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UM - English

AddressesAddresses

Selecting a town orcity name:

Note: Currently possible in person registration forms.

1.Click on the small icon to the right of the "City/town" input. A window will appear.2.The ten most frequentyl used names will be displayed on the list.3.If the name is on the list, click on it.4.If the name is not on the list, type it (or some beginning letters) into the search input.5.Click on the "Search" button.6.The search result will be displayed on a list.

Adding a newtown orcity name

1.Select "Special Tools" from the main menu.2.Select "Address Management".3.Enter username and password if prompted4.Select "Enter New Data".5.Enter the relevant data into the form.

AppointmentsAppointmentsHowto schedule an appointment

1. First, register the person. If he was previously registered, find his registration data using the "search"

option.

Note:

Most probably, the hospital worker does not know if the person was registered earlier

and it is always advisable to search for the person using the "search"

function before deciding to start a new registration.

2. Select the "Appointments" option from the right options menu.

3. Click the "Schedule new appointment" link.

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4. Enter the appointment data. The following data are compulsory for a valid appointment:

Appointment date Department Physician or clinician Purpose

5. Click the "Save" button.

BillingBillingHowto startthe billing module

1.Select "Special Tools" from the left main menu.2.Select "eCombill" from the displayed submenu in the main page.3.Enter username and password if prompted.

Howtocreate a bill

1.Search for the patient first. Select "Search for patient" from the displayed menu.2.After selecting the patient from the list, the following submenu items will be displayed: Select Hospital Services Select Laboratory Services View Bill View Payment Make a new payment Generate a Final Bill

Howtocreate billable items

Creating hospital service itemCreating Hospital Service Item

1.Click the "Create Hospital Service Item" menu item.

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2.Enter the name of the item e.g. "Ward bed in 2 beds room".3.Enter the code number of the item e.g. "W100933".

* Note: the code number must be decided upon by the hospital.

1.Enter the price per unit e.g. "100" (for one night)2.Enter the maximum possible discount (in percent) e.g. "5" = 5 %

* Note: do not enter the "%" character

1.Click the "Save" button.

Creating laboratory test itemCreating Laboratory Test Item

1.Click the "Create Laboratory Test Item" menu item.2.Enter the name of the item e.g. "Hematocrit measurement".3.Enter the code number of the item e.g. "BB90003".

* Note: the code number must be decided upon by the hospital.

1.Enter the price per unit e.g. "13" (for one test).

* Note: do not enter the unit.

1.Enter the maximum possible discount (in percent) e.g. "5" = 5 %

* Note: do not enter the "%" character

1.Click the "Save" button.

EMR Electronic Medical Records

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EMR How to write a report?

How To WriteA Report?

1. Search for the patient first to display his admission data.

2. Click the "Notes & Reports".

3. The "Admission history and physical" type of record will be displayed by default while other record types

are listed on the right.

4. Click the record type you intend to write a report (for example "consultation notes").

5. The data entry form will be generated. Type your notes or report.

6. Never forget to check the date before saving.

7. Click the "Save" button to save the report.

The default EM Records are: Admission History and Physical Allergy Anticoagulant daily notes Chart notes Consultation notes Daily ward's notes Development Diagnosis Diet plan Discharge summary Doctor's daily notes Doctor's directive Extra notes on therapy & diagnosis Inquiry to doctor IV daily notes Material LOT, Charge Nr.

Nursing care report Nursing effectivity report Nursing problem report Operation notes Other Problem PT,ATG,etc. daily notes

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Therapy Howtocreate a record forpatient You can create a record via the options menu that appear on the right side of the patients admission

data. See How to write a report? Some records can also be created starting from the patient's

charts folder.

Encounter/Patient images or photos

Department AdministrationDepartmentAdministrationHowto administerdepartments?

Select "System Admin" from the left main menu. Select "System Admin" from the displayed set of options on the main page. Select "Department Administration" from the next displayed set of options.

The administration module has 3 options

1. Create = create new department2. Department Profiles = lists all availabel departments3. Configuration Options = several operations on departments

Howtocreate a newdepartment

Select the "Create" option.A form will appear. Enter the data for the new department.The compulsory data for a valid department are:Department's formal name e.g "Emergency clinic"

Department's internal ID e.g. "emgcy_clinic"

Note: No special characters nor space allowed. Use underscore in place of space e.g "internal_med""

Typeofdepartment

Medical

Non-medical e.g. repair & maintenance, janitorial service

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Other data are non-compulsory but it is highly recommended tocomplete them whenever possible.

What is a signature line?

Information (or "signature") that will appear as single line on forms and documents.

What is a signature stamptext?

A multiple lines of information that will appear on forms and documents. It can also contain the

address of the clinic, ward, or department.

Diagnoses, Procedures & DRG (Diagnosis Related Groups)Diagnoses, Procedures &DRG

How to start the DRG module?

How To Start TheDRG Module?TheDRG modulecan only be started from 2 points

1. admission module showing the client's data or records2. OR log book

1. From admission module

Click on the "DRG (composite)" option on the right menuA new window will appear showing the module.

2. From OR log book

Click on the "Functions" button located in the middle frame. A menu will drop down.Select the "DRG (composite)" itemA new window will appear showing the module

What is the internal DRG group?

How to select a DRG group?How To SelectADRG Group?By searching

Click on the "Search" button, and a search window will appear.Type the search keyword in the input and press "Search" button.Note: You can use the following wildcards:

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% equivalent to *

& equivalent to ?

The returned result will be displayed on a list. Each item has a checkbox on theleft.

Check the checkbox of the item that you want to select. You can check severalboxes.

Note: To reset all checked checkboxes, click on the "X" icon at the topmost row of the list.

