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Clinical resources

• Problems [+]
• Procedures [+]
• Assessment scales [+]
• Risk assessment [+]
• Preventive health [+]
• Immunisations [+]

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Consultation notes

• Quick consultation note
• More consultations [+]
• Body systems [+]

Medical record inserts

• Explanatory notes
• Demographics
• Encounter
• Patient legal information

• Presenting complaint
• Past medical history
• Medications
• Allergies and adverse reactions
• Social history
• Immunisations [+]
• Family history [+]
• Safety and risks

• Systems review

• Physical examination [+]
• Vital signs
• Measurements and tests [+]
• Assessment scales [+]

• Assessment
• Risk assessment [+]

• Management plan
• Procedures [+]

Communication

• Certificates [+]
• Patient information [+]
• Referrals [+]

Consultations [-]

• Consultation note
• Consultation note - detailed
• Antenatal initial consultation
• Mental health consultation
• Mental health progress consultation
• PrEP
• Sexual health consultation

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Body systems [-]

• Cardiac auscultation
• Cardiovascular system
• Cervical spine
• Ears, nose, throat (ENT)
• Endocrine system
• Eyes
• Gastrointestinal system
• Genitourinary system
• Haematologic System
• Hepatobiliary System
• Lower limbs
• Lumbar spine
• Nervous system
• Respiratory system
• Skin examination

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Problems [-]

• Abdominal Pain
• Acne
• ADHD
• Ankle injury
• Asthma action plan
• Back pain
• Female infertility
• HIV antiretroviral treatment
• Infertility, female
• Infertility, male
• Iron deficiency
• Male infertility
• Sleep apnoea

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Immunisations [-]

• Immunisation history
• Immunisation history A-Z
• Live vaccine screening for contraindications
• Vaccine administration record

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Family history [-]

• Family history
• Family history screening questionnaire

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Physical examination [-]

• Cardiac auscultation
• Glasgow coma scale
• Hand grip strength
• Mental state observations
• Mini-mental state examination (MMSE)
• Vital signs

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Measurements and tests [-]

• Audiogram
• Body mass analysis
• Breath alcohol test
• ECG
• Hand grip strength
• Spirometry
• Urinalysis
• Urine Drug Screen

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Assessment scales [-]

General scales

• Body mass analysis
• Glasgow coma scale

Functional assessment

• Activity status questionnaire
• Barthel index

Mental health

• AUDIT questionnaire
• DASS 21
• Kessler psychological distress scale (K10)
• Mental state observations
• Mini-mental state examination (MMSE)
• Personality assessment questionnaire (PAQ)
• PHQ-9 depression questionnaire
• Psychotropic medication monitoring

Paediatrics

• Child development milestones
• Paediatric equations
• Paediatric growth charts

Pain

• Activity status questionnaire
• Barthel index
• Brief pain inventory (BPI)
• Neuropathic pain screening tool (DN4)
• Objective opiate withdrawal scale (OOWS)
• Opioid therapy monitoring tool (5As)
• Subjective Opiate Withdrawal Scale (SOWS)

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Procedures [-]

• Bleach bath procedure
• Contraceptive implant procedure
• Iron infusion procedure
• Skin excision procedure

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Risk assessment [-]

• Atrial Fibrillation
• CHA2DS2-VASc score for stroke risk in atrial fibrillation
• Cardiovascular risk assessment
• Diabetes mellitus risk assessment
• Falls risk assessment
• Fracture/osteoporosis risk assessment

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Preventive health [-]

• Asthma action plan
• Chronic condition management plan (care plan)
• Diabetes cycle of care
• Health targets for adults
• PrEP
• Preventive health assessment 45-49 years
• Preventive health assessment 75+ years
• Referral for low dose CT chest - National Lung Cancer Screening Program (NLCSP) Australia
• Sexual health consultation

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Patient information [-]

• Asthma action plan
• Bleach bath procedure

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Referrals [-]

• Referral for investigations
• Referral to a medical specialist
• Referral for low dose CT chest - National Lung Cancer Screening Program (NLCSP) Australia
• Sleep apnoea

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Certificates [-]

• Medical certificate
• Work restrictions / recommendations

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