Consultation / OPD: Outpatient consultation, SOAP notes, orders, prescriptions and visit summaries

The outpatient consultation, done properly: SOAP notes with ICD-10 and SNOMED coding, e-prescribing checked against a drug-interaction base, referrals and eConsults with SLAs, evidence-based clinical pathways and care plans with SMART goals, antenatal, growth and immunisation records, advance directives with a legal audit trail, patient education and print templates.

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HMS Core

Consultation / OPD in the Bridge HMS Suite: Outpatient consultation, SOAP notes, orders, prescriptions and visit summaries

The consultation, done properly

The outpatient dashboard lists who is waiting; the consultation holds the SOAP note with ICD-10 and SNOMED coding; prescriptions are checked against the drug-interaction base before they reach the pharmacy; referrals and diagnoses stay on the patient for every next visit.

Templates and a formulary your doctors trust

SOAP templates per specialty, the hospital formulary, drug interactions with a seeded starter set, and the national immunisation schedule.

What's inside

Everything in Consultation / OPD

78 items in 16 areas, every one shipping with the app today.

Consultations, SOAP & Diagnosis
- SOAP-Format Consultation RecordStructured Subjective, Objective, Assessment and Plan fields capture every encounter in the recognized SOAP clinical note format.
- Four-Field Completion GuardCompleting a consultation is blocked until all four SOAP sections are filled, naming any empty section back to the doctor.
- Consultation Lifecycle StatesDraft, Completed and Amended states with tracked transitions govern each note through its clinical workflow.
- Legal Amendment TrailCompleted notes cannot be edited or deleted; Amend clones the record, links it to the original and flips the original to Amended.
- Amendment Linking & CountEach note shows its parent original and a live count of amendments made against it for a full audit chain.
- Consultation Duration TrackingStart and end datetimes auto-compute consultation duration in minutes for throughput and productivity analysis.
Prescriptions & e-Prescribing
- Full Prescription LifecycleDraft, Active, Partially Dispensed, Dispensed, Expired and Canceled states with guarded transitions.
- Multi-Line Drug OrdersEach prescription holds multiple drug lines with dose, unit, frequency, route, duration, quantity and instructions.
- Structured Dosing VocabularyDose units, 14 frequency codes (OD/BD/TDS/QDS, hourly, PRN, stat, nocte, mane) and 12 routes from clinical pick-lists.
- Therapeutic-Class Dose HintsSelecting a drug auto-suggests dose, unit, frequency and duration from 18 built-in therapeutic-class profiles.
- Auto Quantity CalculationQuantity to dispense is computed from frequency and duration, giving pharmacists a sane default automatically.
- Human-Readable Dosing LineEach line renders a plain-language string, e.g. 500 mg - oral - three times daily - for 7 days.
Drug-Drug Interactions
- Interaction Knowledge BaseA dedicated register stores drug pairs with severity, mechanism, clinical effect, recommendation and literature reference.
- 30 Seeded Interaction PairsShips with 30 curated drug-drug interaction pairs spanning minor, moderate, major and contraindicated severities.
- Four-Tier Severity ScaleInteractions grade Minor, Moderate, Major or Contraindicated to drive the right level of clinical alerting.
- Symmetric-Pair DeduplicationThe app prevents duplicate or self-referencing pairs and detects mirror-image duplicates automatically.
- Interaction Seeder ToolAn admin wizard matches curated generics to the catalog, creates interaction rows and reports how many were seeded.
- Auto-Seed On InstallThe post-install hook builds interaction rows automatically when the drug catalog is present.
Referrals
- Internal & External ReferralsRefer to an internal staff clinician or a named external provider, with a guard requiring at least one target.
- 18 Specialty DestinationsReferrals route to any of eighteen specialties from cardiology to oncology to ophthalmology.
- Referral Workflow StatesRequested, Accepted, Declined, Completed and Canceled states with accept/decline/complete/reopen actions.
- Urgency ClassificationRoutine, Urgent and Emergency levels prioritize referral handling.
- Response & Feedback CaptureResponse and completion dates plus free-text feedback close the referral communication loop.