Click on the "Take over selections" button.By "Quicklist"

Click on the "Quicklist" button, and a window will appear Items which were previously selected will be diplayed on the list. Check the checkbox of the item that you want to select. You can

check several boxes.


Click on the "Take over selections" button.Bycreating a new group

how to create a new DRG group?

What is "Quicklist"?What Is "Quicklist"?

The Quicklist shows a list of the last items that were selected.

This will help a user to quickly select the most-used diagnosises. It is populated automatically based on

previous usage.

What does "->ICD/ICPM" buttton do?ICD/ICPM

The "->ICD/ICPM" will display all diagnosis and/or procedure codes previously selected to belong to a

specific DRG group:

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Howtouse it

The diagnosis and/or procedure codes will be displayed on a list. Each item has a checkbox on theleft.

Check the checkbox of the item that you want to select. You can check several boxes.Note: To reset all checked checkboxes, click on the "X" icon at the topmost row of the list.

Click on the "Apply selections" button.Here is the "->ICD/ICPM screenshot".

Workflowchart

Resolving group in diagnosis and procedure codesResolving Group In Diagnosis And ProcedureCodes

http://care2x.org/docswiki/img/wflow_drg_res.png

A needed group is not yet available, how to create a new DRG group?How ToCreateA NewDRG Group?Clickon the "Create new" button and a newwindowwill appear

The items are as follows

Internal code NrThe code number for the group. It could be in a format according to the provider's local policy

(internal code) or national or international standard. The national or international code is preferred

if available.

DescriptionDescriptive name of the group. It is should be concise enough to convey the purpose of the group.

Avoid descriptions longer than 80 characters.

Synonyms orkeywordsSet of words or character combinations that will be linked to the group. Usually words or acronyms

traditionally used by the personnel to describe the case or diagnoses/procedure combination. Aids

greatly in searching for the item. It could vary from department to department or from provider toprovider. For example: an ENT department says "SRP" while the plastic surgery department says

"RSP" to mean "nose lifting" or septorhinoplasty. Note: Separate words with commas.

Is sub-group?If the group being created belongs to a higher level group, check YES.

Parentcode Nr.

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If the group being created is a sub-group, enter here the the code number of its parent group.

StandardCode Nr.If a standard code for the group is known, but internal policies dictate creating/using internal codes,

you can enter here the standard code.

Other notesAdditional notes and information for the group. Note: Will not aid in searching.

What is the ICD/Diagnosis?

How to select a diagnosis code?How To SelectADiagnosis Code? By searching

Click on the "Search" button, and a search window will appear. Type the search keyword in the input and press "Search" button.

Note: You can use the following wildcards:

% equivalent to *

& equivalent to ?

The returned result will be displayed on a list. Each item has a checkbox on the left. Check the checkbox of the item that you want to select. You can check several boxes.


Click on the "Take over selections" button.

By "Quicklist" Click on the "Quicklist" button, and a window will appear Items which were previously selected will be diplayed on the list. Check the checkbox of the item that you want to select. You can check several

boxes.


Click on the "Take over selections" button.

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Byusing the "->ICD/ICPM" tableWorkflowcharts

Starting DRG module and selecting diagnosis codes

Resolving group in diagnosis and procedure codes




previous usage.

What is the ICPM/OPS/Procedure?

How to select a procedure code?How To SelectA ProcedureCode?By searching

Click on the "Search" button, and a search window will appear.Type the search keyword in the input and press "Search" button.Note: You can use the following wildcards:

% equivalent to *

& equivalent to ?

The returned result will be displayed on a list. Each item has a checkbox on the left. Check the checkbox of the item that you want to select. You can check several boxes.

Note.. To reset all checked checkboxes, click on the "X" icon at the topmost row of the list.

Click on the "Apply selections" button.

By "Quicklist"

Click on the "Quicklist" button, and a window will appear Items which were previously selected will be diplayed on the list.

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Check the checkbox of the item that you want to select. You can check severalboxes.


Click on the "Apply selections" button.

Workflowchart

Starting DRG module and selecting procedure codes Resolving group in diagnosis and procedure codes




previous usage.

Workflowcharts

Starting DRG module and selecting groups Starting DRG module and selecting diagnosis codes Starting DRG module and selecting procedure codes Resolving group in diagnosis and procedure codes

Duty Plan Management - DoctorsDuty Plan Management - DoctorsCreating thedutyplan

Click "Doctors" on the main menu. Click "DOC Scheduler" on the subsequent page. If prompted, select the department of the duty plan. The planner will appear.

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Click on the button beside the day where you want to assign a doctor A list of doctors assigned to the department will pop up. Click the name of the doctor to be assigned to the selected date. You can either assign one doctor to a single date or complete the entire month plan before saving. To save the plan, click the "Save" button Once finished, click the "Cancel" or "Close" button

Duty Plan Management - NursesDuty Plan Management - NursesCreating thedutyplan

Click "OR" on the main menu. Click "ORNOC Scheduler" on the subsequent page. If prompted, select the department of the duty plan. The planner will appear. Click on the button beside the day where you want to assign a nurse A list of nurses assigned to the department will pop up. Click the name of the nurse to be assigned to the selected date. You can either assign one nurse to a single date or complete the entire month plan before saving. To save the plan, click the "Save" button Once finished, click the "Cancel" or "Close" button

Images Uploading Encounter images

Uploading Encounter ImagesHowtoupload images orphotos of an encounter?

Click "Special tools" on left main menu. Click "Fotolab" on the sub menu. Search for the patient by entering a search keyword Search keywords can be:

The encounter number (or admission number)

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Name, first name, or a few characters.

When the patient is found on the list, click the "green" icon. Browse the image to be uploaded Enter the date when the image was taken Click "Save".

Dicom ImagesDicom ImagesHowto list availableDicom images?

