Clinical note-taking
Clinical note-taking is about capturing a patient’s health journey in a concise, organised, and accurate written record. It’s like a detective story, piecing together clues from their symptoms, medical history, examinations, and treatments to build a picture of their health. With Zedmed you can take general notes or utilise our wide range of clinical modules to record information about previous prescription, smoking use, observations, allergies and more.
Zedmed’s note taking functionality is great for:
Before
Researching a patient’s history before an encounter starts.
During
Quickly and easily taking notes during an encounter.
After
Going back and adding or editing encounter notes post session.
Types of clinical note taking available in Zedmed
Patient records
Enjoy a 360-view of patient records with comprehensive documentation capabilities and easy management features – bulk-import crucial documents and information to streamline health correspondence across the board.
Clinical records
Comprehensive enhanced recording of clinical encounters. Supported by modules for prescriptions, observations, referrals and immunisations, Document notes and chart at the point of patient intervention, Smart letter and referral writing from a click of a button including integration with secure messaging providers.
History notes
History Notes are laid out in chronological order to view and track patient events.
What is Zedmed note taking capable of?
Zedmed has very powerful note taking features including:
- Text areas
- Drawing on images and graphics
- Camera capture
- Clinical calculators
- Measures & observations
- Calculations
- Shortcuts
- Dictation
