Introduction
This template aids data entry for the commonest consultation types in Primary Care. It can be especially useful for trainees, allied health professionals or even established GPs who just want a structured and evidence based way of recording data. For each of the areas covered we've scoured the available evidence so you can be sure you're entering everything that would be expected for that particular complaint, highlighting red flags (and giving you preformatted text to record their absence) and seeing the latest guidance on how to manage the presenting condition. As the evidence evolves, we add this in to the template so you don't have to. In this way, you can be sure that you and everybody else in the practice is working to a high quality standard when consulting.
As with our other templates this one is highly dynamic - for example:
- If a child is being seen the febrile child template is shown as are details about who is accompanying/caring for the child
- If a smoker has a sore throat the higher risk is highlighted to the user
- For NEWS score things like immunosuppression or COPD are highlighted to the user as key risks
- If diabetic the risk of malignant otitis externa is highlighted in the Earache page
- If the patient is presenting with chest pain and has pre-existing IHD this is flagged
These are just a few examples - there are far too many to list here.
Related Articles
OneTemplate Admin
Blue is for information and includes hints and tips ...
OneTemplate Coding
Purpose: This template is for use by clinical coders when receiving external communications from other agencies. What does it actually do? It is designed to contain everything a clinical coding team would need to process letters, record relevant ...
OneTemplate NonPrescriber
Introduction This is a dynamic template for managing chronic disease - so only things that are relevant to the patient you have in front of you are displayed. For example, if the patient is diabetic the diabetes section will show; if they aren't it ...
OneTemplate Prescriber
Information within this training package is colour coded: Blue is for information and includes hints and tips ...
OneTravel Template
The OneTravel template has been developed to help clinicians in Primary Care record travel vaccinations with ease. It has the following pages: Introduction This page has useful links fo travel advice, as well as multiple pre-formatted text items for ...