The "Doctor /Nurse surgery" functionality in the "Surgery" menu is used to support overall medical surgeries in the registration of medical history of the patient and comprehensive patient’s care (including drugs prescription, prescriptions and referrals, ordering diagnostic tests, preparation of recommendations for the patient). After selecting the "Doctor / Nurse surgery" functionality there is displayed a search engine of prearranged visits to the logged doctor today in clinics where the logged doctor works. Depending on the system configuration, above a search engine can be displayed, in addition, information about the endless pools of prescriptions numbers - such information is a signal for the doctor that it is needed to downloaded from the NFZ and import them to the jHIS system new pools of prescriptions numbers (system estimates when runs out the pool of prescriptions numbers based on their previous average consumption).

In addition, a warning may appear above the browser about unfinished visits in the past days.

After clicking on this warning, a new window opens with detailed information on which days in which clinics which visits were not closed. By clicking on the name of the clinic, the system changes the view of appointments to visits on a given day in a given clinic, where closed visits should be closed (marked as completed or unrealized).

In the gynecology and obstetrics clinics above the search engine, an additional bar appears "Results of current cytological tests”, providing the doctor with access to the cytological tests not yet evaluated and assessing them.

After clicking on this bar, a new window opens with the filter for selecting the ordering physician (the logged-in physician is selected by default) and a list of unrated results (entered by registration in the 'History' tab in the patient's card). The test results are available in the form of links to files with their descriptions. Each test has two buttons "Normal result" and "Incorrect result". After assessing the test result, the doctor marks the result as normal or abnormal by clicking the appropriate button. In both cases, the test disappears from the list, but if the result was assessed as incorrect, it will appear in the "Cytologies" tab in the window of the patient's visit in doctor surgery room.

To begin using the functionality of the doctor's office it is at first needed to choose a clinic and click "Search" button (if the doctor only works in one clinic then this activity is done automatically). Under the search engine is displayed in two columns a view of prearranged visits to the logged doctor and free terms of logged doctor today in the indicated clinic. The search engine includes in addition the following navigation buttons:

• <<< - allows to view visits arranged to logged doctor and free terms at logged doctors in the indicated clinic on a month earlier than the current presented day
• << - allows to view visits arranged to logged doctor and free terms at logged doctors in the indicated clinic on a week earlier than the current presented day
• < - allows to view visits arranged to logged doctor and free terms at logged doctors in the indicated clinic on a day earlier than the current presented day
• "Change date" - allows you to display any day that needs to be indicated in the date field before pressing the "Change date" button
• "Today" - displays today's day
• > - allows to view visits arranged to logged doctor and free terms at logged doctors in the indicated clinic on a day later than the current presented day
• >> - allows to view visits arranged to logged doctor and free terms at logged doctors in the indicated clinic on a week later than the current presented day
• >>> - allows to view visits arranged to logged doctor and free terms at logged doctors in the indicated clinic on a month later than the current presented day

Clicking on any of the above buttons changes the view of arranged visits to the logged doctor and free terms to logged doctor in the indicated clinic for the appropriate day for which the button leads.

View of prearranged visits to the logged doctor and free terms in logged doctor consists of two columns. The left column is a list of hours of dates at the clinic, which are marked arranged scheduled visits (ie visits scheduled for that day in the indicated clinic in hours resulting from the work timetable of doctor) and available dates due to doctor's work timetable. The right column is for additional visits, arranged on a given day in the indicated clinic and the form of arranging another extra visit. At the bottom right of the screen there is the "Help" button that opens a legend of the signs used in the surgery room in a new window.

