Training

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.

1. Select your PDF printer [Bullzip or Microsoft Print to PDF]

Set up PDF Printer

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!

2. Generate Fit Note

EMIS Web Health Care System - Dawley Medical Practice - 6196

We are using a test patient in this example

EMIS Web Health Care System - Dawley Medical Practice - 6196

Add Fit Note

Issue and Select Printer

You should now be able to select your PDF printer or in this case 'Bullzip PDF Printer'

3. Bullzip

Fit Note Form

You will most likely get this odd 'error/ alert'.

Keep Calm and Carry On Regardless!

Bullzip PDF Printer 10.25 - Create File

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

Note down where the file is and open it with Adobe Acrobat

4. Microsoft PDF Printer

Choose PDF printer

Fit Note Form

EMIS Web Health Care System - Dawley Medical Practice - 6196

Note down where the file is and open it with Adobe Acrobat

5. Sign the Fit Note

Fit Note.pdf - Adobe Acrobat Reader DC

Fit Note.pdf - Adobe Acrobat Reader DC

Fit Note.pdf - Adobe Acrobat Reader DC

Now you are ready to sign the fit note.

Fill and Sign

Choose your signature

Add initials

I've already got a signature but you can add yours, or add multiple

Adding a signature

You can draw on a trackpad or use your mouse

General.pdf - Adobe Acrobat Reader DC

Now just select/ drag your signature to where you need it

General.pdf - Adobe Acrobat Reader DC

General.pdf - Adobe Acrobat Reader DC

Once you are done proceed

General.pdf - Adobe Acrobat Reader DC

General.pdf - Adobe Acrobat Reader DC

Save it and replace your original fit note

General.pdf - Adobe Acrobat Reader DC

General.pdf - Adobe Acrobat Reader DC

6. AccuRx

Message Patient

Now on Chain SMS, send your message as normal and attach the file.

Message Patient

Remember to DELETE the fit note file after it has been sent

7. Clinical Record

EMIS Web Health Care System - Dawley Medical Practice - 6196

This is how it is recorded in the clinical notes

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