Select "Radiology" from the left main menu. Select "DICOM Images" from the displayed submenu in the main page. Enter username and password if prompted. The search page will appear. Enter a search keyword to search for the patient. You can enter one of

the following

PID number

first name

family

some beginning letters (or numbers) of the above

the wild card "%" to display all patients with dicom images

combination of search word and "%"

The search results will be displayed as a list. (Screenshot: dicom search

result) If the image has an accompanying note, the "info" icon will be

displayed beside its upload date. To read the image's accompanying note,

click on its "info" icon. A window will pop up displaying the note's details.

HowtoviewDicom images?

Click on the "small torso" icon in the "View here" column to start theDicom viewer inside the current main frame.

Click on the "torso/window" icon in the "View in window" column tostart the Dicom viewer in a separate pop-up window.

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Upload Dicom imagesUploadDicom ImagesUploading Dicom images

Click "Upload Dicom". Find the person first (note: person, not patient, since images are not strictly related to a single already

existing encounter)

If the person is on the listed search result, click on the button beside it. Enter the related encounter's number (if known). Enter the related documents' numbers or id's (if known). Search and select the dicom files.

Note: Only dicom files with ".dcm" extensions will be accepted.

Uploading morethan thedefault numberof image files

Enter the number in the input field after the "I need to upload..." line.Click "Go" button.

Screenshot here

upload dicom

InsuranceInsuranceSelecting an insurancecompany

Note: Currently possible only in person registration or client admission forms.Click on the small icon to the right of the "Insurance co." input. A window will appear.The ten most frequently used company names will be displayed on the list.If the name is on the list, click on it.If the name is not on the list, type it (or some beginning letters) into the search input.Click on the "Search" button.The search result will be displayed on a list.

Adding a new insurancecompanydata

Select "Special Tools" from the main menu.Select "Insurance Co. Management".Enter username and password if prompted

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Select "New Data".Enter the relevant data into the form.

Medical DepotMedical DepotIn the Medical Depot, youcan

Order non-pharmaceutical products (e.g. Thorax drain)Create your own product catalogReceive product ordersAcknowledge product ordersActivate Medibot to watch for coming ordersAdd new product item in the databankManage product information in the databank

Howtoorderproducts?

How ToOrder Products?

Click "Medical Depot" on the main menu. Click "Ordering" on the subsequent page. A double frame will appear inside the main frame. On the right frame, you can search for the product you want to order. If your own ordering catalog is not empty, its contents will be listed on this frame If the product is on the list, you can:

1. click on the green "left" arrow to place one piece of the product in the order basket on theleft :#check the checkboxes of several products, enter the number of pieces to order,

then click "Put in the basket" button.

Note... Ifyou have searched fortheproduct

1. click on the green "left" arrow to put one piece in the basket (this product will added toyour own catalog automatically)

2. click on the green "down" arrow button to add the product into your catalog (withoutplacing it in the order basket)

Howtocreateown's productcatalog?

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How ToCreateOwn's ProductCatalog?

Click "Medical Depot" on the main menu. Click "My product catalog" on the subsequent page. Search for the product. Enter a search keyword and click the "Search" button. A search keyword can be:

1. Product's name2. Product's description3. Ordering number (number internal to your organization)

The results will be displayed on a list.If the product is on the list, you can display its complete information by:

1. clicking on the blue "info" icon2. clicking on its name

To add the product to your catalog click on the green down arrow icon or click the "Put this article in the catalog" button that appears below the product's

complete information

Howto addproducts intothedatabank?

How ToAdd Products Into TheDatabank?

Click "Medical Depot" on the main menu. Click "Databank" on the subsequent page. Click "New product" on the next sub menu page Enter the information. The following are compulsory information:

1. Ordering number (internal number to your organization)2. Product's (article) name3. Product's description4. Number of pieces per order

Click the "Save" button to save the product information.

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Howto attach theproduct's picturetothe information record?

Before saving the information, click the "Browse" button beside the "Picture file" field.The file manager will appear.Choose the needed image file to attach.

Click the "Save" button to save the product information with the image.Howto manageproducts in thedatabank?

How To Manage Products In TheDatabank?

Click "Medical Depot" on the main menu. Click "Databank" on the subsequent page. Click "Management" on the next sub menu page Search for the product. Enter a search keyword and click the "Search" button. A search keyword can be:

1. Product's name2. Product's description3. Ordering number (number internal to your organization)4. Serial number5. Industry number

The results will be displayed on a list.

Whattodowith the information?

Update the dataDelete the data

NursesNursesAdding nurses

Click "Nursing" on the main menu. Click "Nurses' List" on the subsequent page.

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If prompted, select the department. If you want to add the nurse to a different department, select the new department from the "Change

department" combo box and click the "Change" button.

Search for the nurse. If the new is found and displayed on the list, click the "Add to list" button.

The nurse is not found, whattodo?

Add the nurse as an employee first then assign him to a department as a nurse, please go to PersonnelManagement

Personnel ManagementAdding a newemployee

Click "Special tools" on the main menu. Click "Personnel Manager". Check if the person is already registered in the system. Enter a keyword and search for the person. If the person is found and displayed on the list, select it. If the person is not found, register him first in the sytem. Click the "New person" tab.

After the person is registered in the system, click the "Add employ" button.Assigning employeeto a department

After adding the employee, click on the "Assign as a DOCTOR (or NURSE) to a department" on the leftsubmenu column.

