Patient Records & Clinical Notes
Keep medical history, visit notes, diagnoses, vital signs, prescriptions, and uploaded documents together in the patient's record.
Key Capabilities
- Arabic and English notes: Write consultation notes and instructions in either language, or use both where needed.
- Allergy and medicine warnings: Review warnings based on recorded allergies and available medicine information. These help the clinician review a prescription; they do not replace clinical judgment.
- Medical attachments: Keep uploaded reports and images with the patient's file so authorized staff can review them during follow-up.
- Visit history: Review past consultations, diagnoses, and treatment records in date order.
How does this work in the clinic?
1. Review the patient's history
Open the patient record to review recorded conditions, past visits, and allergies.
2. Record the consultation
Add the patient's complaint, examination findings, diagnoses, and notes in Arabic or English. Save a draft to continue the encounter later.
3. Add prescriptions and documents
Record prescribed medicines and attach supported images or PDFs, such as lab results and scanned reports.
Frequently Asked Questions
Can I attach existing paper records?
Yes. Scan or photograph the documents, then upload them in a supported image or PDF format to the patient's record.
Who can open a patient's clinical record?
Access depends on the user's clinic membership and clinical permissions. Reception duties can be assigned without granting access to clinical notes.