What is in the clinical precis?

Tiffany Hodkinson -

The clinical precis is transferred from the GP system to the hub clinical system on booking an appointment (if the patient does not yet exist within the hub clinical system, this gets pushed in when the appointment is completed).

Sections Data sent Notes

Patient Demographics

  • Patient name
  • Patient address
  • Patient telephone number
  • NHS number
  • Date of Birth
  • Gender

Auto populated from GP Clinical system

GP Practice

 Practice Name

The practice name is included within the referral note posted into the hub's patient record e.g. 'The Lovely Medical Practice has referred patient xxxx

Legal information

 

Consent to sharing information

Recorded by referring GP 

Presenting complaints or issues

 Presenting complaint  Recorded by Referring GP

Problems and issues

  • Current problems
  • Significant past problems

Auto populated from GP problem list

 

Medications and medical devices

  • Medication name
  • Medication form
  • Dose
  • Medication frequency
  • Relevant previous medications
 

Auto populated from patient record

Includes:

  • Active acute medication
  • Active repeat medication 

Allergies and adverse reactions

 Causative agent  Auto populated

Immunisations

 Immunisation History  Auto populated

Investigations and results

  • Blood Pressure
  • Height
  • Weight
  • BMI

Latest recorded results

Social context

  • Smoking
  • Alcohol
 
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