Record treatment plan and procedure

Once the clinical examination is done, the diagnosis and prognosis have been recorded, the doctor will then document treatment plans, procedure requests, procedures, and progress notes.

Record a treatment plan for the patient

1. Open the application and click the Patient tab in the top bar.

2. Select the patient by clicking the Patient ID. You will now be able to view your patient details.

3. Click on the Patient Visit ID.

4. Click the Treatment tab to view the details.

 Create a treatment plan

1. Go to Treatment Plan and enter the details for the following fields

Priority
Objective & plan description
Objective of treatment
Doctor's remarks

You can also click the

to add a department and multiple treatment plans by clicking +Add New Record.

Create a procedure request

1. Go to Procedure Request and enter the details for the following fields

Procedure
Priority
Requirements
Patient instructions
Procedure item status
Note

Click the

to enter additional fields such as reason and body site. You can also add multiple procedure requests by clicking +Add New Record

Create a new procedure

1. Go to Procedures and enter the details for the following fields:

Procedure Order ID
Complications
Attachment Upload
Procedure Notes
Note

Click the

to enter additional fields such as body site, procedure, reason, and outcome. You can also add multiple procedure requests by clicking +Add New Record.

Create a progress note

1. Go to Progress Note and enter the details for the following fields

Treatment Plan ID
Progress in the Visit
Future Priority
Progress Note
Complications

Click the

to enter additional fields such as Goals. You can also add multiple progress notes by clicking +Add New Record.

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