Doctors and nurses open and manage encounters. Administrators can view them.
Find open encounters
Select Clinical in the menu. The Open Encounters list can be filtered by clinic, type and status.Open an encounter
1
Fill in the Open Encounter form
- Patient ID: NduMed’s internal patient number (not the MRN).
- Type: OPD (default), IPD or ER.
- Clinician: the doctor or nurse responsible.
- Clinic: required for walk-ins. If you link an appointment, the clinic comes from the appointment.
- Appointment ID (optional): link the patient’s appointment, if they booked one. An appointment can be linked to only one open encounter.
- Chief complaint: the reason for the visit.
2
Select Open
The encounter screen opens.
Opening an OPD or ER encounter automatically adds a consultation charge (price list code
CONSULT-GP) to the patient’s bill. IPD encounters do not add a consultation charge; inpatients are charged per bed day. Inpatient encounters are usually created for you when a patient is admitted. See Admissions.Encounter statuses
You can Close from Open or In progress. Once closed, vitals, notes, diagnoses and prescriptions can no longer be changed, and new lab orders cannot be placed.
The encounter screen
The encounter screen has four panels that update in place:- Vital signs: see Vitals, notes and diagnoses.
- Clinical notes: drafts, signing and amendments.
- Diagnoses: ICD-10 and ICD-11 coded diagnoses.
- Prescriptions: see Prescriptions.
- Admit: admit the patient to a ward bed.
- Order labs: see Lab orders and results.
- Lab results: the patient’s verified results.
- Visit summary: a printable summary of the encounter.
Visit history
The Visits tab on the patient record lists all of a patient’s encounters.Encounters brought over from your hospital’s previous system carry an Imported badge and are read-only.