Clinical records are where the animal's clinical history is stored. They are where the History from previous visits can be accessed and where Clinical notes about the current visit will be added.
Drugs can be prescribed from the Drugs tab. You can choose to not display the Drugs tab, therefore all drugs/products are entered directly onto the invoice. To hide the Drugs tab, go to Main menu > Maintenance module > Maintenance menu > System Defaults > Clients tab, select the Hide the clinical drugs tab check box.
Photos, Lab results and examination notes and diagrams related to this visit can be added from this window.
You can Admit the animal to hospital from this window.
You can create a Diary entry for this animal from this window.
Reports from the clinical records can be generated and the clinical record can be added to a clinical group through the Groups tab.
To Insert a Clinical Record
Go to: Main menu > Appointment List.
Double-click the appointment time which contains the animal for which you wish to enter a clinical record.
From the Animal Details window, click Record.
The Drugs/Products Added and Reminders list as shown above will only be displayed if the Hide drug and reminder lists on the clinical record main tab check field is not selected in Main menu > Maintenance module > Maintenance menu > System Defaults > Client tab.
The Date field is automatically populated with today's date and the time.
The Weight field is automatically populated with the animal weight if it was entered when the animal arrived.
In the Temp field, enter the animal's temperature.
In the Body and Dental fields, enter the animal's body and dental scores.
To default the Dental score to -1, select the Default dental score as -1 check box in Maintenance > System Defaults > Other Settings. If the Dental score defaults to 0, you will not be able to ascertain whether the animal has been assessed or not, as 0 is a legitimate dental grade.
The Vet field is automatically populated with the default vet. If not, use the list menu or type the code of the vet.
Notes from the appointment will come through on the Clinical tab. These can be added to or deleted when you type a description of the animal's condition.
Alternatively, click the Desc List tab, and then double-click to select a clinical description.
Clinical Descriptions are created by going to: Main menu > Maintenance module > Maintenance menu > Lookup Lists > Clinical Related Lists > Clinical Descriptions.
To enter a note regarding the animal, click the Animal tab, and type any notes for the animal. This will also be displayed in the Notes field in the Animal Details window for that animal.
To dispense drugs for the animal, click the Drugs tab, and enter the drugs to be dispensed.
To view the animal's clinical history, click the History tab, select the history you wish to view and double-click to open.
To attach a photo to the clinical record, click the Photo tab, click Browse, and then locate and select the photo.
To attach an analysis group to the clinical record, click the Groups tab, and from the Available Groups list, select the analysis group.
