Managing your Patient’s Care Plan

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Records Management – Current Encounter – Plan Tab

NOTE: In the Current Encounter  > Plan tab, users can input the medical care that the patient needs to follow or fulfill to address their health concerns. 

Steps in Managing A Patient’s Plan

NOTE: The first section is the Care Plan Notes which pertains to the personal notes that doctors have for the patient. 

Steps to Manage Patient’s Prescription

NOTE: The prescription section is where users, particularly doctors can input their prescribed medicine for the patient to take. They have the option to choose their favorite prescriptions which was previously set in the Administrative Module, choose from the custom medicines they have uploaded in the system, or from MYCURE’s default medicine database.
  1. To input prescription:
    • Choose medicine to be prescribed
    • Input medicine’s formulation, dispense, dosage, frequency, and notes.
    • Click “Save Records” to finalize.
  2. To print or edit the prescription, view the information of who created the latest version of the prescription, manage the permission of who can see this prescription, and delete the prescription:
    • Click the “More Options” button on the upper right corner of the prescription box.
NOTE: Doctors also have the ability to create a laboratory and Imaging order for the patient to take. 

Steps in Creating Diagnostic Orders for Patient

  1. To create lab/imaging order:
    • Select the “Add New” button.
    • Choose which laboratory/imaging tests to include.
      1. Click on the field.
      2. A dropdown list of the clinic’s available laboratory tests will appear. 
      3. Users can select more than one test. 
    • Input the diagnosis or the reason for the test order. 
    • Once done, click “Save Records” to finalize. 
  1. To print or edit the lab or imaging order, view the information of who created the latest version order, manage the permission of who can access, or delete order:
    • Click the “More Options” button.
  1. If the “Add Result” button is clicked:
    • A prompt for the Lab Result will appear for the selected tests. 
    • Input the results for the lab orders.
    • Click “Add Result” to save the Laboratory Order record.

Steps in Adding Procedure Orders

NOTE: Lastly on the Plan tab, users can add procedure orders. 

4. To add procedure order:

  • Select which clinic procedure to take.
  • Select the ICD10 of the patient’s diagnosis. 
  • Select the attending staff. 
  • Add notes if needed. 
  • Click “Save Records” to finalize. 
  1. To print or edit the order, view the information of who created the latest version of the order, manage the permission of who can access, or delete the order:
    • Click the “More Options” button.

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Last Updated On November 05, 2019

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