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Consultations

A consultation is one visit by one patient to one doctor. Every visit produces a structured record: vitals, history, examination, diagnosis, plan, and prescription.

The consultation form

The form follows the SOAP convention:

  • Subjective — chief complaint, history of present illness, past history, family and social history.
  • Objective — vitals (temperature, BP, pulse, SpO₂, weight, height, BMI), general and systemic examination findings.
  • Assessment — provisional and final diagnoses (free-text or ICD-10).
  • Plan — investigations ordered, prescriptions, follow-up date, advice.

Every section is optional. A short OP visit might only fill complaint, diagnosis, and prescription; an admission consult might use every field.

Editing past consults

A signed consultation cannot be edited freely. The product enforces an edit policy (see consultation-edit-policy in the source):

  • Within 24 hours — the doctor who wrote the note can edit it. Every change is logged.
  • After 24 hours — only an admin can amend the note, and the amendment is recorded as an addendum, never as an overwrite.

This is by design. Hospitals are audited; charts cannot be silently rewritten.

Prescriptions

The prescription tool autocompletes from the pharmacy formulary. Every prescribed item flows through to:

  • The pharmacy counter (so it shows up before the patient arrives).
  • The patient timeline (with dose, frequency, duration).
  • The print-ready prescription PDF.

For controlled substances, the system enforces the standard schedule checks and an additional confirmation step.

Printing the consult summary

Every consultation produces a Consult Summary PDF with the hospital letterhead, the doctor's details, and a clean SOAP record. Click Print at the bottom of the consult page; or hand the patient a QR code that opens the summary on their phone.

Follow-ups

Set a follow-up date inside the plan section. The system creates a proposed appointment slot and sends an SMS reminder 24 hours before the visit.