Assigning phone and beeper numbers to an employee

After adding the employee, click on the "Add phone/beeper info" on the left submenu column.Minimum requireddata forpersonnel employment

Job function

Date of joining

Contract start (date)

Nursing WardNursing WardHowto

display a ward's occupancy list

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DisplayA Ward's Occupancy List

1.Click the "Nursing" item on the main menu.2.On the displayed page, click on the name (or ID) of a ward.3.Enter username and password if prompted

admit a client to a wardAdmitAClient ToA WardYou admit a patient by assigning him a bed

Click on the "+" icon of an empty bed.NOTE: Consider all the factors that limit the choice of a bed:

Private or non-private status Proximity to relevant places in the ward (eg. nurses' station, bathtub) If client has roommate(s):

same sex?age difference?type of disease?reasons for admission?psychological profile?habits, snoring, visitors?religion? (applicable?)

Search for the patient, type the name (or some beginning characters) and click "Search" button.The search results are displayed on a listLook for the patient on the list. If found, take a second look again and/or countercheck with the

client's admission documents. See NOTE below why.

Click on the "Yes, this one" button on the right client.NOTE

Once a patient is assigned a bed, he is officially admitted to the ward. You cannot simplydelete him if you made the mistake of assigning him wrongly. Therefore, you have to be

sure that you found the right client on the list before clicking that button.

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I did makethe mistake, whattodo now?

Discharge the patient choosing either "change of bed","change of room", or "change ofward" as the reason.

open a client's charts folderOpen AClient's Charts FolderThere are several ways toopen thepatient's charts folder

1.Click the green "folder" icon.2.Click the patient's name on the occupancy list.3.Click the mini color coded bars.

display reports and test resultsDisplay Reports And Test ResultsDisplaying

Click the "Diagnostics results" button. A large window will pop up. The available reports and results are listed on the left frame. The first report on the list is automatically shown on the right main frame. To display another report, click its number on the list.

Printing

Click the "Print out" button. A print version of the report will be created in a new window. The browser's own printer dialog will appear. Make necessary configurations on the printer dialog and click "Print".

enter intra-ward notes about a clientEnter Intra-Ward Notes AboutAClient

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Click the "talk balloon" icon. An entry window will appear. Type the notes or reports. Click "Save" button to save notes.

Note... Entered data cannot be deleted by the nursing staff.

Whattodo iferronous reportor information was saved?

Just type a follow up report pointing out the error and state the correct version.

discharge a clientDischargeAClientDischarge a living patient

Click the "paper-with-green-arrow" icon. A discharge form will appear. Enter discharge date (if not default date). Enter discharge time. Select the discharge reason.

Type discharge notes (if notes are available)

Click the "Yes, I'm sure..." checkbox. Click "Discharge" button.

Discharge a deceasedpatient

Click the "paper-with-green-arrow" icon. A discharge form will appear. Enter discharge date (if not default date). Enter discharge time. Select "Death of patient" as discharge reason. Type discharge notes (if notes are available) Click the "Yes, I'm sure..." checkbox. Click "Discharge" button.

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If the discharge date is same with the date of patient's death, click "Ok" on the prompt window,otherwise click "Cancel".

transfer a clientTransferAClientTransferto anotherward

Click the "2-green-vertical-arrows" icon on the patient's row. A window will appear showing the list of the available wards. To transfer to another ward, click the button beside that ward

Transfertodifferent bed but in the sameward

Click the "2-green-vertical-arrows" icon on the patient's row. A window will appear showing the list of the available wards and a button to list the ward's rooms and

vacant beds.

Click button to list the beds. To transfer to another bed. Click the button of that vacant bed.

Note... in transferring a patient, make sure that it conforms with your occupancy policies.

For example: sex, females should not be mixed with males Same or similar types of illness. Degree of illness. Level of needed privacy/isolation.

With thecharts folder, howto

enter temperature & blood pressure valuesEnter Temperature &Blood Pressure Values

Please go to -> temperature and/or blood pressure values

TemperatureAnd/OrBlood Pressure ValuesHowtoenter a temperatureor bloodpressure

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Click on the chart area corresponding to the chosen date. A pop-up window for entering the temperature and/or blood pressure data will appear.

Enter the data and time.

Enter the time and temperature on the right "Temperature" column.

Enter the time and blood pressure on the left "Blood pressure" column.

Tip: To enter the current time, type "n" or "N" (meaning NOW) in the time field. The exact current

time will appear automatically in that field.

If you have several data, enter all of them before you save. Click the "Save" button to save the newly entered data. If you are finished, click the "Close" button to close the window and go back to the

chart.

Or followthe instructions below

Click on the graph within the column of the intended date.An entry window will appear.Enter the time at which the measurement has been made. Time format is HH.MM.Enter the blood pressure values.You can enter the values in various formats:

120/89 120 89 120-89

Enter the temperature data. Enter the time of measurement. Enter the temperature value. Temperature format is e.g. 37.1 (decimal period)

enter diet plan DailyDietOr Nutrition Plan

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Howtoenter a dietplan Step 1: Click on the " Diet plan " corresponding to the chosen date. Step 2: A pop-up window for entering or editing the diet plan will appear. Step 3: Enter the diet plan. Step 4: Click the "Save" button to save the newly entered diet plan. Note: If you want to cancel,

click the "Cancel" button .

Step 5: If you are finished, click the "Close" button to close the window and go back to the chart.

enter allergy information

Allergies

Howtoenter allergy information

Click the (clip) icon next to " Allergy ". A pop-up window will appear showing the entry field for allergy information. Type the allergy or CAVE information in the " Please enter new information here: " field.

Note: If you want to cancel, click the "Cancel" button .

Click the "Save" button to save the information.If you are finished, click the "Close" button to close the window and go back to the chart.

enter diagnoses and therapy notesDiagnoses & TherapiesHowtoenter main diagnosis and/ortherapy

Click the (clip) icon next to "Diagnosis/Therapy". A pop-up window will appear showing the entry field for diagnosis/therapy information. Type the diagnosis or therapy information in the " Please enter new information here: " field.


