Chapter 5: Doctor Consultation Desk & Vitals Logging
The Doctor Consultation Station (booking_opd_consultation.php) is the core clinical workstation where doctors review patient records, record physical examination vitals, write clinical notes, set diagnoses, and order investigations.
1. Opening the Consultation Desk
When a doctor logs in and opens OPD Consultation:
- The screen loads the active patient queue for the doctor.
- Clicking Start Consultation locks the patient file and opens the full-screen clinical station.
- The top banner immediately displays the patient's UHID, Name, Age, Gender, Blood Group, and Allergy Warning Banner in bold red if present.
2. Capturing Clinical Vitals
Nurses or doctors record the patient's physiological vitals in dedicated entry fields:
| Clinical Parameter | Unit | Normal Reference Interval | Automatic Indicator |
|---|---|---|---|
| Pulse Rate | bpm | 60 – 100 bpm | Normal / Tachycardia / Bradycardia |
| Blood Pressure (Sys / Dia) | mmHg | 120 / 80 mmHg | Normal / Pre-HTN / Stage 1 / Stage 2 HTN |
| SpO2 (Oxygen Saturation) | % | 95% – 100% | ⚠️ Red alert if < 94% |
| Body Temperature | °F / °C | 98.4 °F (37.0 °C) | Normal / Low / High Grade Fever |
| Respiratory Rate | breaths/min | 12 – 20 /min | Normal / Tachypnea |
| Height & Weight | cm & kg | — | Auto-computes Body Mass Index (BMI) |
| Random Blood Sugar (RBS) | mg/dL | 70 – 140 mg/dL | Normal / Hyperglycemia |
┌────────────────────────────────────────────────────────────────────────┐
│ PHYSICAL VITALS ENTRY │
├────────────────────────────────────────────────────────────────────────┤
│ Pulse: [ 78 bpm ] BP: [ 130 ] / [ 85 ] mmHg SpO2: [ 99 % ] │
│ Temp: [ 98.6 °F] RR: [ 16 /min ] RBS: [ 110 mg/dL ] │
│ Height:[ 172 cm ] Weight: [ 74 kg ] ➔ BMI: [ 25.0 kg/m² (Normal) ] │
└────────────────────────────────────────────────────────────────────────┘3. Recording Chief Complaints & Clinical Findings
- Chief Complaints: Fast autocomplete selector with duration (e.g. Cough & expectoration x 5 days, Low-grade fever x 3 days).
- History of Present Illness (HPI): Detailed notes area for clinical chronology.
- Physical / Systemic Examination: Tabbed notes for CVS (Cardiovascular), RS (Respiratory), CNS (Central Nervous System), and P/A (Per Abdomen).
- Diagnosis: Enter provisional or final diagnosis with search matching standard medical nomenclature or ICD categories.
4. Ordering Diagnostic Investigations
From the same consultation screen, the doctor can order lab and radiology tests:
- Click + Add Investigation.
- Type test name (e.g. CBC, Lipid Profile, Chest X-Ray PA View, ECG).
- The test instantly dispatches to the Diagnostic Laboratory and automatically attaches the fee to the patient's billing ledger.