Outpatient and consultation
From the front desk to the consulting room, each step writes to the record the next person needs.
What is included in Outpatient and consultation: 6 items
- Registration with Ghana Card and NHIS numbers, appointments and queues
- Vitals in °C with NEWS2 early-warning scores
- Structured clinical notes and diagnoses (ICD-10), signed and amended only by addendum
- Prescribing that stops on a recorded allergy or severe interaction until the doctor records a reason
- Lab, imaging and pharmacy orders from the consultation
- Referrals to partner facilities