Available clinical functions

1. From the patient record, select Clinical > DASS21. The DASS21 screen will appear.



2. Record the answers to the questions.
3. Click DASS21 Explanatory Notes to view notes on evaluating the score.
4. If the patient has completed the DASS21 previously, click Previous assessments to view past results.
5. Click Save & Close to save the assessment and record the results to today’s notes.

Create an asthma action plan to help patients manage their asthma. See Create an asthma action plan for a patient for more information.

The BMI tool calculates a patient's Body Mass Index and Waist-to-hip ratio. The BMI calculation for people aged 2 to 20 years is calculated using the standard formula and is expressed as a percentile. These percentiles are based on data collected by the Centre for Disease Control and Prevention.

1. From the patient record, select Clinical > BMI, or click the BMI icon in the toolbar. If the patient is over 24 months of age the Body Mass Index screen will appear. If the patient is under 24 months of age, then the Percentile charts will display.



2. Enter a Weight and Height to obtain a B.M.I. value.
3. Enter Waist and Hips measurements in cm to obtain a Waist/Hip ratio value. Waist/Hip ratio are not calculated for children and teenagers.
4. Bp Premier will alert users if the BMI or waist/hip ratio falls below, inside, or over the optimum ranges.
5. Click Save or Save & Close to save the measurements to the patient record. The BMI values are recorded in Today's notes.

Displays a list of medications that were ceased by a provider. See View Past Rx, Ceased Rx and Stored Rx for more information.

Bp Premier version Spectra offers enhanced functionality for recording Blood Pressure and Pulse in the patient record, ensuring more accurate measurements:

• When recording Blood Pressure, providers can specify the arm from which the blood pressure measurement was obtained by ticking the Left or Right arm check boxes.
• When recording Pulse, providers are offered the opportunity to specify the patient’s pulse rate when sitting, standing or lying .

This tool records a patient's blood pressure and pulse.

1. From the patient record, select Clinical > Blood Pressure. The Blood Pressure screen will appear.



2. In Blood Pressure, enter Systolic and Diastolic readings for at least one of the following options: Sitting, Standing, or Lying.
3. In Spectra, to specify the Arm from which the blood pressure measurement was taken, tick Right or Left.



4. In Pulse, enter the patient's Heart rate and indicate whether any irregularities are present by selecting the appropriate option from the Rhythm drop down list.
5. In Spectra, select Sitting, Standing or Lying from the Position drop down to specify the position in which the patient’s pulse rate was taken.



6. Click Previous values to open the Past observations screen, which plots past blood pressure and pulse measurements. Click Graph from this screen to view past history rendered as a graph.
7. Click Save. Blood Pressure and Pulse will be recorded in Today’s Notes and Observations.
EXAMPLE   

In Bp Premier version Spectra, if the provider specifies the Arm from which the Blood Pressure measurement was taken, it will be displayed in Today's Notes and Observations. If the provider specifies that the Pulse rate was taken while the patient was Sitting, Standing, or Lying, it will be displayed in Today's Notes and Observations.

A Cardiovascular Risk Assessment Tool is available. See Cardiovascular Disease Risk Assessment Calculator for more information.

A Diabetes Risk Assessment Tool is available. See Diabetes risk assessment tool for more information.

1. From the patient record, select Clinical > Observations, or press Alt+F3. Up to about 400 recorded observations will appear graphed against the column header. Click Add. The Observations screen will appear.



2. Record observation data in the fields. Some fields may be prepopulated from data elsewhere in the patient record.
3. Click Save.

See Print graphs from observations for more information.

1. From the patient record, select Clinical > Gestational age, or press Alt+F4. The Gestational age screen will appear.



2. Select a Date of LMP to use this value to generate an EDC, which will be displayed in the text field.
3. Otherwise, tick Use scan date, enter a Date of scan, and manually enter the Weeks and Days to generate an EDC.
4. Click Save.

See Obstetric and antenatal visits for more information.

1. From the patient record, select Clinical > INR Manager, or press Alt+F5. The INR Manager screen will appear.
2. Click Change to open the Anticoagulation details screen.
3. Select a Reason for anti-coagulation, or enter a reason as free text.
4. Enter a Target INR range in the fields.
5. Enter any additional comments and click Save.
6. Click Add to open the INR screen.



7. Enter the patient's INR measurement, or click Lookup Ix to open the patient's investigation results.
8. Enter the Warfarin dose to take, or tick Use last dose.
9. Set the date for the next INR check up.
10. Enter any additional comments and click Save.
11. Click Print to print the INR schedule.

Bp Premier includes the Kessler Psychological Distress test (K10).

1. From the patient record, select Clinical > K10 assessment. The K10 Assessment screen will appear.



2. Record the patient's answers to the questions. Click Save to save the answers to the patient record and display a summary of the results.
3. Click Previous assessments to view a patient's previous answers to the test.
4. Click K10 Explanatory notes to view notes about the K10 test.

Bp Premier provides a condensed test to evaluate cognitive function. A score of 24 and above is considered normal.

1. From the patient record, select Clinical > Mini Mental State Examination. The Mini Mental State Examination screen will appear.