If you are finished, click the "Close" button to close the window and go back to the chart.

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enter daily notesDaily Notes, Diagnostic Reports, Daily ShortOrdersHowtoenter information on dailydiagnosis, notes, orders ortherapyplan?

Click either the empty column or the existing daily diagnosis/therapy corresponding to the chosendate.

http://207.44.195.231/~care2x/docswiki/images/entry_daily_notes.png

A pop-up window will appear showing the entry field for diagnosis/therapy information for the chosendate.

Type the diagnosis or therapy information in the " Please enter new information here: " field.Note... If you want to cancel, click the "Cancel" button .


enter anticoagulant prescriptionAnticoagulant MedicationHowtoenter anticoagulants?

Click the (clip) icon beside " Anticoagulants ". A pop-up window will appear showing the entry field for anticoagulants. Type the information on the anticoagulants and or dosage in the " Please enter new information here:

" field.


Click the "Save" button to save the information.If you are finished, click "Close" button to close the window and go back to the chart.

enter anticoagulant dosage/administration notesDailyAnticoagulantAdministration NotesHowtoenter information on daily anticoagulant application

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Click either the empty column or the existing anticoagulant information corresponding to the chosendate.

A pop-up window will appear showing the entry field for daily anticoagulant application for the chosendate.

Type either the dosage, or applicator information in the " Enter the new information here or edit thecurrent entries: " field.

Note: If you want to cancel, click "Cancel" the button .


enter medicine prescriptionsMedicine Prescriptions &DosageHowtoenter medication anddosageplan

Click " Medication ". A pop-up window will appear showing the entry fields for medication and dosage plan. Type the medication on the left column. Type the dosage plan on the middle column. Click the radiobutton of the color coding for the medication if necessary.

* Green for antibiotics and their derivatives.

* Yellow for dialytic medicines.

* Blue for hemolytic (coagulant or anticoagulant) medicines.

* Red for intravenous applied medicines.

Enter your name in the " Nurse: " field.Note... If you want to cancel, click the "Cancel" button .

Click the "Save" button to save the medication plan.If you are finished, click the "Close" button to close the window and go back to the chart.

color coding of medicine

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ColorCoding Of Medicine





enter daily medicine dosage & administration notesDaily MedicineDosage &Administration NotesHowtoenter information on daily medication application anddosage

Click either an empty medication column or the existing information corresponding to the chosen date. A pop-up window will appear showing the medication and dosage plan with entry fields for the day's

information.

Click the entry field corresponding to the chosen medication. Type either the dosage, applicator information, or start/end symbols in the field.

Note... If you want to cancel, click the button .

If you have several entries, enter all of them before saving.Click the button to save the information.If you are finished, click the button to close the window and go back to the chart.

enter extra informationExtra Diagnoses & TherapiesHowtoenterextra diagnoses ortherapy notes

Click the (clip) icon next to "Notes, extra diagnoses". A pop-up window will appear showing the entry field for notes and extra diagnoses. Type the notes or extra diagnoses in the "Please enter new information here:" field.

Note... If you want to cancel, click the "Cancel" button .


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enter physical therapy (PT), anti-thrombosis-gymnastics (ATG),& related notesPT (Physical Therapy), ATG (Anti-Thrombosis Gymnastics)Howtoenter information on dailyphysical therapy (PT), anti-thrombosis gymnastics (Atg), etc.

Click the " Pt,Atg,etc: " corresponding to the chosen date. A pop-up window will appear showing the entry field for the chosen date. Type the information in the " Please enter new information here: " field.



OutpatientOutpatientHowtodisplaythepatients' listoftheoutpatientclinic

Click "Ambulatory" on the main menu. Click the "Outpatient clinic" menu item of the outpatient clinic or department. The list of patients should be listed. If the list is empty, look at the "waiting list" on the upper right box of the page. If you see a waiting patient assigned to this clinic, click on its name to finally admit him in the clinic.

Howto seethepending admission appointments fortheoutpatientclinic?

Click the "Appointments" menu option of the outpatient clinic.Howto attendtopending requests to an outpatientclinic?

Click "Pending requests" menu option of the outpatient clinic. The pendings requests will be listed on a left column. The first request form on the list will be

displayed immediately.

To review a particular request, click on its batch number on the list. To print out a request form, click the "Print" button.

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Patient admissionPatientAdmissionHowto admit a patient?

Click "Admission" on the left main menu. Login if prompted. The search page will be displayed.

Verify first if the person is already registered in the system.

Enter a keyword to search for the person.The search result will be listed. If the person you need to admit is in the list, click the "Yes, this

one" button. The person's registration data will be displayed.

Click the "Admit inpatient" button to admit the person as inpatient.Or: click the "Outpatient visit" button to admit the person as outpatient.

The admission form is displayed now, whattodo next?

Fill in the admission data. The compulsory items to fill in or select are: Admission type Clinic or department (for outpatient)

Ward (for inpatient)

Referral diagnosis Referring physician Referer's suggested therapy Special notes Click "Save" button to save the admission data.

After saving the admission data, theoptions are still disabled (grayed). Why?

This will give you the option to cancel the admission before the patient is finally admitted into the

hospital. To activate the options, you need to finally admit the patient by assigning him a ward or

acknowledging him in the outpatient clinic.

Howto assign a patientto a wardor acknowledge him in an outpatientclinic?

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Click the ward's name (or clinic's name) displayed in the admission form. You will be directed to the ward or clinic.

Admitting a patient (graphic workflow chart)

Patient's ChartsPatient's Charts

Screenshot of patient's charts:

Howto

enter allergy informationAllergiesHowtoenter allergy information

Click the (clip) icon next to " Allergy ". A pop-up window will appear showing the entry field for allergy information. Type the allergy or CAVE information in the " Please enter new information here: " field.



enter anticoagulant prescriptionAnticoagulant MedicationHowtoenter anticoagulants?

