Privacy: do not enter patient names, PHNs, dates of birth, or any other identifiers.
AI-WRITTEN
Unchecked boxes are documented as: well-tolerated with no adverse effects · labs presumed controlled · no barrier line included.
1Encounter type
2Medications — type everything you know
3Reason — the patient cannot see the doctor because
RxDescribe the adaptation — I’ll ask only for what’s missing
1Patient presentation or intended medication — the questions adapt to what you give
1Demographics & history — no name, no date of birth
Age (years)
Sex
If applicable
Weight (kg)
Height (cm)
BMI (calculated)
WHO BMI reference (adults) — shown for every patient; the app does not classify:
Underweight <18.5 · Normal 18.5–24.9 · Overweight 25.0–29.9 · Obesity ≥30.0
Underweight <18.5 · Normal 18.5–24.9 · Overweight 25.0–29.9 · Obesity ≥30.0
Smoking status
Cigarettes per day
Alcohol intake
Drinks per week
Allergies — select all that apply
RxMedications — type what you know; strength, indication, and direction come next
2Medication table — confirm strength, select indication(s), enter direction
| Medication | Strength | Indication(s) | Direction |
|---|
Pharmasave Secord