Endocrinology template
Endocrinology notes, written while you talk
Diabetes and thyroid clinics are about trends and screening. The Endocrinology template records glycaemic control, hypoglycaemia, endocrine results and what complication screening is done or due.
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Built for a Endocrinology clinic
The consultations this template is laid out for, among others:
- Type 2 diabetes
- Type 1 diabetes
- Hypothyroidism
- Hyperthyroidism
- Obesity
- Polycystic ovary syndrome
See a Endocrinology note
A short consultation in Urdu, and the note Hikayat Scribe writes from it.
The consultation (Urdu)
Doctor: Sugar kaisi hai?
Patient: Subah 180 ke aas paas aati hai.
Doctor: HbA1c 8.9 hai. Kabhi sugar low hui?
Patient: Nahi.
Doctor: Metformin 1000 do dafa chal rahi hai. Gliclazide add kar rahe hain, teen mahine baad HbA1c.
The note
- Glycaemic control
- HbA1c 8.9%. Fasting home readings around 180 mg/dL. Denies hypoglycaemia.
- Drug history
- Metformin 1000 mg BD.
- Plan
- Add gliclazide. Repeat HbA1c in 3 months.
Fictional patient. Sections that were not discussed are left off.
What the Endocrinology template records
Alongside the usual history and examination, every Endocrinology note has these sections:
Only what was discussed
Screening is never marked as done or normal unless someone said so. Any section that was not covered is simply left off the note, so it never fills up with "not discussed".
Set it once
Choose Endocrinology when you start a clinic or ward note, or tick "Always start my notes with this specialty" and it stays selected until you change it. Specialty templates are part of Pro and Enterprise, and included in the 7-day free trial.
The rest of the note
- Ranked differentials with the reasoning shown, for you to choose from
- Investigations and medicines you tick yourself; nothing is prescribed until you do
- ICD-10 and SNOMED codes for your review
- Your name, qualifications, registration number and the date and time on the printed note
How it works
- Record. Press the button and talk with your patient in any of nine languages, or dictate on your own.
- Review. The note is ready in seconds. Tick the diagnosis, investigations and medicines you are keeping, and edit anything.
- Use it. Copy, print or email the note, with your name, qualifications and registration number on it.
Common questions
- Will it mark eye and foot screening as done?
- Only if it was said in the consultation. Otherwise the screening section stays off the note.
- Can it follow insulin dose changes?
- Yes. Doses and injection technique are recorded as discussed.
- Can I use the Endocrinology template for ward notes?
- Yes. Specialty templates work for outpatient clinic notes and inpatient ward notes.
- What if I also have my own template?
- Both are used together: your own sections first, then the specialty sections.
Related
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