Using the Add Menu

To quickly and accurately add common structured data, you can use the Add menu.

From Consultation Manager, with the patient required selected and a consultation started, select Add and then select the option required:

  • Problem - The Problem - Add screen displays, complete as required, see Adding a Problem for details.
  • Medical History - The History - Add screen displays, complete as required, see Adding a Medical History Entry for details.
  • Category - The History - Add screen displays with the Type of Characteristic as selected, complete as required, see Adding History for details.
    • Presenting Complaint
    • Symptom
    • Examination
    • Diagnosis
    • Intervention
  • Notepad - The Notepad - Add screen displays, complete as required.
  • Therapy Acute - The Acute Therapy - Add screen displays, complete as required, see Adding Acute Therapy for details.
  • Therapy Repeat - The Repeat Master - Add screen displays, complete as required, see Adding Repeat Therapy for details.
  • Drug Allergy/Adverse Reaction - The Drug Allergy and Intolerance - Add screen displays, see Adding Drug Allergy and Intolerance for details.
  • Immunisations - The Immunisation - Add screen displays, see Adding an Immunisation for details
  • Blood Presure - The Blood Pressure - Add screen displays, see Adding a Blood Pressure for details.
  • Height - The Height - Add screen displays, see Adding a Height for details.
  • Weight - The Weight - Add screen displays, see Adding a Weight for details.
  • Alcohol - The Alcohol Consumption - Add screen displays, see Adding an Alcohol Entry for details.
  • Smoking - The Smoking - Add screen displays, see Adding a Smoking Entry for details.
  • Test Results - Select the test result required from:
    • Diagnostic Imaging
    • Biochemistry (Routine)
    • Biochemistry (Hormones)
    • Biochemistry (Other)
    • Haematology
    • Microbiology
    • Serology
    • Other Pathology
    • Diagnostic Tests

    See Adding Test Results Manually.

  • External Applications - Select either:
    • Launch - Select either:
      • Choose and Book Website - The eReferral screen displays, see
      • LabelTrace - The LabelTrace screen displays, see
    • Configure, see
  • Advice - The Advice Given - Add screen displays, see Adding Advice Given for details.
  • Recalls - The Recall - Add screen displays, see Adding a Recall for details.
  • Data Entry Caution - The Caution - Add screen displays, see Adding a Data Entry Caution for details.
  • Medication Review - The Medication Review - Add screen displays, see Adding a Medication Review for details.
  • Referrals - Select either:
  • Requests - Select either:
    • Requests - The Requests - Add screen displays, seeAdding a Request for details.
    • From Default - The Select Default screen displays, see
    • Print Specimen Labels - The Print Labels screen displays, see
    • Electronic Requests - Your Electronic Requests screen displays, see
  • Contraception - The Contraception - Add screen displays, see Adding a Contraception Entry for details.
  • Cytology - Add - see Cervical Cytology, or Alt-A, Y
  • Chronic Disease Registers - Asthma Register, Hypertension Register, CHD Register, Stroke/TIA Register, Diabetes Register, Diabetic Annual Check, Epilepsy Register; or Alt-A, N
  • Health PromotionInterventions - Smoker, Hypertension, Coronary Heart Disease, Stroke/TIA, Overweight, High Alcohol, FH Cardiovascular Disease, or Alt-A, V
  • Correspondence - The Clinical Correspondence - Add screen displays, see Adding Correspondence for details.
  • Attachments - The Attachment - Add screen displays, see Adding an Attachment for details.
  • Reminder - See Reminders
  • Patient Warning
  • Prescription Note
  • Select READ Term (Alt-A, S) allows a READ term to be selected and then places the entry in the correct structured data area, for example, putting an entry for Peak Flow into the Peak Flow SDA.
  • Select Data Entry Form - This displays the list of Summary or Tabbed forms for clinical entries.
  • MED3 - Medical sickness certificate.
Remember - If you are using your keyboard rather than a mouse, use any fast key indicated, for example <F4>, or hold <Alt> down, press <A>, this moves the cursor to the Add menu and then type the underlined letter on the menu option you require.