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Cons Ward Bed |
Patient | Allergies Risks |
Summary Current problem(s) |
Done Treatment Results |
Plan To do |
Messages |
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Admission | Date | ||||||||||||||||
Time | |||||||||||||||||
Type | |||||||||||||||||
Source | |||||||||||||||||
Discharge | Date | ||||||||||||||||
Time | |||||||||||||||||
Type | |||||||||||||||||
Destination | |||||||||||||||||
Ward | |||||||||||||||||
Consultant | |||||||||||||||||
Allergies, risks | |||||||||||||||||
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Presenting complaint(s)
Separate symptoms with commas for automatic coding |
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Relevant past medical history | |||||||||||||||||
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Relevant family history | |||||||||||||||||
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Relevant social history | |||||||||||||||||
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Clinical findings on admission Separate findings with commas for automatic coding |
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Test results | |||||||||||||||||
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Diagnoses and problems | |||||||||||||||||
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Treatment, operations and procedures | |||||||||||||||||
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Progress in hospital | |||||||||||||||||
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Changes to medication | |||||||||||||||||
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Tests requested | |||||||||||||||||
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Follow-up | |||||||||||||||||
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Recomendations | |||||||||||||||||
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Info given to patient | |||||||||||||||||
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Info given to family/carers/others | |||||||||||||||||
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Radiology request |
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Urgent
suspected cancer High priority Private patient |
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"Walk
around" Collect patient from ward/department Mobile/portable Send out appointment |
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Is the patient pregnant,
or could the
patient be pregnant? Yes No |
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Is the patient suitable
for bowel
preparation? Yes No |
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Fasting |
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Allergies,
intolerances and other risks Risks
Copy
changes to the red
risks box at the top of the patient's PCP record.
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Favourite tests
Placeholder
for combo
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Tests
required
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Recorded clinical information |
Relevant
clinical information Clinical info
Copy
changes to current
problems column of handover sheet. |
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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
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Clinical question to
be answered by
this test None
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Mobility
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Additional infection control
measures
required None
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For tests which may require IV
contrast
agents - does the patient have Asthma Heart failure Hypertension Renal impairment |
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for MRI scans - does
the patient
have any of the following? Cardiac pacemaker Hydrocephalus shunt Intra-ocular foreign body Metal clips or implants |
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Don't send this
request to the radiology department
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Highly sensitive |
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Requesting clinician
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Urgent
suspected cancer High priority Private patient |
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"Walk around" Collect patient from ward/department Mobile/portable Send out appointment |
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Is the patient
pregnant, or could the
patient be pregnant? Yes No |
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Is the patient
suitable for bowel
preparation? Yes No |
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Fasting |
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Allergies,
intolerances and other risks Risks
Copy
changes to the red
risks box at the top of the patient's PCP record.
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Tests
required Placeholder
for combo
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Relevant
clinical information Clinical info
Copy
changes to current
problems column of handover sheet. |
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Relevant medications Metformin Anticoagulants
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Clinical question to
be answered by
this test None
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Mobility
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Additional infection control
measures
required None
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For tests which may require IV
contrast
agents - does the patient have Asthma Heart failure Hypertension Renal impairment |
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for MRI scans - does
the patient
have any of the following? Cardiac pacemaker Hydrocephalus shunt Intra-ocular foreign body Metal clips or implants |
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Don't send this
request to the radiology department
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Highly sensitive |
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Requesting clinician
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Patient location | |||||||||
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Consultant
or responsible clinician for test |
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Private patient request | |||||||||
Tests required | |||||||||
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Highly sensitive | |||||||||
Send result to | |||||||||
Consultant | |||||||||
GP |
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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 | |||||||||
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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. |
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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:
Press the [Enter] key or click [Continue]. |
Request
lab test |
Don't show this message again |
Missing
information |
You must enter the
following
information before you can send this request:
|
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
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Register patient |
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List settings | ||||||||||||||||||
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Simple clinical information
system: NHS Wales
: List
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