How to Use Clinical Notes

Articles

How to Correctly Book an Appointment
Navigate to the day in the diary that you are booking the appointment for.  Left click on the desired appointment time and the appointment box which you can see in the following image will pop up.  If the appointment is for an existing p...
How to Open a Case from an Appointment
You can open a case from an appointment by clicking on the appointment in the diary and then clicking on Go To Case .  This is highlighted in red in the image below.  Alternatively you can click on the appointment in the diary and hit ...
How to Record Admission
When we go to the patient case we are brought to the screen below.  Some details are pre-populated for example the patients details at the top left and the body site ,  practitioner and admission into care date fields. ...
How to Record a Discharge
On the right hand side of the case click on More and then choose Discharge . This will then bring up a confirmation box as seen in the following image.   This then adds the default discharge template t...
How to Record First Consultataion/Admission
Note: This article will be working from the standard  First Consultation  template, you may create your own so it will be a different layout to the standard template.   When a completely new case is opened in TM3 the  ...
How to Record a Follow Up Consultation
Note: This article will be working from the standard  Follow Up Consultation  template, you may create your own so it will be a different layout to the standard template.   When a case has already been created when you click ...
Case Top Bar
The below image shows the top bar of a case within TM3 web.  There are 9 sections highlighted which will be discussed below. 1. Clicking the Back button will bring you back to the screen you were on before you navigate...
How to Add An Assessment To A Consultation
Assessments  can be added to any consultation in TM3.  To add an  Assessment  the consultation must be in an  Edit  state.  To  Edit  a consultation simply click the  Edit  option; highlighte...
How to Add A Modality To a Consultation
Modalities  can be added to any consultation in TM3.  To add a  Modality  the consultation must be in an  Edit  state.  To  Edit  a consultation simply click the  Edit  option; highlighted i...
How to Add an Image to A Case
Images  can be added to any consultation in TM3.  To add an  Image  the consultation must be in an  Edit  state.  To  Edit  a consultation simply click the  Edit  option; highlighted in red b...
How to use Sketchpad
Sketchpad  is the area where you can add images and make changes to them.  There are many different options available from here and they are available on the menu on the left hand side of Sketchpad. To ...
How To Record Scores
On the right hand side of a case there is an area where you can ' Add Score .'  This is highlighted in the image below.   The below image shows the Available Scores and these are set up under Scores & Go...
How to Record Goals
On the right hand side of a case there is an area where you can ' Add Goal .'  This is highlighted in the image below.   The below image shows the Available Goals and these are set up under Scores & Goals...
Previous Medical History
Previous Medical History  or  PMH  will be available from every case associated with a patient or you can enter this from the patient record.  Like the  First Consultation  etc.  PMH  will have it's own ...
How to Use Highlights
Highlights  can be used in any of the  Consultations  and the  Previous Medical History  section.  When a Highlight  is used it will appear in the Summary  section of the case.  If you add a Highligh...
Summary Page
The  Summary  page can be accessed from within a case in TM3.  To open the  Summary  page click the arrowed tab on the right hand side of the screen.   This will open The whole summary page...
Locking Consultations
When a consultation has been added to TM3 you can make changes to it.  Once you are happy with your changes and any additional comments that have been added you can then  Lock  the consultation.    This will ensure that...
Locking Images
When an image has been added to TM3 you can make changes to the image.  Once you are happy with your changes and any additional comments that have been added you can then Lock the image.   This will ensure that no further changes c...
Add File Note
File Notes can be added to all cases.  This could contain any information that is relevant to the case.  To add a new  File Note  navigate to the right hand side of the case and click the  File Note  option.  ...
Converting Clinical Notes from TM2/TM3 Touch
In TM3 there are two types of cases.  They are  Legacy Cases  and TM3 Web Cases.  Legacy Cases  are cases that have been created in TM2/TM3 Touch.  Since these cases were not created on TM3 Web they cannot be viewed ...