Click the (clip) icon beside " Anticoagulants ". A pop-up window will appear showing the entry field for anticoagulants. Type the information on the anticoagulants and or dosage in the " Please enter new information here:

" field.


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Click the "Save" button to save the information.If you are finished, click "Close" button to close the window and go back to the chart.

enter anticoagulant dosage/administration notesDailyAnticoagulantAdministration NotesHowtoenter information on daily anticoagulant application

Click either the empty column or the existing anticoagulant information corresponding to the chosendate.

A pop-up window will appear showing the entry field for daily anticoagulant application for the chosendate.

Type either the dosage, or applicator information in the " Enter the new information here or edit thecurrent entries: " field.

Note: If you want to cancel, click "Cancel" the button .


enter daily notesDaily Notes, Diagnostic Reports, Daily ShortOrdersHowtoenter information on dailydiagnosis, notes, orders ortherapyplan?

Click either the empty column or the existing daily diagnosis/therapy corresponding to the chosendate.

http://207.44.195.231/~care2x/docswiki/images/entry_daily_notes.png

A pop-up window will appear showing the entry field for diagnosis/therapy information for the chosendate.

Type the diagnosis or therapy information in the " Please enter new information here: " field.Note... If you want to cancel, click the "Cancel" button .


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enter diet plan DailyDietOr Nutrition Plan Howtoenter a dietplan Step 1: Click on the " Diet plan " corresponding to the chosen date. Step 2: A pop-up window for entering or editing the diet plan will appear. Step 3: Enter the diet plan. Step 4: Click the "Save" button to save the newly entered diet plan. Note: If you want to cancel,

click the "Cancel" button .

Step 5: If you are finished, click the "Close" button to close the window and go back to the chart.

enter temperature & blood pressure values

Enter Temperature &Blood Pressure Values

Please go to -> temperature and/or blood pressure values

Or followthe instructions below

Click on the graph within the column of the intended date.An entry window will appear.Enter the time at which the measurement has been made. Time format is HH.MM.Enter the blood pressure values.You can enter the values in various formats:

120/89 120 89 120-89

Enter the temperature data.

Enter the time of measurement. Enter the temperature value. Temperature format is e.g. 37.1 (decimal period)

enter medicine prescriptions

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Medicine Prescriptions &DosageHowtoenter medication anddosageplan

Click " Medication ". A pop-up window will appear showing the entry fields for medication and dosage plan. Type the medication on the left column. Type the dosage plan on the middle column. Click the radiobutton of the color coding for the medication if necessary.





Enter your name in the " Nurse: " field.Note... If you want to cancel, click the "Cancel" button .

Click the "Save" button to save the medication plan.If you are finished, click the "Close" button to close the window and go back to the chart.

enter daily medicine dosage & administration notes

Daily MedicineDosage &Administration NotesHowtoenter information on daily medication application anddosage

Click either an empty medication column or the existing information corresponding to the chosen date. A pop-up window will appear showing the medication and dosage plan with entry fields for the day's information. Click the entry field corresponding to the chosen medication. Type either the dosage, applicator information, or start/end symbols in the field.

Note... If you want to cancel, click the button .

If you have several entries, enter all of them before saving.Click the button to save the information.If you are finished, click the button to close the window and go back to the chart.

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IV orders

daily I

Vnotes

Daily IV NotesHowtoenter information on daily intravenous (IV) medication application anddosage

Click either an empty column or the existing information next to " Intravenous>> " corresponding to the chosendate.

http://207.44.195.231/~care2x/docswiki/images/entry_daily_iv.png

A pop-up window will appear showing the entry field for the day's intravenous medication information. Type either the dosage, applicator information, or start/end symbols in the " Enter the new information here: " field.



enter diagnoses and therapy notesDiagnoses & TherapiesHowtoenter main diagnosis and/ortherapy

Click the (clip) icon next to "Diagnosis/Therapy". A pop-up window will appear showing the entry field for diagnosis/therapy information. Type the diagnosis or therapy information in the " Please enter new information here: " field.


If you are finished, click the "Close" button to close the window and go back to the chart.

enter extra informationExtra Diagnoses & TherapiesHowtoenterextra diagnoses ortherapy notes

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Click the (clip) icon next to "Notes, extra diagnoses". A pop-up window will appear showing the entry field for notes and extra diagnoses. Type the notes or extra diagnoses in the "Please enter new information here:" field.



extra notes, LOT, charge, serial numbers, etc.Extra Notes, LOT, Charge, Serial Numbers, Etc.Howtoenter notes on implants, LOT nr, charge nr, etc

Click the (clip) icon next to " Notes ". A pop-up window will appear showing the entry field for auxiliary notes. Type the information on the LOT, charge nr, implants in the " Please enter new information here: "

field.



enter physical therapy (PT), anti-thrombosis-gymnastics (ATG),& related notesPT (Physical Therapy), ATG (Anti-Thrombosis Gymnastics)Howtoenter information on dailyphysical therapy (PT), anti-thrombosis gymnastics (Atg), etc.

Click the " Pt,Atg,etc: " corresponding to the chosen date. A pop-up window will appear showing the entry field for the chosen date. Type the information in the " Please enter new information here: " field.



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PharmacyPharmacyIn thepharmacy, youcan

Order pharmaceutical productsCreate your own product catalogReceive product ordersAcknowledge product ordersActivate OrderBot to watch for coming ordersAdd new product item in the databankManage product information in the databank

How to oder pharmaceutical products?

How ToOder Pharmaceutical Products?

