type what the desk should tell the patient.
3. Press Add to the follow-up list.

The desk reads this message when it rings the patient, so write what to tell them, not the diagnosis.

Reporting a suspected reaction to a medicine

1. On the Allergies card, press Report a reaction.
2. Name the medicine, and the batch number if the patient has the pack.
3. Say what happened, when it started and how severe it was.
4. Add the action taken and the outcome.
5. Press Save report.

The medicine is added to the patient’s allergy list, and the report opens ready to print.

A summary of the visit for the patient

In Appointments, press Summary beside a visit. It gathers everything written at that visit: your notes, the prescription, tests with their results, and letters.

• Press Print to print it.
• Type who you gave it to and press Record hand-over. This keeps a log of what left the clinic and to whom.

The same Record hand-over box is on every printed sheet.

Follow-ups

Follow-ups in the menu shows your patients who are due back, and your results:

• Due back: patients you asked to return, most overdue first. The desk sees the same list and rings them.
• Results to read: results that have come in on tests you ordered.
• Results to type in: your orders still waiting for a result.

My schedule

Open My schedule from the menu.

• Weekly sessions are the days and hours you see patients, and how long each slot is. Patients can be booked only inside these sessions. Press Add sessions to add one.
• Tick Auto-confirm online to accept online bookings without reception approving each one.
• Time off is for days or hours you are away. Press Add time off. Nobody can be booked in that time.

Your fee and your share of it are shown here. Only the admin can change them.

My income

Open My income from the menu.

• The top shows what the clinic owes you now.
• Choose the dates and press Show to see your visits and earnings in that period.
• The list shows your share of each visit and each payout made to you.

Your share of a visit is added when reception checks the patient in.

For technical users. Vitals are stored in fixed units (Celsius, kilograms, centimetres, mg/dL) whatever unit was typed; the temperature unit shown is a preference kept on each device. A reading is append-only apart from being struck out once, which a database trigger enforces. Privacy is enforced by the database, not by hiding menus. A doctor’s session can read only rows that belong to that doctor: appointments, patients with an appointment with them, their own notes and documents, and their own income. Sharing is a per-patient switch held in patient_note_sharing, and it covers notes, prescriptions, lab orders and letters. A doctor reads pharmacy stock only through one function that returns sellable quantities, never costs or batches.