The patient consultation records module facilitates structured clinical records with principal complaint, reason for encounter, examination, diagnosis, and plan and strategy.
In addition to notes, structured Clinical Coding can be used (it is not enforced).
Note: Currently the clinical terminology implemented in SAAS Consultation Records is ICPC-2 PLUS. (Note that an end-user licence fee applies).
A new version of this program will be released soon, using the SNOMED CT-AU and Australian Medicines Terminology clinical coding system. SNOMED is the preferred clinical coding system for My Health Record.
Before implemented clinical coding in SAAS Medical Systems, please check for any updates to this documentation or contact SAAS Medical Support.
If you have other clinical coding requirements such as ICD-10 - please get in touch.
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