View source for Create a new entry in medical history

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<p>In order to <strong>create a new Medical History</strong>, <strong>Note</strong> or <strong>Attention Message </strong><strong>&nbsp;</strong>click on the <strong>arrow </strong>at the right of the<strong> New entry</strong> icon and choose the   option desired.</p>
<p>The list could be <strong>extended indefinitely</strong>. You can add entry types and their colours at the system tables in the settings.</p>
<p>To edit the <strong>entries </strong>of <strong>medical history</strong></p>
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<li>click on the menu item <strong>System   -&gt; Configuration</strong><strong> / administration</strong><strong> -&gt; Settings -&gt; System -&gt; System tables</strong> or</li>
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<li>click on the button <strong>Medical history -&gt; New entry -&gt; Administrate entries</strong>.</li>
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<p>&nbsp;</p>
<h2>Creating a Note or an Attention message</h2>
<p style="text-align: justify;">When <strong>Attention</strong> or <strong>Note</strong> are selected the following window will open (the only difference will be the title area):</p>
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<td>[[Image:Attention.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/Attention.png| ]]</td>
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<p style="text-align: justify;">&nbsp;</p>
<p style="text-align: justify;"><strong>Explanation of the fields/icons:</strong></p>
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<li><strong>Date:</strong> date of the registration of the document. If the lightning icon is clicked will be selected the current date.</li>
<li><strong>By:</strong> author of the document or of the notes</li>
<li><strong>QM: QM field</strong> icon can be used to access the QM fields associated to this document</li>
<li><strong>Browse: </strong>clicking on the arrows will scroll the documents archived upwards or downwards</li>
<li><strong>Text area:</strong> a <strong>"WordPad"</strong> like tool that can be used to input a text.</li>
<li><strong>Container for pictures and documents: </strong>pictures and files can be  easily linked to the document by dragging and dropping them into the  blue box. Then, they can be opened by double clicking on the icon.</li>
<li><strong>Open patient directory:</strong> opens the directory that contains all the files related to the patient</li>
<li><strong>Add document:</strong> allows to browse the directories and to add a single document</li>
<li><strong>Open document: </strong>always to open the document added. </li>
</ul>
<p>&nbsp;</p>
<ul>
<li>You can <strong>assign </strong>notes / attention messages <strong>to any patient</strong>. These are <strong>free text entries</strong> to which you can add date, status (normal/abnormal), name of the editor and a file attachment.</li>
<li>Notes / attention messages that are <strong>particularly important</strong>, clinically relevant or have to be edited still can be given the <strong>status "abnormal"</strong>.</li>
<li>In the <strong>overview </strong>of the main window <strong>Medical history</strong> all  notes / attention messages will be displayed (sorted by date). Their <strong>respective statuses</strong> can be seen on the <strong>right side  of the overview</strong>.</li>
<li>Entries in the overview can be sorted or filtered by clicking the   column headers. They can also be grouped by dragging them to the desired   position. The changes will be saved and will not be lost.</li>
<li>Notes / attention messages can be <strong>edited again</strong> by <strong>double-clicking them</strong>. You can <strong>delete </strong>a note  by <strong>selecting it</strong> and pressing the <strong>Delete key</strong> on your keyboard.</li>
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<p style="text-align: justify;">&nbsp;</p>
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<td><img src="/images/Messages1.png" alt="" width="380" height="91" /></td>
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<p style="text-align: justify;">By clicking on<strong> OK</strong> the <strong>Note/Attention</strong> message will be created and <strong>published in the main page</strong>.</p>
<p style="text-align: justify;"><span style="color: #ff0000;">Attention messages</span> will be in <span style="color: #ff0000;">red</span> whilst note will be in <span style="color: #000000;">black</span>.</p>
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<p style="text-align: justify;">&nbsp;</p>
<h2 style="text-align: justify;">Creating a Medical History</h2>
<p style="text-align: justify;">When <strong>Medical History</strong> is selected a window will open.</p>
<p style="text-align: justify;">There are <strong>two different windows</strong>, one for the<strong> female patient</strong> the other for the <strong>male patient</strong>.</p>
<p style="text-align: justify;">&nbsp;</p>
<h3 style="text-align: justify;">Creating a female Medical History</h3>
<p style="text-align: justify;">If <strong>Medical History</strong> is selected when the selected patient is a woman the following window will open:</p>
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<td>[[Image:MedBasic.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/MedBasic.png| ]]</td>
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<p style="text-align: justify;">&nbsp;</p>
<p style="text-align: justify;">Buttons with a blue dotted frame have special functionalities. Click on it to have more information.</p>
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<td><a href="/index.php?title=Free_/_QM_fields"><img style="display: block; margin-left: auto; margin-right: auto; border: 2px dotted blue;" src="/images/QMButton.png" alt="" width="73" height="41" /></a></td>
<td style="text-align: justify;">Access the <strong>QM field</strong> section related to this area or click on the right arrow to block the QM fields or to see the change log.&nbsp;</td>
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<td style="text-align: center;"><a href="/index.php?title=Create_a_new_entry_in_medical_history#Documenting_previous_pregnancies"><img style="display: block; margin-left: auto; margin-right: auto; border: 2px dotted blue;" src="/images/GravidaParaRed.png" alt="" width="321" height="32" /></a></td>
<td style="text-align: justify;">Document previous pregnancies outcome.</td>
