Q.D. Clinical is a comprehensive electronic medical records solution compatible with various operating systems including Windows 95/98, NT/2000, XP/2003, Novell, Citrix, and Linux. This software empowers healthcare providers to efficiently manage patient records while ensuring that the quality of care remains uninterrupted by digital processes. It offers unlimited fields for recording visit notes, findings, and discussions, as well as unlimited vital signs entries. Users can create an infinite number of custom-defined fields for both numerical and textual data, which can be used for tracking outcomes and ensuring compliance. Additionally, it supports unlimited lexicons for individual or group use, along with customizable 50-column flowsheets that can display medications, vital signs, laboratory data, and other relevant information, including custom text and ad-hoc entries. The system also allows for easy import and customization from fellow users, facilitates messaging attached to patient records, and generates recall and reminder letters. It includes features for monitoring patient no-shows, management tools for the message center, tracking open requests, and returns to their originators, whether entered in batches or on a per-visit basis, in addition to an option for electronic lab downloads, enhancing overall functionality and flexibility for medical practices.