General Medicine — Chronic Disease Management

# General Medicine Module

ClinIT's general medicine module provides tools for managing the high-volume chronic disease workload typical of a GP or family medicine clinic.

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Chronic Disease Panel

In each session, the Chronic Disease Panel on the right sidebar shows a summary of the patient's active conditions with the latest recorded values.

For in-depth management, use the Chronic Conditions section in the patient chart.

### Adding or Updating a Condition

1. Patient chart → Medical History → Chronic Conditions → + Add.
2. Complete:

- Condition name (or ICD-10 search).

- Onset date.

- Status: ACTIVE / CONTROLLED / RESOLVED.

- Control target (e.g. BP < 130/80, HbA1c < 7%).

- Current medications.

- Latest lab values.

1. At each review visit, update the latest values directly from the session.

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AI Chronic Disease Coach

The Chronic Disease Coach AI module provides management suggestions for common conditions:

1. In the session, click AI → Chronic Disease Coach.
2. Select the condition to focus on (e.g. *Type 2 Diabetes*).
3. The AI analyses:

- Latest HbA1c, fasting glucose, BP, weight.

- Current medications.

- Guidelines (ADA, ESC, etc.).

1. Returns a structured management recommendation (medication adjustment, lifestyle targets, referral triggers).
2. The doctor reviews and can copy the recommendation to session notes.

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Hypertension Review

At hypertension review visits, the session vitals BP field is paramount. The chronic disease panel shows:

• Last 5 BP readings with trend arrow.
• Target BP for this patient.
• Current antihypertensive medications.
• Flag if target is not met.

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Diabetes Review

At diabetes review visits, the panel shows:

• Last HbA1c (with date) and trend.
• Last fasting glucose.
• Weight / BMI trend.
• Current diabetes medications.
• Foot exam status (date of last monofilament test).
• Eye screening status (date of last retinal exam).

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Medical Certificates

Issue medical certificates for sick leave, fitness to work, and school absence:

1. Session → + Certificate (or Patient Chart → Certificates).
2. Select type:

- Sick Leave — includes from/to dates and diagnosis (optional toggle to show/hide).

- Fitness to Work / Sport — states the patient is medically fit.

- School / Nursery Absence — for paediatric patients.

1. Certificate auto-fills with doctor's name, license, and signature.
2. Print or save as PDF.

Each certificate is stored with a unique certificate number in the MedicalCertificate table.

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Teleconsultation

For virtual visits:

1. Book the appointment as normal with type set to FOLLOW_UP or CONSULTATION.
2. In the session, toggle Teleconsultation — this marks the session appropriately in the audit log.
3. Conduct the call via your preferred platform.
4. Document in the session screen as normal.

Teleconsultation appointments are flagged in analytics for triage reporting.