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Allergies, risks
Risk 1
Risk 2
Risk 3
W000021
BROON PA
1 Glebe Street
The Toon
12 March 1942

Cons
Ward
Bed
Patient Allergies
Risks
Summary
Current problem(s)
Done
Treatment
Results
Plan
To do
Messages



Timeline
spanPanelRightTitle



Admission Date
Time
Type
Source

Discharge Date
Time
Type
Destination
Ward
Consultant

Allergies, risks
Placeholder

Presenting complaint(s) 
Separate symptoms with commas for automatic coding
SNOMED terms  

Relevant past medical history
Date (optional) Diagnosis (text) SNOMED term

Relevant family history
Placeholder

Relevant social history
Placeholder

Clinical findings on admission
Separate findings with commas for automatic coding
SNOMED terms  

Test results
Placeholder

Diagnoses and problems 
Date (optional) Diagnosis (text) SNOMED concept
Date (optional) Site (text) Diagnosis (text) SNOMED concept
Date (optional) Side Diagnosis search
SNOMED concept
Notes / uncoded diagnosis
Date (optional) Side Diagnosis (SNOMED concept) Notes / uncoded diagnosis
Date (optional) Side Diagnosis (SNOMED concept: ICD10 code) Notes / uncoded diagnosis

Treatment, operations and procedures
Date (optional) Treatment (text)

Progress in hospital
Placeholder

Changes to medication
Placeholder

Tests requested
Placeholder

Follow-up
Placeholder

Recomendations
Placeholder

Info given to patient
Placeholder

Info given to family/carers/others
Placeholder


Radiology request

Radiology department
Patient location

Urgent suspected cancer
High priority
Private patient

"Walk around"
Collect patient from ward/department
Mobile/portable
Send out appointment

Is the patient pregnant, or could the patient be pregnant?
Yes
No

Is the patient suitable for bowel preparation?
Yes
No

Fasting

Clinical trial

Allergies, intolerances and other risks
Risks
Copy changes to the red risks box at the top of the patient's PCP record.
Favourite tests
Other tests
Placeholder for combo
Tests required
Recorded clinical information

Relevant clinical information
Clinical info
Copy changes to current problems column of handover sheet.
In PCP implementations where the patient's medication list is available, this box contains a list of the patient's current and discontinued meds ordered in reverse chronological order by stop date; the user can add a med to the relevant medications by clicking a button. Relevant medications
Metformin
Anticoagulants
Other
Med 1
Med 2

Clinical question to be answered by this test
None


Mobility
Walking
Chair
Trolley
Bed
Ambulance
Drip stand
Hoist
Obese
On oxygen

Additional infection control measures required
None


For tests which may require IV contrast agents - does the patient have
Asthma
Heart failure
Hypertension
Renal impairment

for MRI scans - does the patient have any of the following?
Cardiac pacemaker
Hydrocephalus shunt
Intra-ocular foreign body
Metal clips or implants

Don't send this request to the radiology department
Should be sent when
Send when...


Highly sensitive

Requesting clinician
Name

Grade
Contact number
Consultant
Specialty

Radiology department
Patient location
Urgent suspected cancer
High priority
Private patient
"Walk around"
Collect patient from ward/department
Mobile/portable
Send out appointment
Is the patient pregnant, or could the patient be pregnant?
Yes
No
Is the patient suitable for bowel preparation?
Yes
No
Fasting
Clinical trial
Allergies, intolerances and other risks
Risks
Copy changes to the red risks box at the top of the patient's PCP record.
Tests required

Placeholder for combo

Relevant clinical information
Clinical info
Copy changes to current problems column of handover sheet.
Relevant medications
Metformin
Anticoagulants
Other
Med 1
Med 2
Clinical question to be answered by this test
None

Mobility
Walking
Chair
Trolley
Bed
Ambulance
Drip stand
Hoist
Obese
On oxygen
Additional infection control measures required
None

For tests which may require IV contrast agents - does the patient have
Asthma
Heart failure
Hypertension
Renal impairment
for MRI scans - does the patient have any of the following?
Cardiac pacemaker
Hydrocephalus shunt
Intra-ocular foreign body
Metal clips or implants
Don't send this request to the radiology department
Should be sent when
Send when...

Highly sensitive
Requesting clinician
Name

Grade
Contact number



Patient location

 


Consultant or responsible clinician for test






Private patient request

Tests required








Highly sensitive

Send result to


Consultant


GP








Clinical information


Allergies, intolerances and other risks






Symptoms






Observations and signs






Past medical history






Medication



Current












Discontinued











Test results






Diagnoses, problems






Treatment, operations & procedures






Plans





Reason(s) for request










Confirm modality
PCP cannot figure out the modality of the test you requested. Please specify a modality. This will expedite processing of the request.PCP has guessed the modality of the test you requested. Please confirm! This will expedite processing of the request.
Plain film(s)
Fluoroscopy
Ultrasound
Endoscopy
Computed tomography
Magnetic resonance imaging
Angiogram
Nuclear medicine
Positron emission tomography
Interventional
Other/Unspecified
Press the [Enter] key or click [Continue].


Favourite radiology
Click a + button to add a test to the request form. Press the [Enter] key or click [Continue] to return to the form.



Polite notice
In future, please select a test from the list. This will expedite processing of the request.

Press the [Enter] key or click [Continue].


Radiology request form
Most of the form has been filled in by copying from previous forms or from the patient's record.

You should check that the information is correct and update it if necessary.

This applies especially to the following sections:
  • Allergies, intolerances and other risks
  • Relevant clinical information
  • Relevant medications
  • Mobility
  • Additional infection control measures required
  • IV contrast contraindications
  • MRI contraindications
Do not show this message again.

Press the [Enter] key or click [Continue].


Request lab test
  1. Check that the test required has not already been requested.
  2. Click "Complete" to complete and send an incomplete request or
  3. Click "Repeat" to repeat a test or
  4. Click "New test request" at bottom right of page to start a new request.

Don't show this message again




Missing information
You must enter the following information before you can send this request:
  • Patient location
  • Consultant
  • History of reaction to intravenous contrast



Message

Please choose a demo




Preprocessing radiology codebook
PCP will be ready in a few seconds!
  
Add patient

NHS number:


Patient not found
Check number and click Continue

NHS number:


 
Confirm patient

 Patient label

 

Register patient

Hospital number
HN
Surname
First names
Date of Birth
(dd mmm yyyy)


List settings

Name:


Consultant(s):




Specialty(ies):

Hospital(s):



Ward(s):


Simple clinical information system: NHS Wales : List
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