Click "Pharmacy" on the main menu. Click "Ordering" on the subsequent page. A double frame will appear inside the main frame. On the right frame, you can search for the product you want to order. If your own ordering catalog is not empty, its contents will be listed on this frame If the product is on the list, you can:

1. click on the green "left" arrow to place one piece of the product in the order basket on the left frame2. check the checkboxes of several products, enter the number of pieces to order, then click "Put in the

basket" button.

Note... Ifyou have searched fortheproduct

1. click on the green "left" arrow to put one piece in the basket (this product will added to your owncatalog automatically)

2. click on the green "down" arrow button to add the product into your catalog (without placing it in theorder basket)

How to create own's pharmaceutical product catalog?

How ToCreateOwn's Pharmaceutical ProductCatalog?

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Click "Pharmacy" on the main menu. Click "My product catalog" on the subsequent page. Search for the product. Enter a search keyword and click the "Search" button. A search keyword can be:

Product's name

Product's description

Ordering number (number internal to your organization)

Serial number

Industry number

The results will be displayed on a list. If the product is on the list, you can display its complete information by:

1. clicking on the blue "info" icon2. clicking on its name

To add the product to your catalog1. click on the green down arrow icon2. or click the "Put this article in the catalog" button that appears below the product's

complete information

How to add pharmaceutical products into the databank?

How ToAdd Pharmaceutical Products Into TheDatabank?

Click "Pharmacy" on the main menu. Click "Databank" on the subsequent page. Click "New product" on the next sub menu page Enter the information. The following are compulsory information:

Ordering number (internal number to your organization)

Product's (article) name


Number of pieces per order

Click the "Save" button to save the product information.

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Howto attach theproduct's picturetothe information record?

Before saving the information, click the "Browse" button beside the "Picture file"field.

The file manager will appear. Choose the needed image file to attach. Click the "Save" button to save the product information with the image.

How to manage pharmaceutical products in the databank?

How To Manage Pharmaceutical Products In TheDatabank?

Click "Pharmacy" on the main menu. Click "Databank" on the subsequent page. Click "Management" on the next sub menu page Search for the product. Enter a search keyword and click the "Search" button. A search keyword can be:

Product's name


Ordering number (number internal to your organization)

Serial number

Industry number

The results will be displayed on a list.

Whattodowith the information?

Update the data

Delete the data

Physicians & SurgeonsPhysicians & Surgeons

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Howto add a doctor?

Click "Special tools" on the left main menu. Click "Personnel Management" on the displayed submenu on the main page. Enter username and password if prompted. Search for the doctor's registration data first, to check if he is already registered. If the person is not yet registered (not found), register him first by selecting the "New Person" tab option. Once the person's registration data is displayed (of after you have registered him), click the "Add employ" button. Enter the employment data and click the "Save" button. Once you see the employment data, click on the "Assign as DOCTOR to a department". If prompted, select a department. The doctor's name will be displayed on the lower part of the succeeding page.

Click the "plus" icon to add the doctor to the department's list.

Person registrationPerson RegistrationRegistering a person

Click "Person" on the left main menu. Click "Person registration" on resulting submenu page. Try to find the person first to check if he was previouly registered by entering a search keyword and

pressing "Search" button.

If the person appears on the resulting list, click the button beside it. If the person does not appear on the resulting list, do one of the following:

click "New person" tab on the upper left or... click "I need an empty form please" button below the list. Enter the registration data in the form. The minimum data required are:

Family name (or last name)

First name (or real name)

Date of birth

Sex

Street address name

House or Building number

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Click "Save" button

Adding theperson's picture (during registration)

Before you save the registration information, click the "Browse..." button below the "Picture preview"dummy picture.

Select the picture. Click "Save" button.

Adding theperson's picture (afterregistration)

Click the "Update data" button and the registration form with the information will be displayed Click the "Browse..." button below the "Picture preview" dummy picture. Select the picture. Click "Save" button.

Selecting thecityortown address -> Addresses

Addresses

Selecting a town orcity name:

Note: Currently possible in person registration forms.

1.Click on the small icon to the right of the "City/town" input. A window will appear.2.The ten most frequentyl used names will be displayed on the list.3.If the name is on the list, click on it.4.If the name is not on the list, type it (or some beginning letters) into the search input.5.Click on the "Search" button.6.The search result will be displayed on a list.

Adding a newtown orcity name

1.Select "Special Tools" from the main menu.2.Select "Address Management".3.Enter username and password if prompted4.Select "Enter New Data".5.Enter the relevant data into the form.

Selecting the insurancecompany -> Insurance

InsuranceSelecting an insurancecompany

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Note: Currently possible only in person registration or client admission forms.Click on the small icon to the right of the "Insurance co." input. A window will appear.The ten most frequently used company names will be displayed on the list.If the name is on the list, click on it.If the name is not on the list, type it (or some beginning letters) into the search input.Click on the "Search" button.The search result will be displayed on a list.

Adding a new insurancecompanydata

Select "Special Tools" from the main menu.Select "Insurance Co. Management".Enter username and password if promptedSelect "New Data".

Enter the relevant data into the form.Updating registration data

Click the "Update data" button and the registration form with the information will be displayed. Enter additional information or edit old information. Click "Save" button.

Registering a person (graphic workflow chart)

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Personnel ManagementAdding a newemployee

Click "Special tools" on the main menu. Click "Personnel Manager". Check if the person is already registered in the system. Enter a keyword and search for the person. If the person is found and displayed on the list, select it. If the person is not found, register him first in the sytem. Click the "New person" tab.

After the person is registered in the system, click the "Add employ" button.Assigning employeeto a department

After adding the employee, click on the "Assign as a DOCTOR (or NURSE) to a department" on the leftsubmenu column.

