Consultation and Medical History

Notes for consultation visits are entered efficiently and with consistency using the productivity tools inbuilt in NewLeaf Vet veterinary software.

Shorthand Macros

A macro is a predefined notes template that is inserted into the consultation visit notes with a shorthand key sequence.

Using macros:

• speeds up writing medical history for the consultation visit
• ensures notes are complete and consistent across staff

NewLeaf Vet comes with a set of predefined templates which you can modify to suit your veterinary practice, or you can define your own. Each veterinarian can have their own templates for their particular speciality.

Examples of macros:

• Acupuncture template

  Alarm Points -
  GB25, GB24, LIV 14, LIV 13, CV3, CV4, CV 5, ST25, CV 12, CV 14, CV17, LU 1
  Back Shu -
  BL 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28
  
  SUMMARY OF CLINICAL SIGNS
  Constitutional Type - Wood/Fire/Earth/Metal/Water
  Overall Constitution - Yin/Yang
  Qi Assessment - normal/deficient/excess
  Organs affected
  Disease Type - Yin / Yang Ext/Int Hot/Cold Full/Empty
  
  Other comments -
  
  TCM Diagnosis -
  
  Treatment Principle -
  
  Treatment 1
  Points used -
  Client instructions -

• Dental Cleaning Canine template

  Premed: PAC Ace/Butorphanol Combo __ cc SQ
  Induced with Propofol 10mg/mL __ cc IV
  Antibiotics: Pen G __ cc SQ
  Pain Meds: Morphine 15mg/mL __ cc SQ, Metacam 5mg/mL __ cc SQ scruff
  IV fluids administered throughout dental procedure at a rate of __ ml/hr.
  Patient intubated and maintained on 2% isoflurane and 1L of oxygen.
  
  Dental Charting: Grade __ Dental Disease. See dental chart.
  Please monitor the following teeth __ , __ for ...
  The teeth were scaled, polished and fluoride gel was applied.

• SOAP template

  Consultation:
  
  Physical Exam:
  S:
  O:
  A:
  P:

Other Useful Productivity Tools

Auto-complete to automatically complete words or phrases as you type is another useful tool. New additions can be added to the auto-complete list on the fly. Shortcut to insert current date/time and spell-checker with ability to add new words to its vocabulary.