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Write a consultation note and prescription

For doctors: record the visit, order labs and print a prescription.

Start the visit

Open the patient from your queue and click Start consultation. Their allergies, problems, current medicines and today’s vitals are on the left.

A consultation note

Write the note

Use SOAP or Free text: chief complaint, history, review of systems, physical exam, assessment with an ICD-10 diagnosis, and plan. The note saves as you type. Save a note you reuse as a template.

Orders

Add medicines, lab tests, imaging, a referral or a certificate from the tabs under the note. Ordered lab tests go straight to the lab worklist.

The prescription

Generic names come first (RA 6675). Choose where it goes: the clinic pharmacy or print only. Save a prescription you use often as a favourite, then Preview & print.

Writing a prescription

Finish

Set the follow-up and the visit type for billing, then click Finish & send to billing.

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