Assigning phone and beeper numbers to an employee

After adding the employee, click on the "Add phone/beeper info" on the left submenu column.Minimum requireddata forpersonnel employment

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Job function

Date of joining

Contract start (date)

Product CatalogProductCatalogHowtocreateown's productcatalog?

1. Click "Medical Depot" (or "Pharmacy) on the main menu.

2. Click "My product catalog" on the subsequent page.

3. Search for the product. Enter a search keyword and click the "Search" button.

4. A search keyword can be:

Product's name Product's description Ordering number (number internal to your organization)

5. The results will be displayed on a list.

6. If the product is on the list, you can display its complete information by:

clicking on the blue "info" icon clicking on its name

7. To add the product to your catalog

click on the green down arrow icon or click the "Put this article in the catalog" button that appears below the product's complete

information

Note

Your product catalog is not the product databank. A product catalog is only a listing of products that

you order very often for your department. It aids in creating your order "sheets" quickly by avoiding

searching for the product.

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RadiologyRadiologyRequesting a test

Click "Test request" Search for the patient first by entering a search keyword. If the patient is on the resulting list, click the button beside it. Enter the appropriate request information or select the needed test. Enter the date (if not the default date). Enter the physician's or clinician's name Click the "Save" button.

Processing pending request

Click "Pending request" The pending requests' numbers will be listed on the left column, while the first request form on the list

will be automatically displayed.

To display another request form, click on its number on the left column. Acknowledge the request form by entering the date, initial findings, technician's name, and other

relevant data.

Click the "Save" button to acknowlege.Entering diagnostic findings orreports

After acknowledging the request form, press the "Findings" button. Type the findings, reports, or diagnosis. Enter date (if not the default date). Type physician's or clinician's name. Click "Save" button.

Listing Dicom Images

Go to=> Dicom ImagesDicom ImagesHowto list availableDicom images?

Select "Radiology" from the left main menu. Select "DICOM Images" from the displayed submenu in the main page. Enter username and password if prompted.

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The search page will appear. Enter a search keyword to search for the patient. You can enter one ofthe following

PID number

first name

family

some beginning letters (or numbers) of the above

the wild card "%" to display all patients with dicom images

combination of search word and "%"

The search results will be displayed as a list. (Screenshot: dicom search

result) If the image has an accompanying note, the "info" icon will be

displayed beside its upload date. To read the image's accompanying note,

click on its "info" icon. A window will pop up displaying the note's details.

HowtoviewDicom images?

Click on the "small torso" icon in the "View here" column to start theDicom viewer inside the current main frame.

Click on the "torso/window" icon in the "View in window" column tostart the Dicom viewer in a separate pop-up window.

HowtouploadDicom images?

Go to => upload Dicom imagesUploadDicom ImagesUploading Dicom images

Click "Upload Dicom". Find the person first (note: person, not patient, since images are not strictly related to a single already

existing encounter)

If the person is on the listed search result, click on the button beside it. Enter the related encounter's number (if known). Enter the related documents' numbers or id's (if known). Search and select the dicom files.

Note: Only dicom files with ".dcm" extensions will be accepted.

Uploading morethan thedefault numberof image files

Enter the number in the input field after the "I need to upload..." line.

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Click "Go" button.

Telephone Directory

TelephoneDirectoryUsing thetelephonedirectory

Click "Directory" on the main menuSearching forphoneor beeper numbers

Enter a search keyword and click the "Search" button A search keyword can be:

A person's name or last name A department's name A room's name or ID A ward's name or ID

The search will display the results on a table.

User configuration Choosing colors for the display

Choosing Colors For TheDisplayChoosing background andtextcolors

Select "[Special Tools]" from the main menu. Select "Configuration options". Select "Color options". To set a background color, click the "Background color" link. To set a text color, click the text:

Main menu items

Text color (title of the function of module) Main frame (color of titles or menu items inside the main frame) Click the "Apply" button to apply the new color. Clicking the "Ok" button will apply the new colors and return to the "Special functions" page.

Note

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A color chart will pop-up. Select the color you like by just clicking on the color.

Choosing the "hover" and "active" links color

Follow steps 1 and 2 of from above.Click "Extended color options".Click the "..hover link" link to select the color for the link when mouse is hovering.Click the "..active link" l ink to select the color for an active link.Click the "Apply" button to apply the new color.Clicking the "Ok" button will apply the new colors and return to the "Special functions" page.

Choosing the mascotChoosing The MascotChoosing background andtextcolors

Select "Special Tools" from the main menu. Select "Configuration options". Select "Mascot options". Click the radio button of the mascot you like. Click the "Save" button

Note

If you want to hide the mascot, click the "Do not show mascots" radio button.

Hiding the mascotHiding The Mascot

Select "Special Tools" from the main menu. Select "Configuration options". Select "Mascot options". Click the "Do not show mascots" radio button. Click the "Save" button

Selecting the CSS design theme

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Selecting TheCSS Design Theme

Select "Special Tools" from the main menu. Select "Configuration options". Select "CSS Theme Styles". To select a CSS theme, click its radio button. Click "Save" button.

Selecting the GUI template (Smarty template based)Selecting The GUI Template

Select "Special Tools" from the main menu. Select "Configuration options". Select "Smarty Template Styles". To select a template style, click its radio button. Click "Save" button.

Selecting the Icons set (Version> 2.0.1)Selecting The Icons Set

Select "Special Tools" from the main menu. Select "Configuration options". Select "Common Icons Styles". To select an Icons set, click its radio button. Click "Save" button.

Selecting the Main Menu style (Version > 2.0.1)Selecting The Main Menu Style

Select "Special Tools" from the main menu. Select "Configuration options".

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Select "Main Menu Styles". To select main menu style, click its radio button. Click "Save" button. Refresh your browser to display the new menu design.

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