There are 2 buttons Clinician (Clin) and Clinician sparse (Fast).
Clinician opens the clinical data sheet and the clinical notes page.
Clinician Sparse opens the clinical notes only.
There are a number of tricks you can use with the clinical notes page in term of printing and searching.
If you bring up the clinical notes page, and click on the print button it will print the old notes in entirety.
If you have some entries in today’s notes or treatment boxes it will ask you whether you want to print just today’s notes or all notes.
If you select some text by highlighting it in either the old notes, or today’s entries it will print the selected text.
When you are in the clinical notes page if you press CTRL-F it will bring up the “Find” dialogue. To make use of this position your cursor in the Old Notes text, fill in what you want to search for in the “Look for” entry box and click on the “Find Next” button.
Clinical application:
A child attends with otitis media. You want to know the last time you saw them for this problem.
- Click into the old notes text area.
- position you cursor at the end of the last entry in the old notes.
- Press CTRL-F on the keyboard
- Enter OM (or whatever you would usually write) into “Look for” field
- Check the box labelled “Search Backwards”
- Click on the Find Next button
You should now be resting at the last clinical notes entry for OM. If you wanted to you find the preceding entry for OM you could click on find next again and the cursor would be moved further back through the notes to the next earlier entry
If you wanted to find the first time you had prescribed Mercilon for a patient.
You would position your cursor at the beginning of the old notes, type “mercilon” in the “Look for” entry box and click on “Find Next”. The CTRL-F dialogue searches forward by default. So you would not check the “Search Backwards” box in this case.
Remember if the clinical notes page is open and you write a script using the script writer it will automatically be written into today’s treatment (as part of the consultation), whereas if the notes are NOT open it will be written into the notes with a “Script” entry notation. It doesn’t matter how you prefer to do this, but if you are searching your notes at a latter date, this might explain the formatting you can see.
Clinical Data Sheet
This displays all the “clinical” information stored in tables on the patient.
It is the place to store information on problems, past history and family history.
Why bother entering this information?
The letter writer has 2 insert clinical data buttons which allow an abbreviated or full clinical history to be inserted into the body of the text. Obviously it can only be displayed if it exists in the database.
The consultation slip and Cover page(see below) also displays this information.
You can use the Tools/Easy Search Menu item to search for a list of patients with a common problem, like asthma, but this will only work if the problems have been entered in the first place. While we are on the search subject, you can search a range of tables in this same way. eg This would allow you to find a list of all patients with a family history of hyperlipidaemia and use this in a screening program.
You could search the prescription table to find all patients who had been prescribed a specific drug, in the instance of a recent drug recall.
You could search the clinical notes to find any entries for pheochromocytoma, because you know you noted this in somebody’s notes but can’t remember who.
Most of the uses for the Easy Search Tool do require you to enter some information to get something out!
A recent addition is the clinical notes summary page called the “Cover Page”. You can see this by clicking the Get Data Summary button at the bottom of the cover page. This displays a configurable set of clinical information held on the other pages of the data sheet.
Towards the top of this page will be displayed the current recall status with any outstanding recalls indicated. You can modify the clinical data that is displayed on this page by using the properties form of the clinical data sheet.(right mouse click on the clinical data sheet form, choose “properties” from the right-click menu).
This allows you to set whether the clinical data load as you open this form (if not you access it via the get data summary button).
Why would you want to have this optional? Loading data takes time. Depending on the speed of your hardware, loading this clinical summary may add 3-20 seconds to the time it takes to open this screen…..so if this was too slow, and you rarely used the information displayed you should not check the “Load Data Summary on startup” box. You can always access this information via the “Get Data Summary” button.
However 3 seconds isn’t much, the clinical data summary has lots of useful information on it, (lots of users have requested it), in which case you would check this option on.
There is a page on the clinical data sheet which manages the “Other Recalls” function. This is quite an extensive tool and I am writing a special item for this! |