- Auto-Numbered ReferralsEach referral gets a unique per-company reference (REF/year/000001) from its own sequence.
Obstetric Care
- Antenatal RegisterA per-pregnancy antenatal profile tracks LMP, gravida/para/abortion/living counts and rhesus status.
- Automatic EDD CalculationEstimated date of delivery is auto-computed as LMP plus 280 days.
- Live Gestation CounterCurrent gestational age in weeks is computed on the fly from the last menstrual period.
- Obstetric-Count ValidationThe app enforces that Para plus Abortions never exceed Gravida and that all counts stay non-negative.
- Serial Antenatal VisitsRepeat visits record BP, fundal height, fetal heart rate, movements, edema, urinalysis and weight.
- Automatic Pre-Eclampsia FlagVisits auto-flag pre-eclampsia risk when BP crosses 140/90 or urine protein reaches 2+.
Pediatric Growth & Immunization
- WHO Z-Score Growth TrackingWeight-for-age, height-for-age and BMI-for-age z-scores computed against embedded WHO reference tables (0-60 months).
- Automatic Age & BMIAge in months is derived from date of birth and BMI auto-calculated from weight and height at each measurement.
- Malnutrition Interpretation FlagsZ-scores auto-classify children as underweight, stunted, wasted, overweight or obese including severe grades.
- MUAC & Head CircumferenceMid-upper-arm and head circumference measurements are captured alongside weight and height.
- Interpolated Reference CurvesMedian and SD are linearly interpolated between WHO reference ages for accurate off-milestone z-scoring.
- Immunization RegisterRecords each vaccine dose with batch, lot, expiry, manufacturer, route, site, administrator and adverse events.
Dental Charting
- 52-Tooth Auto ChartCreating a dental chart auto-populates all 32 permanent and 20 primary teeth ready for examination.
- Per-Tooth Condition CodingEach tooth records one of twelve conditions from caries and fillings to crowns, implants, root canals and extractions.
- Surface-Level DetailAffected surface (mesial, distal, occlusal, buccal, lingual, incisal or all) can be pinpointed per tooth.
- Treatment Planning Per ToothPlanned and completed treatments with dates are tracked at the individual tooth level.
- Issue CounterEach chart shows a live count of teeth needing attention, excluding healthy and missing teeth.
- Non-Destructive Chart ResetA reset action re-adds any missing teeth while preserving existing recorded conditions.
Formulary & Cross-App Integration
- Facility Formulary ListsEach facility maintains an approved-product formulary of medications permitted for prescribing.
- Formulary-Only PrescribingWhen enabled, prescriptions validate that only formulary-approved products can be ordered at that facility.
- Company-Scoped Formulary AccessAccess rules confine formularies to the user's company for multi-facility deployments.
- Formulary Count & Drill-DownFormularies show their approved-product count with a button to open the full product list.
- Order Labs From ConsultationA button opens a pre-filled lab request when the Bridge HMS Suite Laboratory app is installed.
- Order Imaging From ConsultationA button opens a pre-filled radiology order for imaging studies.
Configuration
- Settings
Outpatient
- Consultations
- Clinical Dashboard
- Prescriptions
- Referrals
- Diagnoses
- SOAP Templates
- Formulary
- Drug Interactions
- Immunization Schedule
- Seed Drug Interactions
Specialty
- Antenatal Register
- Delivery Records
- Pediatric Growth
- Immunizations
- Dental Charts
Documents it prints
- Consultation Note
- Prescription
- Referral Letter
- Discharge Summary
It runs by itself
- BridgeERP HMS: Expire stale prescriptionsRuns daily
Guided assistants
- BridgeERP HMS Clinical - Dashboard
- BridgeERP HMS Clinical - Apply SOAP Template Wizard
- BridgeERP HMS Clinical - Drug Interaction Seeder
- Config Settings
What it sends
- BridgeERP HMS: Prescription to Pharmacy
- BridgeERP HMS: Referral Letter
- BridgeERP HMS: Consultation Summary to Patient
More in this app
- The registers the clinic keepsThe antenatal register, delivery records, paediatric growth with WHO z-scores, immunisations against the schedule and dental charts — filled from the consultation, not copied into a book.
- What the clinic saw and prescribedConsultations, prescriptions, referrals and the clinical registers in pivot and graph — by doctor, diagnosis, drug or month, with PDF and Excel export.

Works with

What Consultation / OPD works with

Consultation / OPD shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.