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Clinical Management
Use Clinical to record your consultations with a patient and their clinical details.
Progress Notes
Record notes about a patient's visit in Progress Notes.
History Module
Record a patient's clinical history and symptoms that have become evident since the patient's last consultation.

Clinical Management
Use Clinical to record your consultations with a patient and their clinical details.
- Actions
  An Action is a record of something that was done or is to be done for a patient.
- Progress Notes
  Record notes about a patient's visit in Progress Notes.
  - Comments
    A comment is frequently used text that you can insert into Progress tab using a shortcut key combination.
  - Diagrams
    To more accurately display conditions or procedures, draw on preset clinical images .
  - Examination Module
    Record the findings of a single consultation.
  - History Module
    Record a patient's clinical history and symptoms that have become evident since the patient's last consultation.
    - Breast Tab (History)
      Record breast symptoms that have become evident since the patient's last consultation.
    - Chest Tab (History)
      Record chest symptoms that have become evident since the patient's last consultation.
    - CNS Tab (History)
      Record neurological symptoms that have become evident since the patient's last consultation.
    - CVS Tab (History)
      Record cardiovascular symptoms that have become evident since the patient's last consultation.
    - ENT Tab (History)
      Record ear, nose and throat symptoms that have become evident since the patient's last consultation.
    - Eye Tab (History)
      Record eye symptoms that have become evident since the patient's last consultation.
    - GU Tab (History)
      Record genito-urinary symptoms that have become evident since the patient's last consultation.
    - Gynae Tab (History)
      Record gynaecological symptoms that have become evident since the patient's last consultation.
    - GIT Tab (History)
      Record gastrointestinal symptoms that have become evident since the patient's last consultation.
    - Musculo-skeletal Tab (History)
      Record musculoskeletal symptoms that have become evident since the patient's last consultation.
    - Psychiatric Tab (History)
      Record psychiatric symptoms that have become evident since the patient's last consultation.
    - Respiratory Tab (History)
      Record respiratory symptoms that have become evident since the patient's last consultation.
  - Management
    Similar to comments, use management items to insert frequently used text into a progress note.
  - Editing Previous Progress Notes
    Edit Progress Notes on the day they are recorded.
  - Medicare Benefits Schedule
    Associate Medicare Item Numbers with a patient's visit in the Medicare Benefits Schedule window.
  - Procedures in Progress Notes
    Add details of any procedures performed on the patient during a consultation to a Progress Note.
  - Reason for Contact
    Add a reason for contact or diagnosis to a Progress Note.
  - Review Notifications
    Add a Progress Note review notification as a recall or as text within the Progress Note itself.
  - Options Available on All Tabs
    Use these options on any tab of the Progress Notes.
- Prescribing
  Use Prescribing to prescribe medications to your patient, conforming with all requirements and regulations.
- Recalls
  A recall is a type of flag recorded against a patient's record to inform practitioners or practice staff of when a patient is due to return to the practice, usually so that some clinical procedure can be performed.
- Patient's Medical History
  History includes a patient's medical conditions, both active and inactive.
- Investigations
- Immunisations
  Use the Imm. tab to manage a patient's immunisations.
- Preventive Health
  The Preventive Health module provides assistance in identifying and preventing issues and potential problems by making suggestions or recommending actions.
- Assessments
- Cervical Screening
- Obstetrics Module
- Diabetes Module
- Summaries
  Clinical provides ormatted summaries which can be printed for patients.
- Measurements
  The Clinical measurements window displays the history of a patient's various clinical measurements.
- MedicalDirector Care
  Create Care Plans in MedicalDirector.
- Telehealth
  Consult with patients remotely.
- Honeysuckle Health Private Health Insurance Checker
- Tools
- Surgical Audit Tool
  Use the Surgical Audit Tool to record information about surgical procedures.

History Module

Record a patient's clinical history and symptoms that have become evident since the patient's last consultation.

Data recorded in the History module is saved within the current Progress Note, is valid only for that Progress Note and has no bearing on any other modules or functionality within MedicalDirector Clinical such as drug interaction or immunisation checking.

Record data on the separate history tabs. Information recorded using any of the tools within the History module appears in the text box at the upper-left of the window and is added to the Progress Notes for the consultation when saved.

The content available to this module differs depending on the patient's recorded sex at birth.

Tip:

Don't confuse this History module within Progress Notes with the Past History tab in the patient's record. Use Past History to record conditions that the patient has or has had. Data recorded in the Past History tab is used in functionality such as drug interaction checking and immunisation checking.