Patient Evaluation
Complete clinical assessment and management plan
Doctor View
🪪 Patient Identification
📖 History
🔬 Physical Examination
💓 Vital Signs
mmHg
mmHg
bpm
breaths/min
°C
%
📊 Assessment & Plan
Progress Note
Daily patient progress documentation
🪪 Patient Identification
📝 Progress Note
Order Sheet
Physician orders and clinical instructions
🪪 Patient Identification
📋 Order Type
✏️ Order Details
P
Problems / Diagnosis
C
Condition / Status
A
Activity
D
Diet
N/C
Nursing Care
IX
Investigations
TX
Treatment / Medications
Operation Note
Operative report documentation
🪪 Patient Identification
🔪 Operative Details
Care Plan
Record and trend patient Care Plan
🪪 Patient Identification
💓 Current Vital Signs
mmHg
mmHg
bpm
breaths/min
°C
%
📈 Recent Vitals Log
| Date/Time | SYS | DIAS | PR | RR | TEMP | SpO₂ | By |
|---|---|---|---|---|---|---|---|
| 2026-02-24 08:00 | 118 | 76 | 70 | 15 | 36.6 | 99% | Nurse A |
| 2026-02-24 00:00 | 122 | 78 | 74 | 16 | 36.8 | 98% | Nurse B |
| 2026-02-23 20:00 | 126 | 80 | 76 | 17 | 37.1 | 97% | Nurse A |
Laboratory
Lab orders and results
🪪 Patient
🧪 Lab Orders & Results
| Date | Test | Status | Result | Normal Range | Action |
|---|---|---|---|---|---|
| 2026-02-24 | CBC | Complete | Hgb 12.4 | 12–16 g/dL | |
| 2026-02-24 | RFT | Pending | — | — |
Imaging
Radiology orders and reports
🪪 Patient
🩻 Imaging Orders & Reports
| Date | Study | Status | Report | Action |
|---|---|---|---|---|
| 2026-02-24 | Chest X-Ray | Reported | Normal cardiac silhouette | |
| 2026-02-23 | Abdominal U/S | Pending | — |
Pharmacy
Medication orders and dispensing
🪪 Patient
💊 Active Medications
| Drug | Dose | Route | Frequency | Status | Action |
|---|---|---|---|---|---|
| Amoxicillin | 500mg | PO | TID × 7d | Active | |
| Paracetamol | 1g | IV | Q8H PRN | Active |