How to run an OPD consultation session, from findings to completion

Click Clinical › Patient Care › Consultation. The page lists every OPD consultation with its own session number (DSN). Search by DSN number, patient or MR number, and filter by status. Each row shows the session number, the patient with MR number and date, the doctor, the rate and the status, with View session and, while it is open, Mark session as completed. Open DSN-000064. The window shows the session number, an In Progress badge and the patient. You write findings on the left; the prescription sheet on the right updates as you go and shows the session fee, PKR 10,800.00 (the doctor's PKR 12,000.00 less this patient's 10% discount, as the New session dialog showed under To collect). The tabs are Clinical, Specialty, Injection map, Laser map, Attachments, Orders, Orders & bill, Prescription and Actions. A strip below the header shows allergies (Penicillin, Sulfa drugs), the department, active medicines and the outstanding balance.

Open Prescription. Pick the Drug from stock medicines or the clinical catalogue (Amlodipine 5mg Strip 14), then set Unit, Route (Oral is the default), Duration (days) (30), When to take (Morning), With food (After food) and Instructions (Check blood pressure weekly). Tick PRN (as needed) for a medicine like Panadol 500. Press Add to prescription: a safety check runs first (here it asks for an override reason, and then the sheet lists the medicine with its dose code). For Augmentin 625mg Strip 10 the Medication safety alert appears: the patient has two recorded drug allergies (Penicillin, Sulfa drugs), but this item is not linked to a coded drug, so it could not be screened. The alert is Moderate, Drug allergy, with a suggested action. Overriding needs an Override justification; Cancel keeps Augmentin off the prescription.

Open Orders & bill. It has Suggested charges, Order a service or procedure and Encounter orders & charges. Suggested charges come from specialty chart data and are never billed automatically. Pick Erythrocyte Sedimentation Rate (ESR) at PKR 250 in Order a service / procedure; the list shows each service with its price and Charge fills with it. Press Add charge: Charge added to the encounter. Each order shows its booking number and state: the new ESR charge (SB-000076) is Unbilled at PKR 250, and the two lab orders placed earlier are priced from the catalogue: Complete Blood Count (SB-000074) PKR 600 and Urine Complete Examination (SB-000075) PKR 350, both Unbilled. The Encounter bill reads consultation fee 10,800, services 1,200, total 12,000, paid 10,800, outstanding 1,200, and "3 unbilled services · PKR 1,080.00 to invoice."

Attachments stores clinical images and documents for the visit. Choose a Category (Clinical photo, Lesion, Before, After, X-ray, OPG or Document), optionally add Body site and Caption, then Choose file. Until something is added, All attachments says No attachments. The Actions tab has Convert to IPD admission (patient, doctor, vitals, notes, symptoms, diagnoses and prescriptions carry across), Refer patient (to a specialist or another facility), Transfer to doctor (an optional reason and handover note) and Cancel session. In the header, Send to patient and Bill medicines appear once a medicine is prescribed. After completion the sheet is locked; add corrections as an addendum: Addendum appended.