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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.
Reason for Contact
Add a reason for contact or diagnosis to a Progress Note.

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 .
  - Examinations
    Record the findings of a single consultation.
  - History
    Record a patient's clinical history and 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.
- Select Drug
  Contains all compounds currently available in the country of use (currently Australia), and includes all scheduled compounds, and the majority of 'over-the-counter' preparations.
- Prescribing
  Use Prescribing to prescribe medications to your patient, conforming with all requirements and regulations.
- Examinations
- 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
  Manage pathology, cytology, and medical imaging requests and results.
- Immunisations
  Manage a patient's immunisations.
- Preventive Health Prompting for Specific Patients
  Customise preventive health prompts for specific patients in the following areas, such as blood glucose, blood pressure, smoking and so.
- Assessments
- Cervical Screening
- Obstetrics Module
  Record and manage a patient's obstetric information on the Obstetrics tab.
- Diabetes Module
- Summaries
  Print summaries 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.
- Medication Charts
  Print a variety of Medication Charts from Clinical.

Reason for Contact

Add a reason for contact or diagnosis to a Progress Note.

About this task

Use Reason for Contact to enter a diagnosis into the patient's Progress Notes. The DOCLE-coded list of conditions is also used in Past Medical History.

Procedure

In the patient's clinical record, select the Progress tab.
Click Reason.
In the Reason for Contact window, select the patient's reason for attending. Either:
- Set Pick from List (Coded). In the text box, type the first few letters of the reason or condition. Double-click it.
- In Existing Past Medical History Items, select one of the patient's previous reasons or conditions.
- Set Free Text (uncoded). In the text box, type the reason or condition.
If the reason or condition affects one side of the patient's body, set Left or Right.
By default, the reason for contact is marked as Active. To mark it as inactive, unset Active.
To include this diagnosis in printed letters and summaries, set Summary.
To mark this diagnosis as confidential, set Confidential.
To save this reason as a diagnosis, set Differential diagnosis.
If you don't want the record to be saved in the patient's Past Medical History list, unset Save in Past Medical History.
Click OK.

Results

The information is saved to the Reason for contact sections of the patient's progress notes.

18 June 2026