Neurosurgery

What the record holds

The visit's own record, in 14 sections, beside the clinic's shared report — vitals, complaints, examination, diagnosis and therapy.

1. 1Neurological state4 fields
2. 2Functional status4 fields
3. 3Lesion and site4 fields
4. 4Lesion map1 fields
5. 5Imaging context3 fields
6. 6Procedure6 fields
7. 7Operating theatre10 fields
8. 8Operative note details4 fields
9. 9Craniotomy1 fields
10. 10Implants and hardware2 fields
11. 11Postoperative course3 fields
12. 12Instructions after the procedure5 fields
13. 13Prescription2 fields
14. 14Referral letter4 fields

The previous visit beside the record

What was written last time, open next to today's record.

The patient file

Every visit, document, payment and photograph in one place.

The printed report

The visit on A4, on the clinic's own letterhead.