VANNIN GROUPGreencube DocsThe medical history module is the clinical heart of Greencube: a single electronic patient record shared across outpatient, emergency, and inpatient care, from first anamnesis to signed discharge report.
Whichever route a patient arrives by, clinicians open the same record summary. A persistent patient bar shows identity, age, photo, location or bed, responsible service, triage colour where relevant, and blinking alerts for medical alarms and pending interconsultations, graded by risk level. The record menu gives access to personal history, progress notes, diagnoses, tests, treatment, nursing documentation, theatre documents, and administrative papers without leaving the patient context.
The record captures lifestyle and risk factors, family, pathological, work, and perinatal history, a structured anamnesis (with speciality-specific variants), and chronological progress sheets attributed to the author with date and time. Diagnoses are coded to the International Classification of Diseases with one principal and any number of secondary diagnoses. A problem list drives automatic alarms, including allergy warnings that surface on prescribing screens. Clinical scales record standardised assessments over time. The discharge report is drafted from the record summary, electronically signed, and can be extended by addendum or reopened under a controlled corrective action, with cancelled versions retained internally.
Doctors request laboratory work, diagnostic imaging, pathological anatomy studies, endoscopies, and other speciality tests directly from the record. Each request carries a mandatory clinical judgement, generates a tracking code, and moves through worklists to a signed report. A test map presents every request and result in the patient's history at a glance, with colour-coded status, and links through to images and structured reports.
The treatment screen manages medication prescribing against the hospital drug guide, fluid therapy, oxygen therapy, care instructions and dressings, diets and clinical nutrition (oral, enteral, parenteral, and infant feeding), physiotherapy, and blood product requests including autotransfusion and transfusion history. Hospital-defined treatment protocols load a whole set of drugs and care in one step, and pharmacy indications and therapeutic exchanges flow back to the prescriber for validation. Everything prescribed here feeds nursing administration and the pharmacy unit-dose circuit.