EmisWeb: Med3 digital
This shows a step by step workflow for sending Fit Notes to patients using Accurx ChainSMS service with the new functionality to attach documents.
This is created using:
- Clinical system emisWeb
- Bullzip PDF but you can use any of your choice
- (Cute PDF - freeware)
- (Claw PDF - opensource)
- Adobe Acrobat Reader DC
MASSIVE thanks to Dr Avi Pillai and his team who have pointed out that Bullzip is only free for personal use! They recommend Cute or Claw PDF which are freewares. They also have a lovely video on YouTube about using the PDF printer.
![Set up PDF Printer](https://media.screensteps.com/image_assets/assets/003/238/563/original/f487caab-6b93-40ea-ac5c-55da0af9d2ea.png)
With emisWeb, you can choose your printer when you are generating the Fit Note. However make sure that you change the default orientation to landscape, otherwise you will have problems with a rotated Fit Note later on!
![EMIS Web Health Care System - Dawley Medical Practice - 6196](https://media.screensteps.com/image_assets/assets/003/208/943/original/294f48d4-5ce3-4010-b6db-6e8b1aab9618.png)
We are using a test patient in this example
![EMIS Web Health Care System - Dawley Medical Practice - 6196](https://media.screensteps.com/image_assets/assets/003/208/939/original/f8d56765-361b-49b8-85de-2e49a4fc1e0e.png)
Add Fit Note
![Issue and Select Printer](https://media.screensteps.com/image_assets/assets/003/238/564/original/6927ce97-69ae-4828-b97a-1cef4477bf95.png)
You should now be able to select your PDF printer or in this case 'Bullzip PDF Printer'
![Fit Note Form](https://media.screensteps.com/image_assets/assets/003/208/953/original/2dcf7d7b-1152-42a5-99bd-37493b41c7cc.png)
You will most likely get this odd 'error/ alert'.
Keep Calm and Carry On Regardless!
![Bullzip PDF Printer 10.25 - Create File](https://media.screensteps.com/image_assets/assets/003/208/949/original/259c9077-8f5b-4aa5-a10f-54f107ee391c.png)
Bullzip is highly customisable so these settings may be different for you.
These setting may have been changed when Bullzip was set up.
My advice is keeping the default setting is adequate.
![PDF output](https://media.screensteps.com/image_assets/assets/003/208/945/original/b1e38296-c846-4cf0-bdbe-5e87e59ec4e9.png)
Note down where the file is and open it with Adobe Acrobat
![Choose PDF printer](https://media.screensteps.com/image_assets/assets/003/238/557/original/3cb08ba8-777b-4c6a-9785-95f70bb59b6b.png)
![Fit Note Form](https://media.screensteps.com/image_assets/assets/003/238/559/original/a8283950-92ab-4523-932a-e97f2c405a56.png)
![EMIS Web Health Care System - Dawley Medical Practice - 6196](https://media.screensteps.com/image_assets/assets/003/238/561/original/8c769c14-2689-46f2-b951-5923693184c9.png)
Note down where the file is and open it with Adobe Acrobat
![Fit Note.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/957/original/13b84237-2537-470f-998b-461cdb252a3b.png)
![Fit Note.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/947/original/4a9e0e65-7133-40cf-8d2a-1d86b3395411.png)
![Fit Note.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/941/original/3a21e16d-7e16-405a-9670-2c433d845574.png)
Now you are ready to sign the fit note.
![Fill and Sign](https://media.screensteps.com/image_assets/assets/003/208/555/original/e8724d10-a0d7-490a-a11c-43efd3bb34c0.png)
![Choose your signature](https://media.screensteps.com/image_assets/assets/003/208/525/original/c79239b7-5c72-498d-b5bb-f2944a6bfd58.png)
![Add initials](https://media.screensteps.com/image_assets/assets/003/208/561/original/9fc8555d-658a-44ad-9972-66f401d53574.png)
I've already got a signature but you can add yours, or add multiple
![Adding a signature](https://media.screensteps.com/image_assets/assets/003/208/557/original/6c3269f4-c8b0-4b91-93f7-1b5af156913b.png)
You can draw on a trackpad or use your mouse
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/559/original/c3fd4aa7-542e-4d80-a1e2-673dede420a2.png)
Now just select/ drag your signature to where you need it
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/537/original/e275282f-fcfa-47cd-ab16-7060c41156c2.png)
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/533/original/d4106c32-73f4-442d-96e1-54b7478ce0f9.png)
Once you are done proceed
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/553/original/c5fce218-7680-421b-aae5-8774e5cfbd9e.png)
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/545/original/61cdfac9-8fa5-464e-9b21-d3a6d8881d6b.png)
Save it and replace your original fit note
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/531/original/62d2c1dd-c277-4092-b058-6631a9445083.png)
![General.pdf - Adobe Acrobat Reader DC](https://media.screensteps.com/image_assets/assets/003/208/535/original/616dbfe3-669e-45f3-aa64-d2f103006751.png)
![Message Patient](https://media.screensteps.com/image_assets/assets/003/208/549/original/a92a679f-a488-4d1b-97d0-c106160f4f52.png)
Now on Chain SMS, send your message as normal and attach the file.
![Message Patient](https://media.screensteps.com/image_assets/assets/003/208/547/original/b9c47435-80d7-4002-b718-e656a0e71943.png)
Remember to DELETE the fit note file after it has been sent
![EMIS Web Health Care System - Dawley Medical Practice - 6196](https://media.screensteps.com/image_assets/assets/003/208/955/original/9db2e468-a485-43e2-bf5a-250fab894235.png)
This is how it is recorded in the clinical notes
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