2. Score the patient according to the test.
3. Click Save to save the test to the patient record.
4. Click Previous examinations to view previous scores, or Print to print the test result.

Converts values between common metric and imperial measurements.

1. Select Clinical > Metric Conversion. The Metric conversion screen appears.
2. Enter a value, and select a conversion from the Convert list. Use a forward slash to separate remainder measurements (for example, 1/1 indicates '1 foot 1 inch', or '1 stone 1 pound').
3. The result will be shown, rounded up to the nearest integer.

1. From the patient record, select Clinical > Renal function. The Renal function screen will appear.



2. Enter the patient's Weight and Height, if these fields are not prepopulated.
3. Select Use calculated Lean Body Mass if the provider feels a reading may be inaccurate due to patient obesity.
4. Enter the Serum Creatinine value in mmol/L or µmol/L, or click Lookup Ix to find this value in the patient's investigation results.
5. Bp Premier will display the calculated Creatinine clearance and suggest referral to a nephrologist if warranted.
6. Click Equation to view the Cockcroft and Gault formula for men and women.
7. Click Save to save the reading to the patient record.

Bp Premier's respiratory function tool records pre and post PFR, FEV1, and FVC values against predicted values over time.

1. From the patient record, select Clinical > Respiratory function. The Respiratory function screen will appear.



2. Enter the patient's Age, Sex, and Height. The Predicted values for PFR, FEV1, FVC will be populated.
3. Record the actual PFR, FEV1, and FVC values for the pre phase. Bp Premier will calculate the % predicted and the FEV1/FVC %.
4. Record the post-administration values for PFR, FEV1, and FVC. Bp Premier will calculate the % predicted and the FEV1/FVC %.
5. Check Test performance is acceptable and repeatable, meeting start and end criteria if applicable. When checked a 'Y' is displayed in the Previous Respiratory Function values screen under the Compliance column.

The phrase 'Test performance is acceptable and repeatable, meeting start and end criteria' is also added to Today's notes. If the compliance check box is ticked and the values saved, the compliance text will remain in Today's notes if the check box is unticked and then re-saved.

6. Click Save to save the measurements to the patient record. The PFR and % Predicted values for Pre and Post will be recorded to the Respiratory component of Today’s Notes.
7. Click Previous values to view previously recorded respiratory function values.

When immunisations are printed or saved from the Travel Medicine window, a note with details is added to Today's Notes, including the countries checked.

1. From the patient record, select Clinical > Travel Medicine, or press Alt+F12. The Travel Medicine screen will appear.



2. Enter partial text in the Search field to find a Destination. Recommended vaccinations will be listed in the text field to the right.
3. Click Yellow Fever Endemic Zones to view the countries currently considered in a Yellow Fever Zone.
4. Double-click an item in the Patient education list to open an information leaflet.
5. Select the patient's Date of travel.
6. Tick the items in the Tick vaccines to include in schedule list that the patient requires. Click Previous Immunisations to check any immunisations that the patient has already had.
7. Click Create schedule to create the vaccination schedule based on the date of travel. Not all vaccinations may be able to be included before the date.
8. Click Print to print the vaccination schedule for the patient.
9. Click Add Reminder to set up a reminder for the patient to return to complete the schedule.
10. Tick Print selected scripts on exit to print any prescriptions required by the patient when the Travel medicine screen is closed.
11. Click Save to save the travel medicine record.

1. From the patient record, select Clinical > Geriatric depression assessment. The Geriatric depression assessment screen will appear.



2. Record the patient's answers to the questions.
3. When you click Save, Bp Premier will indicate the likelihood of geriatric depression.

Bp Premier offers the Edinburgh test for post-natal depression.

1. From the patient record, select Clinical > Edinburgh PND scale. The Edinburgh PND scale screen will appear.



2. Proceed through the ten questions. At the end of the test, click Save to save the results. Bp Premier will indicate the likelihood of PND.

1. From the patient record, select Clinical > Percentile charts, or press Ctrl+F8. The Percentile charts screen will appear.
2. Click Add to add height, weight and head circumference measurements to the patient record.

1. From the patient record, select Clinical > Physical activity prescription. The Physical activity prescription screen will appear.



2. Complete the current and recommend activity levels for the patient. Tick Add reminder to add a reminder to the patient record for the review date.
3. Click Print to print the activity guidelines for the patient.

Opens the provider's Inbox, showing any unactioned results for the patient. Select Clinical > Unchecked reports. See Manage Pathology and Imaging Results for more information.

Click the Medical Certificate icon in the toolbar. Bp Premier will open the word processor with the default medical certificate supplied with Bp Premier. Or, if the user has modified the default certificate from the original, the word processor will default to the user's custom certificate.

1. From the patient record, select Clinical > Audit-C. The Audit-C Assessment screen appears. You can also access this screen from Family & Social History > Alcohol.



2. Record the answers to the questions.
3. Click Audit-C Explanatory Notes to view notes on evaluating the score and information on standard drink sizes.
4. Click Save & Close to save the assessment and record the results to today’s notes.