Description

Screen to access the patient clinical records. You will be able to access orders, delete open progress notes, access received electronic labs, create clinical reports, view past encounter history and send text messages to the patient.


Access


Through Main Menu

  • Click on the Clinical button, in main menu. 


Sections


Buttons

  • Encounter Signoff: Screen used by Physiatrists, Physical Therapists and Chiropractors.
  • Disclosures: Displays the disclosure information of the selected patient.  
  • View Orders: Review the patient's prescriptions, lab orders, referrals, and pending education.
  • Workflow: Supervises the location and time in the office of each patient. This area is mostly used by emergency rooms or clinics. 
  • Delete Open Notes: Selecting, allows to delete open progress notes. (Note: Once the progress note is removed from this section, it cannot be retrieved.)
  • e-Labs: Management of electronic laboratories. By pressing this button, displays the Electronic Laboratory Result screen.
  • Clinical Report: Screen that allows you to select, filter and print the patient's clinical information. Among the clinical information included are: referrals, order results, medications, diagnoses, obstetrics information, vaccinations, procedures, allergies, vital and pediatric information. It can also be accessed from the progress note, by pressing the Summary button, located in the Side Bar or pressing the Search button, located on the left side of the screen and selecting the Summary option.
  • Past Encounters: Displays the list of past encounters of the selected patient.
  • New Progress Note: By pressing, will begin a new clinical evaluation for the selected patient.
  • Previous: Closes the screen.


  • Todays Patients: Displays the list of registered patients who arrived at the office or facility. (Note: For patients to be displayed in this section, it is necessary to be identified as arrived at the office.)


  • Unattended Patients: If the patient in the Todays Patients section is identified with the white color, it means that he has not yet been seen.
  • Patients with an open encounter: If the patient in the Todays Patients section is identified with the green color,  it means that the progress note is open.
  • Patients with closed encounters: If the patient in the Todays Patients section is identified with the gray color, it means that the progress note was closed.


  • Open Progress Notes: Displays the list of patients with open and incomplete progress notes. (Note: If the patient has more than one open progress note, when double-click, the last open note will be displayed. To view all open patient notes, you must click on the Past Encounters button.)


  • Template: Displays the used clinical template un progress note.  


  • Search: In this section, you can search for any patient registered in EHRez. The user can perform the search, through the record number, name or last name.


  • Summary of Patient Information: Click on any patient in the Todays Patients, Open Progress Notes or Search listing sections, to see a summary of the demographic information of the selected patient.


Options that are displayed with a right mouse button: 


  • Refresh: Allows you to refresh screen.
  • Restore Layout: If the user has moved the different sections of the screen and wants to return to the original design, you will need to press this link.
  • Save Layout: If the user has moved the sections according to his preference and wants to keep the configured layout, he must press the right mouse button and select the Save Layout option.
  • Update todays appointment encounters: Allows you to update the status of the notes in the Todays Patients section.
  • Check for Open Progress Notes: Allows to verify if the selected patient has open progress notes. User must press the right mouse button and select the Check for Open Progress Notes box. The Past Encounters screen, will be displayed.
  • Refresh Progress Templates: Allows to update the Templates progress notes.



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