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Clinical Management
Use Clinical to record your consultations with a patient and their clinical details.
Patient's Medical History
History includes a patient's medical conditions, both active and inactive.

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.
- 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.
  - Adding, Editing, and Deleting History Items
    The following information refers to a patient's clinical history listed on the Past History tab.
- 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.

Patient's Medical History

History includes a patient's medical conditions, both active and inactive.

To view a patient's medical history, in a patient's Clinical Window, select the Past History tab.

The Past History tab includes both past and current, active conditions.

See also Adding, Editing and Deleting History Items.

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.