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Welcome to MedicalDirector Clinical, practice and clinical management software for general practice!
Clinical Window
Record clinical information in the Clinical window.
Clinical Data Tabs
The Clinical Window contains a series of tabs, with each representing a different aspect of a patient's clinical data and history.
Past History Tab
The Past History tab displays a summary of the patient's medical history.

Get Started
Welcome to MedicalDirector Clinical, practice and clinical management software for general practice!
- Before You Begin Using Clinical
- Logging On - Logging Off
  You are prompted to log on automatically when you start MedicalDirector Clinical.
- Starting Clinical
  Start Clinical as you would any other Microsoft Windows application.
- Clinical Window
  Record clinical information in the Clinical window.
  - Keyboard Shortcuts
    Use keyboard shortcuts to increase your efficiency.
  - Clinical Window Toolbars and Buttons
    Use the buttons and toolbars to access specific areas of a patient's clinical record.
  - Clinical Data Tabs
    The Clinical Window contains a series of tabs, with each representing a different aspect of a patient's clinical data and history.
    - Summary Tab
      The Summary tab displays an overview of the patient's Past History, Current Medications, Immunisations, Family History, Social History and Preventive Health data.
    - Current Rx Tab
      A patient's current, prescribed medications are listed on the Current Rx tab in the Clinical Window from which you can also prescribe and print prescriptions.
    - Progress Tab
      Use the Progress tab to record details of a patient's visit (referred to as Progress Notes), and view details of previous visits.
    - Past History Tab
      The Past History tab displays a summary of the patient's medical history.
    - Results Tab
      The Results tab records the Investigation Results for a patient and displays a list of tests that have been checked-in against that patient's name.
    - Letters Tab
      The Letters tab of the Clinical Window lists correspondence created using the Letter Writer, as well as correspondence received via MDExchange or sent by your laboratory along with your patient's investigations results. This can include CDA-formatted documents.
    - Documents Tab
      Use the Documents tab to import, store, and manage external documents and third-party files in patient medical records.
    - Holding File Tab
      Check for unactioned correspondence related to the patient from their file on the Holding File tab.
    - Old Scripts Tab
      The Old Scripts tab displays a list of all medications that have been prescribed for the current patient, both hand-written and printed prescriptions.
    - Immunisations Tab
      Use the Imm. tab to manage a patient's immunisations.
    - Cervical Screening Tab
      Review cervical screening tests and manage recalls.
    - Obstetric Tab
      The Obstetric tab displays any obstetric history and details of antenatal visits for each pregnancy.
    - Correspondence Tab
      The Correspondence tab of the Clinical Window displays a list of all patient documents.
    - MDExchange Tab
      The MDExchange tab displays Messages sent or awaiting transmission via MDExchange.
    - Surgical Tab
      Use the SAT tab to create and modify operations.
    - HealthLink Tab
      Use the HealthLink tab to manage HealthLink forms
    - Acupuncture Tab
      Record visits where acupuncture was performed.
  - Recording and Managing Clinical Data
    The recording and management of most clinical data is perform via the Clinical Window, and on a patient-to-patient basis.
  - Patients with Non-Entered Clinical Data
    View a list of active patients who have not been asked about their medical history, current medications or any allergies.
- Visit Timer
  The Visit Timer is activated automatically when you open a patient's record.

Past History Tab

The Past History tab displays a summary of the patient's medical history.

This is not to be confused with a patient's clinical progress, as recorded via Progress Notes.

To display the Past History tab, press Alt + H.

Each history item shows:

Year - the year in which the condition first occurred
Date - the date on which the patient informed you of the condition
Condition - a description of the condition
Side - the side of the body affected
Status - the status of the condition, whether active or inactive
Summary - whether the condition should be printed in summaries
Confidential - whether the condition is confidential
Coded - whether the diagnosis was made by selecting from the DOCLE list of diagnoses
Comment - any comments recorded for the selected condition
No significant past history - set if there is no past history to report

Filter the conditions displayed by selecting a status in the list. Include All Records or only Active, Inactive or Summary conditions.

Sort the conditions by clicking on the appropriate column heading.

When viewing all records, inactive items are displayed in grey.

Your practice can configure a reminder to check a patient's past history. For more information, see Prompt/Preventive Health Options.

To view a percentage of patients who have not been asked about their past history status, see Clinical Data Statistics. You can also print a list of these patients.