In this view, past hours are grayed out, at every hour is the information about the status of the term (a free date, arranged visit, realized visit, unrealized visit), in addition, at a status may be the reason why a doctor should not realize the visit (Visit to cancel , too little or too much signed up patients for group sessions). At every free date is displayed "Save patient" button allows the doctor to sign up a patient on a specific date (if the date has been reserved, then next to the button appears an icon with a white letter R on a black background, after clicking which a warning appears with information about the purpose of the reservation). The signing up process is described in the "Scheduled visits in clinic" section. At each of visit there is visible, one or more buttons (more than one in case of group sessions) with the names of the patients signed up for a particular visit (if for a day visit the patient has status of uninsured child, then at the patient's name appears on the "(DN)" endorsement). These buttons can take the following colors:

• green - means that the patient signed up for a visit fulfilled all formalities and may be adopted; when you click this button it opens a window of visit
• red - means that the patient signed up for a visit did not fulfill the related formalities and cannot be accepted; when you click this button, a window appears with information which formalities have not been completed (eg. the lack of referral, blank documents, lack of authorizations, lack of insurance, lack of fee)
• gray - means that the patient did not show up for a visit and the visit has been marked as unrealized; button is inactive (clicking on it does not cause any action) is displayed for information only

In the case of prearranged visits (these are not marked nor as realized nor as unrealized) before the button of the patient's name there is also visible gray button with an „×” mark, which allows to cancel the visit (future visit) or to mark the visit as an unrealized (past visits) . If the patient was entered into the waiting queue at signing up on the visit, then after clicking the gray button with an „×” mark, the patient have to be deleted from the queue, so that the system will request for specifying the reason for the deletion of the patient from the queue. If the visit was arranged on the basis of an e-referral which was not used to arrange another visit or to enter the patient into the schedule / queue, then such e-referral is unblocked on the P1 platform, disconnected from the visit and removed from the patient's card. The button with the "x" mark is only available for the main staff realizing the visit / surgery.

If the response from the eWUŚ system for the patient's insurance status today includes information that the patient is currently being quarantined, then a black triangle icon with an exclamation mark on a yellow background appears next to the patient's name.

If there exist cautions for the patient entered within registration and marked as significant for doctor and / or vaccination warnings entered in the patient card, then next to the name of the patient registered for a visit there is red button with “!” mark. Clicking this button shows message with caution content.

For each visit to which the NHF service has been assigned (in the case of a planned visit - preassigned by registration, in the case of a completed visit - finally assigned when coding the visit), and for this service in the dictionary of NHF services, the color of the highlight was defined, next to the patient's name there is a button with a first aid kit on the background of a color such as the highlighting color of the assigned NHF service.

By each of home visits there is house icon on violet background.

By each visit that has been generated artificially by the system (for the registration of Medical Events, due to postponement of vaccinations or diagnostic tests, ...), there is a gear icon on an orange background.

By each completed visit of the National Health Fund in a specialistics, where the information for the referring physician was issued, there is an icon of a piece of paper on a navy blue background. Clicking it allows the doctor to download (as a PDF file) and print information for the patient for the referring doctor.

A tube icon is displayed next to each appointed but not yet realized visit at the Basic Health Care, when diagnostic examination results from the entrusted budget / benefits results / vaccinations are pending for discussion and/or settlement.

At each visit, you can see the icon of a white heart and a pulse on a maroon background - clicking it allows you to quickly view the patient's full medical records from a given doctor from a given clinic. It is possible to configure the system in such a way that clicking on this icon with the Shift key pressed on the keyboard exports the patient's full medical documentation (from all clinics).

For each visit whose type has a color distinctionin the dictionary of visit types, a contrast icon in a given color is visible.

At each visit for which video-consultation mode is possible there is a pink button with a camera icon. Depending on the system configuration, a chat window will open with the option of switching to video communication mode or video communicator window. If the system has been configured in such a way that the chat window opens, then at the bottom of the window there is a field for entering the text messages to be exchanged (the message is sent after clicking the Enter button on the keyboard) and a field for sending files (the file is sent after selecting the file from the disk ; the progress bar indicates the file transfer progress). Next to the field for entering exchanged text messages there is a "VIDEO" button enabling switching the messenger into the video communication mode.

