What is the context?
Meddbase includes a full suite of healthcare management software features covering consultations, scheduling, document management, electronic referrals, pathology, reporting and more.
What is the purpose of the article?
This article describes:
What is a Clinical Form?
In Meddbase a user conducting a Consultation is presented with a Clinical Form, which is a set of various types of fields, e.g., Free Text fields or Dropdown menus and more, allowing the user to capture specific information regarding their encounter with the patient.
Clinical Forms can only be accessed from a Consultation.
Clinical Forms can be custom built by Meddbase Solution Engineers based on your requirements. Click here for a video on providing Clinical Form requirements.
What is a Clinical Form Tag?
A Tag is an attribute that can be assigned to a Clinical Form field and/or section by the Meddbase Solution engineer building the particular Clinical Form.
The Tag assigned to a field and/or section allows categorising entries made in these fields and/or sections into pre-defined categories.
These categories allow filtering a patient's Medical History record.
Furthermore, entire categories can be queried and extracted into documents using Template Codes -Medical History.
Types of Tags
The below tables list all available Tags that can be assigned to Clinical Form fields and/or sections. When providing your Clinical Form requirements, you can specify the Tag for a given field and/or section.
| Name of Tag (category) | Tag abbreviation (used by Meddbase Solution Engineers when building the clinical Form) |
|
Consultation Please note! This is the default tag. If no other tag is specified for a field and/or section, this one will be used. |
cons |
| Administrative | adm |
| Advice | adv |
| Allergies | a |
| Complaints | comp |
| Services | serv |
| DrugHistory | dh |
| Documents | doc |
| Diagnoses | diag |
| Examinations | exam |
| FamilyHistory | fh |
| NumericalData | num |
| Outcomes | out |
| PathologyResults | path |
| PastMedicalHistory | pmh |
| PrescriptionsAcute | pres_a |
| PrescriptionsRepeat |
pres_r |
| SocialHistory | sh |
| Treatments | tm |
| Vaccinations | vacc |
There are additional tags which are specific to individual chamber settings*
*Please speak with your Project Manager or Account Manager regarding using any if the below tags in your chamber
| Name of Tag (category) | Tag abbreviation (used by Meddbase Solution Engineers when building the clinical Form) |
| 24 Hour | 24 |
| 3rd Party | 3rd |
| Accessory | acc |
| Alcohol History | alch |
| Audiometry | aud |
| Consultant Advice | cadv |
| Combined | comb |
| Current | current |
| Dictation | dict |
| Diet History | diet |
| Ear Syringing | earsy |
| Ear Treatment | eartrt |
| Email Correspondence | |
| Emis Import | emis |
| Excercise History | exer |
| Previous Opthalmic History | eye |
| Feeding | feed |
| Fertility | fert |
| Forensic History | foh |
| HRT | hrt |
| Internal | int |
| Investigation | inv |
| Joint | jnt |
| Glasses/Contact Lens History | leye |
| Manual | manu |
| Mental History Health | mhh |
| Movement | mov |
| Muscle | muc |
| Nerves | nerv |
| Observation | obs |
| Outcome of Appointment | ooa |
| Personal History | peh |
| Phone Call from Patient | phfr |
| Phone Call to Patient | phto |
| Physical | phys |
| Power | pow |
| Past Psychiatric History | pph |
| Pregnancy and Birth History | preg |
| Previous Physiotherapy History | prephys |
| Prescription | presalt |
| Past Surgical History | psh |
| Results Advice | radv |
| Referral (inbound) | refi |
| Referral (outbound) | refo |
| Renal Function Test | Renal |
| Resisted | rest |
| Reflexes | rex |
| Previous Screening Test | scr |
| Sick Notes | sick |
| Smoking History | smok |
| Stability | stab |
| Stock Dispensed | stck |
| Strength | str |
| Surgery | surg |
| Telephone Advice | telad |
| Therapy | ter |
| Tissue | Tiss |
| Travel | trav |
| Urine Dip | uri |
| Visual Activity | vis |
| Import | vision |
| Vaccination Recording | vrec |
Review date
This article was last updated on 30th of May 2023 in the context of Meddbase version 1.267.1.18693