Consultation

The "Consultation" function is the core working area within the HelloClinic system for doctors to provide medical services. Here, doctors can view signed-in patients, record medical notes, issue prescriptions, arrange lab tests, manage medical records, and handle the entire consultation workflow.

Consultation Main Page Overview

Upon entering the "Consultation" function, you will see a clear patient management interface:

Key Functional Areas

1. Patient List: Displays patients who have signed in and are waiting to be seen today.
2. Patient's Historical Consultation Records: Records the patient's physiological data and medical history.
3. Current Consultation Record: Contains functional modules for medical history, prescriptions, lab tests, and more.
4. Patient Information: The right side displays detailed information for the selected patient.

Consultation Main Page Overview

• Patient List: Shows patients waiting to be seen today.
• Patient's Historical Consultation Records: View a patient's past physiological data and medical records.
• Current Consultation Record: Includes functional modules for the current consultation, such as medical notes, prescriptions, and lab tests.
• Patient Information: Displays detailed personal information for the selected patient.

Patient List and Status Management

• List Information: Displays the patient's name, appointment time, and status.
• Status Management: Use statuses like "Waiting," "In Consultation," and "Completed" to track consultation progress.

Consultation Functional Modules

• 📋 Body Data: Records physiological data such as height, weight, blood pressure, and body temperature.
• 🩺 Medical History: Manages chief complaint, history of present illness, past medical history, family history, and allergies.
• 🔬 Allergies: Detailed records of allergens, reactions, and management plans.
• 💉 Immunization: Manages vaccination records.
• 🩸 Blood Glucose: Records blood glucose monitoring data.
• 🩸 Blood Pressure: Records blood pressure measurement data.
• 🧪 Laboratory Records: Manages lab tests and reports.
• 📄 Documents: Upload and manage relevant files such as medical images, reports, and consent forms.

Consultation Report

• Chief Complaint: Records the main symptoms and reasons for the patient's visit.
• Findings: Records the results of the doctor's physical examination.
• Diagnosis: Establishes primary, secondary, and differential diagnoses (supports ICD-10 coding).
• Treatment Plan: Outlines medication, non-medication treatment, and follow-up plans.

Prescription Management

Safely and accurately creates and manages medication prescriptions.

• Prescription Process: Select medication → set quantity and inventory → set usage instructions (dosage, frequency, days) → add medication notes and precautions → complete prescription.
• Key Features:
  • Prescription List Management: Instantly view, modify, or delete medications in the prescription list.
  • Multi-language Labels: Supports Chinese, English, and bilingual prescription labels.
  • Automated Safety Checks: The system automatically checks for drug allergies, interactions, dosage safety, and contraindications.
  • History Management: Review past prescriptions for efficacy tracking and analysis.
  • Printing and Dispensing: Generate standard prescriptions and automatically deduct items from inventory.

Laboratory Services

Arranges lab tests, tracks progress, and manages reports.

• Creation Process: Set date → select lab service and provider → set cost → save request.
• Management and Tracking:
  • Status Management: Track lab test status (Pending, In Progress, Completed, Canceled).
  • Report Management: Enter or upload lab report content and attachments.
  • Result Handling: The system can flag abnormal results and send notifications.

Medical History

• Function: View complete past consultation records in chronological order to ensure continuity of care.

Best Practices for Consultation Workflow

• Standard Workflow: Select patient → view information → record symptoms → physical examination → establish diagnosis → issue prescription/arrange lab tests → complete consultation.
• Important Notes: Ensure data is complete and accurate, and protect patient privacy.

System Integration Features

• Module Integration: Seamlessly connects with appointment, medication, lab, and billing systems.
• Data Synchronization: All consultation data is synced and backed up in the cloud in real-time, ensuring data security.