If the system has been configured in such a way that the chat window opens and the "VIDEO" button is clicked in it, or if the system has been configured in such a way that the video communicator window opens, then the video communicator window will open. Its left upper part displays patient's name and surname and image from the patient's camera (if the indicator next to the patient's name is red, it means that the patient has not turned on the video communicator yet, if it is green, it means that the patient has established a connection), the upper right displays the name, surname and image from the own camera of doctor (as will be seen by the patient), in the bottom there is a chat and a field to enter exchanged text messages (sending a message follows after clicking Enter on the keyboard) and a field for transferring files (the file is sent after the file is selected from the disk; the progress bar indicates the progress of the file transfer). The connection between the doctor and the patient is established automatically after turning on the videocommunicators by both sides. To start video communication, you need a Firefox 61+, Chrome 67+, Opera 67+ or Safari 12+ browser.

If the logged medical staff to whom visits have been arranged has the privilege to use the jHQ queuing system and in the jHIS system configuration the visibility of icons for recalling patients is enabled, then by each visit that is waiting for completion and for which all formalities have been completed there displays icon with the jHQ system logo. If the patient confirmed the arrival for the visit (or in the case of a group session if all patients registered for a group session confirmed the arrival for the visit), this icon flashes which is an indication for the doctor which patients may be invited to the surgery room. After clicking it, a new window opens and in it there is first and last name of the patient (or first and last names of patients - in the case of group sessions) and the button "Invite to surgery room" for calling the patient / patients appointed for the visit to the surgery room. The order of calling is decided by the doctor by clicking the button next to the proper visit (he can call the patients in succession according to the admission hours, but he can also recall the patient who is late for the visit whose time has passed).

After clicking this button, on the display in front of the surgery room the icon / icons of admission status for an appropriate patient / patients are changed into "please enter the surgery room" and in the patient / patients calling window the question "Did the patient / patients come to the surgery room?" and two buttons "Yes" and "No" appear. At this point, the doctor should wait for a while and if the patient / patients called appear in the surgery room, click "Yes" button and if he / they do not appear, click "No" button. After clicking "Yes" or "No" button, on the display in front of the surgery room the icon / icons of the admission status change on the "in the surgery room" or "expects" respectively, while the patient / patients calling window is automatically closed.

If to a doctor come a patient not signed up for a visit and there are no longer available dates this day, then doctor may sign up the patient to extra visit using the form in the right column of a view. In the form are specified:

• time - by default filled with current hour
• surgery - if in selected clinic is only one surgery then it is selected by default
• visit type - if in selected clinic is only one visit type then it is selected by default
• kind of visit - default kind of visit for selected clinic selected by default

Pressing the "Arrange an additional visit" (or “Arrange an additional visit (use default price list)” when arranging commercial visits in a clinic where a default price list has been defined) button begins a process of arranging additional visit, which looks identical to the process of arranging scheduled visit described in the "Extra visits" chapter.

At the time when the patient comes to the surgery for visit, the doctor checks whether the patient can be accepted. If the patient cannot be accepted (that is, when the button at the name of the patient is red), then the doctor sends him to registration in order to complete the missing data. If the patient can be accepted (ie when the button with the name of the patient is green), then the doctor clicks the button with the name of the patient thereby opening the window of the visit.

On the left side of the window there is visible column with a history of patient’s visits and realized examinations and orders. At each visit, examination and order there is a "More" button allows to view details of visit (information entered by the doctor in the context of this visit: history, examinations, diagnoses, procedures, medications, etc.), examination (test results received from the laboratory) or order (order realization result description) with the option of preview of print and print these information (in case of visits and examinations).

If the visit at which the "More" button was clicked was carried out by a logged-in physician in the same clinic as the current visit (currently carried out) and the "Possibility of copying data from visit history to the current visit" option in the surgery configuration was enabled, then during interviews, icons for copying this data to the current visit are displayed on tests, diagnoses, procedures, drugs and recommendations. Clicking such an icon allows you to copy the data at which this icon is located for the current visit.

In the column with the history of visits, examinations and orders there are presented visits, examinations and orders from last year (365 or 366 days back from the current date) and underneath is available the "See more" button opens a window with all patient’s visits, examinations and orders with filter uses to reduce history to only a visits, only the examinations of the orders only.

