Observations & Vitals: Quick Guide

Recording and reviewing patient observations is a key part of ongoing care. In MediRecords, observations can include physical measurements, pathology results, and a variety of other clinical data points. These records are stored in the patient’s clinical record, where they can be viewed in detail or compared visually over time, helping providers to identify changes, trends, and potential concerns.

The Observations feature also makes it simple to add new vitals during a consultation, edit existing entries, or delete outdated information. Clinicians can print records, generate percentile charts for paediatric patients, and even graph results against previous recordings for clearer insights. By keeping observations up to date, practices can support more informed decision-making and provide safer, more consistent care.

Contents

1. Viewing Vitals

2. Graphing Results over Time

3. Adding Vitals

4. Editing Vitals

5. Deleting Vitals

6. Printing Vitals

7. Percentile Charts

Viewing Vitals

The Observations page displays the complete history of observations of a patient which is viewable as individual records or plotted on a timeline graph. 

1. Open a Patient record

2. Go to Clinical Section

3. Go to Observations

4. Select the Category and Sub-category (in the below example, Physical > Pulse) and the observations will be displayed in the table on the right-hand side.

   

   
    

5. To sort by each column in the observation window, click on the relevant heading at the top of the table. The below example is sorted by Date, denoted by an upwards arrow. 

Graphing Results over Time

Timeline Graph function is helpful to compare Vitals recordings taken for the same patient, over time. To view the graph

1. Open patient record

2. Go to Clinical tab

3. Go to Observations section

4. Click the Observation Name (for example temperature)

5. All observations for this sub-category will be displayed in the observation grid.

6. Click View > Timeline Graph

7. Click another Observation Category/ sub-category to display the results on the timeline graph

Adding an Observation

1. Open patient record

2. Go to Clinical tab

3. Go to Observations section

4. Click Add Observation to reveal a drop-list of observations.

   

   
    

5. Click on the observation you wish to record to open the observation form. (for e.g. ROM Lower Limb) 

6. Complete the form with all the required details

7. Click Save to complete.

   

   
    

8. The observation will now be recorded and available to view by selecting the category (Rom-Lower Limb) and the sub-category (ankle-foot).

   

Editing an Observation

1. Open patient record

2. Go to Clinical tab

3. Go to Observations section

4. Select the Category and sub-category the observation belongs to. This will display all the recorded observations in the observations grid.

5. Select the tick-box next to the observation you wish to edit 

6. Click Edit

   

   
    

7. The recorded observation will become editable. 

8. Click enter after editing.

Deleting an Observation

1. Open patient record

2. Go to Clinical tab

3. Go to Observations section

4. Select the Category and Sub-category  of the observation you wish to print (Physical and Temperature in the example below)

5. Click Delete to permanently delete the observation record

   

   
    

6. Click Yes to acknowledge the observation will be deleted permanently.

   

   
    

7. The observation result has now been permanently deleted.

Printing an Observation

1. Open Patient record

2. Go to Clinical tab

3. Go to Observations section

4. Select the Category and Sub-category of the observation you wish to print (Physical and Temperature in the example below)

5. Click Print to open a print preview

   

   
    

6. Check to make sure the page is going to the right printer Destination and click Print.

7. The observation has now been printed.
    

Percentile Charts

1. Open patient record

2. Go to Clinical tab

3. Go to Observations section

4. Click the Percentiles tick-box
   
   
    

5. To view a chart, simply click on the check box next to the observation in the observations grid

6. Select View

7. Select Timeline Graph

   

   

   
    

Percentiles will now be displayed in observations within the patient record.