Case notes

In a patient's case notes you can view clinical information about a patient's current and past episodes of care. A patient's case notes contains folders, which contain forms and letters.

Some entries in a patient's case notes are called encounters. Encounters have a specific workflow. For example, the workflow for a discharge summary.

You can add information to forms during a patient's journey. Forms can contain a range of data types, including clinical notes, observations, assessments, and results. You might use forms for clerking, ward rounds, or to record a discussion with a patient.

Nervecentre can generate specific letters using the information you entered in a form.

This section is about digital case notes. For information about paper case notes, read about medical records.

Read more about medical records