Follow these steps to create a new procedure:
- Open the patient record
- Make sure you are in the "Clinical" tab
- Make sure you are in the "Procedures" section
- Click New Procedure to open the procedure form
- There are three tabs at the top of the form - Admission, Clinical and Outcome
- Each tab contains a separate form related to clinical procedures
- A new procedure starts on the Admission tab
- Click to select Procedure, Provider , and Location
- Click the Tick-box to select the location - Left, Right, or Bilateral
- Complete the form with all the required details
- To add the procedure to the consultation notes, click the Add to Today's Notes tick-box
- To make the record confidential, click the Confidential tick-box
- At this point, you can either -
- a) Click Save to close the form, and not enter in any Clinical details (or enter them later)
- or
- b) Click the Clinical tab to add clinical detail to the procedure
- Complete the clinical form with all the required details
- Click Save to complete
The new procedure has now been created.
*Note: The Outcome of a procedure is usually added after the procedure has been completed, and the patient has partially or fully recovered.
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