In the upper part of the window of visit there are presented basic data of patient: first name, surname, PESEL, date of birth and age (if for a day visit the patient has a status of uninsured child, then at the patient's name appears on the "(DN)" endorsement; if the response from the eWUŚ system for the patient's insurance status today includes information that the patient is currently under quarantine, then the patient's name has a flashing triangle icon with an exclamation mark on a yellow background).

The main part of the window of visit are two tabs:

• Visit - visit card - allows doctor to register information about the patient's medical history during the visit
• Video consultation - enables the doctor to contact the patient in the video consultation mode (if the type of the visit allows it)
• Patient - allows the doctor to access the patient card

After selecting the "Patient" tab, the patient card is displayed. The doctor has the ability to manage patient data as described in the section "Patients (active cards)".

After selecting the "Videoconsultation" tab, if the visit is not carried out in the video consultation mode, an appropriate message is displayed, and if the visit is carried out in the video consultation mode, a green "TURN ON" button is displayed, which enables chat / video communicator in this tab. When the chat / video communicator is on, the red "TURN OFF" button is displayed to turn it off. Using the chat / video communicator in this tab is identical to that described earlier in this chapter.

The default tab is open "visit". This tab is itself also divided into sub-tabs:

• Information - personal and address data of the patient, allergies, addiction, warnings
• Interview - information from an interview conducted during the current visit
• Examination - the results of tests conducted during the visit
• Documents - documentation of the patient led to the patient's on subsequent visits (eg. the card of pregnancy)
• ICD9 / ICD10 - diagnosed diagnosis and procedures done during the visit
• Drugs - medicaments prescribed during the visit, paper prescriptions
• E-prescription - medicaments prescribed during the visit, electronic prescriptions
• Recommendations - Recommendations for the patient after a visit
• Orders - orders of diagnostic and microbiological tests
• Referrals - referrals to specialists, to hospital, on spa treatment
• E-referral – electronic referrals
• Coding – realized diagnostic tests
• OM – occupational medicine
• Vaccinations – vaccination orders
• Disposals – internal orders (admission on ward, transfer to another ward, discharge, examination)
• Stay – data from observations, celebrations, etc. recorded during a hospital stay
• Attachments – files attached to the patient's medical history (eg DICOM files, document scans, etc.)
• eZWM - electronic orders for the supply of medical products
• Benefits – commercial benefits' orders
• Cytologies - negative cytological tests performed
• RTG - radiological images taken
• Sanepid – documents passed to Sanepid
• COVID-19 - test orders and test results for COVID-19, COVID-19 certificates
• Chronic dis. - patient's chronic disorders
• Summary – data to the book of treatments, pricelist of services (in case of commercial visits), closing visit

At the top of each of the above tabs (with the exception of the "Summary" tab), attachments from the "History" tab in the patient's card, which the registration considered important for the visit, may be displayed (on a light orange background).

Each of the above tabs has its own mechanisms for saving data so you should remember to save data in each tab after entering them. It is also possible to use the cabinet configuration in such a way that the data entered into individual tabs are automatically saved when moving to the next tab. The mechanism of automatic data recording includes:

• basic parameters of the patient and information about his current treatment in the "Information" tab
• teeth diagram, eyes diagram and documents completed in the 'Interview' tab
• documents completed in the 'Examination' tab
• introduced diagnoses, procedures and chronic diseases in the "ICD9 / ICD10" tab
• data of drugs not assigned to any prescription in the "Drugs" tab
• data of drugs not assigned to any e-prescription in the "E-prescription" tab
• introduced recommendations and documents completed in the "Recommendations" tab
• data entered in the "Coding" tab
• examination cards and results od examinations and specialistic consultations in the "OM" tab
• documents completed in the "Stay" tab
• patient's chronic disorders in "Chronic dis." tab.

In the case of an attempt to automatically save data fails, the system displays a message about the failure and does not allow to go to the next tab. In this situation, the data should be corrected and saved manually or corrected and tried to go to the next tab allowing the system to make another attempt to automatically save data.