Medical Review
Medical Review Overview
The Medical Review feature allows for two distinctive workflows - the First Medical Review and the Continuous Medical Review. The First Medical Review entails the initial thorough check-up of the patient, diagnosis confirmation, capturing details of current lifestyle, medication, comorbidities, complications, physical examination results, and formulating a suitable treatment plan. The Continuous Medical Review enables the follow-up with the patient, noting their ongoing medical condition, reviewing lab test results, prescribing medication, and updating the treatment plan as required.
Medical Review Workflow
Ensure an active internet connection and sign in to the SPICE mobile app using your SPICE credentials.
Navigate to the 'Home' page and select 'Medical Review' to initiate the process.
For a first-time review, fill in the various parameters of the 'First Medical Review Form' and for a follow-up visit, select 'Start Medical Review' for the specific patient under the 'My Patients' section.
Follow the intuitive workflow to document necessary details, diagnose the patient, and establish a treatment plan.
In case of prescriptions or lab tests, search for the required medication or test, add it, and follow the subsequent steps to confirm.
Sign and confirm the prescriptions when prompted.
After review completion, click on 'Submit' to save the changes.
Structure of the Medical Review Form
Parameter | Description |
Diagnoses | Confirm patient's diagnosis: Hypertension, Diabetes Mellitus type 1 or 2, Pre-Hypertensive, Pre-Diabetic |
Blood Pressure | Add new BP readings; latest BP reading from the assessment is auto-filled |
Blood Glucose | Add new BG readings; latest BG reading from the assessment is auto-filled |
Diabetes/Hypertension Status | Identify if the patient is a new or known case |
Pregnancy | If applicable, add pregnancy-related details |
Current Medication Details | If known case, detail current medications, adherence, and known drug allergies |
Comorbidities | Identify presence of multiple diseases or conditions |
Complications | Document any medical complications during the disease |
Lifestyle Management | Detail patient's current lifestyle |
Chief Complaints | Record patient's health complaints |
Clinical Notes | Document observations, findings, and other clinical insights |
Physical Examination | Detail results of physical examinations conducted |
Investigation | Request specific lab tests for further diagnosis |
Treatment Plan | Detail treatment plan, including medication and lifestyle adjustments |
Prescription | Prescribe medicines to the patient, with details of dosage, frequency, and instructions |
Remember, providing accurate and detailed information in each of these fields is crucial for appropriate patient care and treatment.
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