Follow the care journey

Because the choice is yours to make. Every list you choose from in a hospital form starts empty, so a stay, a dose, a result, a bill or a report records what somebody decided rather than whatever the form happened to show. A few things are the exception, and each says so. A list you work from, such as the ward on the drug round, a theatre's list, a unit's rota or a clinic location's tree, opens on the one you chose last time on this device (never on somebody else's choice), or on the only one there is; a form you start from that list, such as booking a case, starts on it and shows it so you can change it. A service request starts at Routine priority, the usual answer, and says when to raise it. And a choice is made for you only when a rule leaves one possible answer, such as a bed inside a room, or measurements, which are not asked how certain they are.

It cannot be chosen there, and its description says why: a part of the theatre record only the named surgeon or anaesthetist can sign, a batch that is not recalled cannot come off the shelf as a recall withdrawal, a bed cannot be marked occupied except by admitting a patient, records cannot be folded together until a second record is on the case, and a medicine taken off the formulary is not linked to a new supply. Showing it with the reason is quicker than choosing it and being refused.

The visit may not have reached the required stage, a preparation item may be incomplete, or the action may be limited to the assigned patient or clinician.

No. Ending audio or video only ends the call. The care team completes the remaining documentation and visit steps separately.

Open the appointment and look for the after-visit summary or follow-up section. Only released information is shown to patients.

No. The chart records what is believed and by whom. It does not check interactions, allergies, doses, or reference ranges, and there is no alerting or decision support, so it will not warn you.

No. Medication history records what the patient says they take. Prescribing is separate work with its own review and issue steps.

Yes, if you are a doctor, nurse, care coordinator or administrator who may change the chart. Type at the bottom of WhatsApp messages and send: it goes out from the clinic number the conversation is on. Keep clinical details out of it, because WhatsApp is not a secure clinical channel; a reply that names them is refused.

Usually. The clinic keeps photos, voice notes, videos and common documents when they arrive, and they open from the message on the chart. A file that was too large or of a type that is not kept says so, and is still on the clinic phone. Files from WhatsApp are not checked for viruses, so open only what you expect.

No. The reply is highlighted on their chart and nothing is changed automatically, because one word from a phone a family shares may not be the patient's decision. If they no longer want WhatsApp messages, record the opt-out on their contact record in Contacts.

Several people in a family can share one number. A reply goes to the patient it answers, or to the one patient the clinic's recent messages on that number were about. If the clinic had been writing about two people in the family, the reply is kept but not put on either chart, rather than guessing: it waits in WhatsApp to file, where somebody who knows whose it is files it. With no recent messages at all, it goes to the family's main member and the chart says somebody else in the family may have written it.

Recording and correcting the clinical record is limited to doctors and nurses. Administrative roles can read a chart where their permissions allow it, but authoring clinical content is a clinician's act.

Someone at the facility restricted it, usually because the patient asked or their safety needs it. Being clinical staff here no longer opens it on its own. Ask for a grant, or, if care cannot wait, record emergency access.

No. It opens the chart and records who opened it and why. Whether the access was appropriate is decided afterwards by whoever reviews it.

No. Ending it stops further reading. It cannot recall what was already shown, and the record of the episode and your reason is kept.

No. A plan records what is intended. It does not order, prescribe, refer, book or remind anyone, and naming who is expected to do something does not send it to them.

No. Folding two people's medical histories together is a clinical decision, so it is made in Identity review, where both charts are checked and the reason is kept. Contacts that are not patients still merge from the contacts screen.

No. This is not a diagnostic display. Reading a clinical image needs a validated monitor and the right viewing conditions, and a browser on an ordinary screen is neither.

No. It records where a study came from, where its images are and whose they are. The report is written on the result surface, with its own review and release steps.

No. They join the study that already exists. A study identifier belongs to one study, which is what stops a study ending up split in two.

Because another workspace already holds it. That is almost always a misconfigured sending device, and filing the images under whoever received them second would be wrong. It is raised for somebody to look at instead.

It has an open question about whose images they are. Settle that first. The check happens when you save rather than when the screen loaded, so a question raised a moment ago still stops you.

No need. Asking again tells you the restore already in hand rather than starting a second one.

Because the vocabulary is shared by every clinic on the platform and is published centrally. If each clinic could edit it, the codes would stop meaning the same thing between you and anyone you send results to. Raise a correction and it goes into the next version.

Report it. Corrections and additions go into the next published version rather than being edited into the live one.

Because a result reported last year against a test has to keep meaning what it meant then, even after the code is retired. Replaced versions are marked replaced, not deleted.

No. A term carries the code and system it was published with. Nothing here maps one system to another or checks a code against an external register.

No. Completing a test records that the bench did it. Releasing a result to a clinician or a patient is separate work with its own review and release steps, and nothing in the laboratory queue does it for you.

No. It applies no reference ranges, no abnormal flags and no delta checks. Interpretation happens on the result, not here.

Because a label belongs to one sample at a time. Letting it be reused while the first sample is still here would give one patient's sample two sets of results, and nobody could tell them apart afterwards.

Nothing was recorded. A delivery is received whole or not at all, because a half-recorded delivery leaves numbers claimed by nothing. Fix the label and receive them again.

Yes. Recording a rejection frees the number, which is exactly what a re-bleed needs.

Its control has not passed, or it failed. Nothing can be reported from a run whose control failed, and that check happens when you save rather than when the screen loaded.

No. A failed control is final for that run, because the numbers measured while the analyser was out of control were still measured while it was out of control. Open a new run.

No. There are no control limits, no rules and no trend detection. You record the verdict you reached, and the system holds the run to it.

No. It records what was ordered and what was given. It does not check interactions, allergies, doses or duplicate therapy, and it will not warn you. Those checks remain yours.

It cannot be recorded twice. A dose is recorded once, and if a colleague records it while you have it open you are told when it was recorded and asked not to give it. Check with them before doing anything else.

The patient you had open is sent with the record and checked against the chart line. If they do not match, the dose is refused rather than written to the wrong patient.

Because what was given is not always what was ordered, and the difference is the thing worth recording. It is kept exactly as you write it.

They are withdrawn at the same moment, so a stopped line cannot take another dose off a round somebody is already walking. A withdrawn dose is not counted as one that was missed.

No. It says what this facility keeps and on what terms. It is a stock and governance list, not a clinical control.

Because the formulary marks them as controlled drugs. The witness is named on the record and cannot be the person doing the destroying.

No. There is one claim per bed and it is taken atomically, so if two people allocate the same bed at the same moment one of them is told the bed has gone. That refusal is the system working.

A bed a patient has just left goes to cleaning rather than straight to available. Mark it available from the departments and beds screen once it is ready.

No. A care team membership records responsibility. A restricted chart still needs a recorded grant or an emergency access episode, including for the named attending clinician.

Nothing is deleted. It points at the surviving record, and the surviving record's chart is read across both. Entries that came from it say where they came from, and the merge can be separated again.