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Clinical

Specialty Forms & Clinical Flags

Eight specialties ship with the structured consultation form their clinicians use — obstetrics and gynaecology, ENT, ophthalmology, paediatrics, cardiology, oncology, nephrology, nutrition — with units, reference ranges that flag themselves and scores where the specialty uses one. Rules read the answers and the observation chart and raise a flag on the visit when a threshold is crossed.

For:PhysiciansNursesClinical director

Where:on the visit: Specialty Form · Clinical › Configuration › Specialty Form Templates · Clinical Flag Rules

An obstetric form: typed questions with units and ranges, and the score at the bottom.
An obstetric form: typed questions with units and ranges, and the score at the bottom.
Flags raised on today’s visits, by severity.
Flags raised on today’s visits, by severity.

How to

Fill a specialty form on a visit

  1. On the visit, Specialty Form › choose the template (the visit’s department proposes one).
  2. Answer the questions; a value outside its reference range is highlighted as you type.
  3. Scores (NYHA, ECOG, malnutrition risk…) are computed at the bottom with their band.
  4. Save; the answers are stored one per question, so they can be reported on across visits.

Build a form for a ninth specialty

  1. Clinical › Configuration › Specialty Form Templates › New: name, specialty, department.
  2. Add sections, then questions: type (number, choice, yes/no, text, date), unit, reference range, whether it counts towards the score.
  3. For a score, add the bands (from–to → label).
  4. Activate; it appears on visits of that department.
Duplicate the closest shipped template and edit it — quicker than starting empty.

Acknowledge a clinical flag

  1. A flag shows as a banner on the visit and under Clinical › Clinical Flags.
  2. Read what was measured and the threshold; act clinically as you judge.
  3. Click Acknowledge and add a note; the flag stays on the record with your name and time.
  4. A flag whose condition is no longer met is marked so automatically.

Write a clinical flag rule

  1. Clinical › Configuration › Clinical Flag Rules › New: code, name, severity, the message the clinician sees, the advice.
  2. Conditions: a source (an observation field, a specialty question or age/gender), an operator and a value. Group 0 conditions must all match; any other group number is “one of”.
  3. Limit the rule to a sex or an age band if needed; activate it. It runs on every new observation or form answer.

See also: Visits (EMR) Nursing Station & Barcode eMAR