Add a New Encounter in hCare
13 min
this article is intended for all users looking to add a new encounter for a patient using hcare information from provider home, under patients , select the patient you wish to add a new encounter for to open the patient home for that patient under the patient menu, tap the quick select button on the bottom right corner and select new encounter for \[patient] fill out the details of the encounter in the information fields as necessary a new encounter can be added quickly by tapping the next to a patient's name in provider home and selecting new encounter general info select the date and time of the encounter under the cases and problems drop down menus, you can choose to connect this encounter to a patient's existing case or problem encounter notes notes can be added for an encounter by typing in the field you can use the ipad to automatically transcribe a voice message into the encounter notes by tapping the microphone icon on the keyboard window previously added quick texts can also be inserted into encounter notes by tapping on the right hand side of the field more information about quick texts can be found at using quick texts docid\ fm47vvjjglx4phb2cwnlb once an encounter note has been added, a prompt will appear on whether you would like to save changes when having to navigate outside the new encounter screen tap save changes before continuing to keep the encounter note saved photos by tapping + attach photo , you are given the option of take photo and look in library selecting take photo will open the ipad's camera and upload the photo taken into the encounter selecting look in library will open the device's internal storage select the chosen image to upload it to the patient's encounter measures tapping + add measure gives a drop down menu of a list measures that can be recorded set up by your organisation selecting one from the menu will allow you to input the value field if a mistake is made, tap the button on the right hand side of the field to delete the measure for more information on measures, see adding and viewing measures docid 80ptengj9n7oclqp8ow6h interventions tapping + new intervention will provide a list of interventions assigned to the patient tap the relevant intervention, fill out the relevant information and tap save once the intervention has been assigned, tap on the top left corner of the screen to return to the new encounter screen for more information on interventions, see viewing and completing interventions docid\ gacuc f018wsyk3ukljnq prescriptions tapping + new prescription will bring up a list of any usual and prior prescriptions from the patient if you wish to create a repeat of a previous prescription, select the prescription in the usual prescriptions or prior prescriptions field, or find it by typing it in the search bar fill out all the relevant fields and tap done on the top right corner of the screen to save if you wish to create a new prescription, tap + create new prescription to open the new medication screen select the relevant medication by typing the name in the search bar, fill out the dosage details and tap done on the top right corner of the screen once the prescription has been added, it can be printed by tapping print on the top right hand corner tapping the send all prescriptions to pharmacy by fax field will send the listed prescriptions to the listed pharmacy when the encounter is complete when all necessary prescriptions for the encounter are added, tap on the top left corner to return to the new encounter screen for more information on prescriptions, see creating a new prescription docid\ vzkygptuhv7dyyh5d6lil medchart (administering a medication) tapping + new administration will bring up a list of all medchart medications for the patient select the medication that is being administered in the encounter and tap + new administration to get to the new administration record screen under the administration section on the bottom of the screen, fill out the status, initiation, dose, batch and expiry fields tap save on the top right hand corner of the screen to add the administration this will save the administration of the medication to the medchart record tap to go back to the medchart screen and tap to return to the new encounter screen for more information about medchart, see documenting prescriptions using medchart docid\ yob7mx0dx9tgpfsu8fg4n information handout tapping + add information handout will bring up a list of all information handouts in the system tap the icon on the right hand side of the handout you have given to the patient and tap add on the top right corner of the screen forms tapping + add form will bring up a list of form templates in the system tap the applicable form template, fill out the required details and tap save on the top right hand corner, and choose either save or save as incomplete for more information on forms, see creating forms docid\ dymck3cdgtwsgodfypska letters tapping + new letter will bring up the new letter screen tap the letter template field to begin from a pre existing letter template the subject field will be filled in automatically from the letter template any further notes can be put in the additional text field once all of this is done, tap save in the top right hand corner, and choose either save and send , save and print , or save as incomplete for more information about letters, see creating and sending letters docid\ mpk5eg25f2z5ifnowzmt1 when all details are filled in, tap on the top right corner to save the encounter after tapping save , you will be given the option to save or save as incomplete if you choose save as incomplete , you will not be able to further edit the encounter using hcare, but it can still be edited using profile