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<td style="text-align: center;"><a href="/index.php?title=Create_a_new_entry_in_medical_history#Documenting_examination_findings"><img style="display: block; margin-left: auto; margin-right: auto; border: 2px dotted blue;" src="/images/Exam.png" alt="" /></a></td>
<td style="text-align: justify;"><span>Document examinations findings related to the <strong>Medical History</strong>.<em>&nbsp;</em></span><span style="font-size: x-small;"><em><br /></em></span></td>
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<ul>
<li>The fields with <strong>red backgrounds</strong> have to be filled as a requirement.</li>
<li>From this page it is possible to access to the <strong>previous pregnancies section</strong> and to to the <strong>examination section</strong>.</li>
<li>When all the data you need to document are inserted just press <strong>OK</strong>.</li>
<li>If at least one previous <strong>Medical History </strong>exists, the system will ask if  the user wants to <strong>retrieve data</strong> from the most recent <strong>Medical History</strong>.</li>
<li>If the date of the new <strong>Medical History</strong> is left empty or is prior to the  date of an existing <strong>Medical History</strong>, the system will ask if the date of  the <strong>Initial consultation</strong> should be updated to the date of this new <strong>Medical History</strong>.</li>
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<p>You can edit the options for <strong>the previous illnesses</strong> and <strong>sterility factors</strong><strong> </strong>in the settings under <a href="/index.php?title=MedITEX_IVF_Settings#System_tables">system tables</a>.</p>
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<p style="text-align: justify;">&nbsp;</p>
<p style="text-align: justify;">&nbsp;</p>
<h4 style="text-align: justify;">Documenting previous pregnancies</h4>
<p style="text-align: justify;">Clicking on the "<strong>Gravida: Para:</strong>" area, the following window:</p>
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<li>In this new window, you will see a <strong>list of all pregnancies</strong> assigned to this <strong>Medical History</strong>. </li>
<li>To document a pregnancy just click on the button <strong>New</strong>. </li>
<li>If you want to edit a pregnancy, <strong>double click</strong> it.</li>
<li>It is also possible to <strong>remove </strong>a mistakenly documented pregnancy. Select it and click on <strong>Delete</strong>.</li>
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<td><strong>Previous pregnancies </strong>information is only editable if you open this window from inside a <strong>Medical history</strong>.</td>
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<p>&nbsp;</p>
<p style="text-align: justify;">If the<strong> Medical history entries are correct</strong>, a <span style="color: #339966;">green </span>circle will appear on the right side in the column <strong>Status</strong>. Otherwise, a <span style="color: #ff0000;">red </span><strong>warning </strong>symbol will appear. Put the mouse over the red circle to check the incorrect information.</p>
<h4 style="text-align: justify;">Documenting examination findings</h4>
<p style="text-align: justify;">It is possible to <strong>link examination findings </strong>to a<strong> Medical History</strong>. In order to do that, click on the button <strong>Examination</strong> located at the bottom of the <strong>Medical history</strong> window. The following window will open:</p>
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<td>[[Image:examination.jpg|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/examination.jpg| ]]</td>
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<p style="text-align: justify;">&nbsp;</p>
<p style="text-align: justify;">In the examination section it is possible to <strong>document several exams</strong>. If you want to <strong>import data from an existing examination</strong>, select the desired examination and press the <strong>Copy data</strong> button. When all the data you need to document are inserted, press <strong>OK</strong>.</p>
<p style="text-align: justify;">&nbsp;</p>
<h3 style="text-align: justify;">Creating a male Medical History</h3>
<p style="text-align: justify;">If <strong>Medical History </strong>is selected when the selected patient is a man the following window will open:</p>
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<td>[[Image:MedMale.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/MedMale.png| ]]</td>
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<p style="text-align: justify;">&nbsp;</p>
<p style="text-align: justify;">Buttons with a blue dotted frame have special functionalities. Click on it to have more information.</p>
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<td><a href="/index.php?title=Free_/_QM_fields"><img style="display: block; margin-left: auto; margin-right: auto; border: 2px dotted blue;" src="/images/QMButton.png" alt="" width="73" height="41" /></a></td>
<td style="text-align: justify;">Access the <strong>QM field</strong> section related to this area or click on the right arrow to block the QM fields or to see the change log.</td>
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<td><a href="/index.php?title=Documenting_a_new_sample#Documenting_a_semen_analysis"><img style="display: block; margin-left: auto; margin-right: auto; border: 2px dotted blue;" src="/images/Semen1.png" alt="" /></a></td>
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<p>A maximum of two basis semen analysis can be assigned to each <strong>Medical history</strong>. There are two ways to do this:</p>
<p><strong>Double click</strong> on the empty field or press the lightning icon to create a new semen analysis and link it to the <strong>Medical History</strong>.</p>
<p>Click on <strong>Sperm concentration</strong> if no semen analysis is available.</p>
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<li>The fields with <strong>red backgrounds</strong> have to be filled as a requirement.</li>
<li>When all the data you need to document are inserted, press <strong>OK</strong>.</li>
<li>If at least one previous <strong>Medical History </strong>exists, the system will ask if  the user wants to <strong>retrieve data</strong> from the most recent <strong>Medical History</strong>.</li>
<li>If the date of the new <strong>Medical History</strong> is left empty or is prior to the  date of an existing <strong>Medical History</strong>, the system will ask if the date of  the <strong>Initial consultation</strong> should be updated to the date of this new <strong>Medical History</strong>.</li>
</ul>
<p style="text-align: justify;"><strong>&nbsp;</strong></p>
<p><strong>&nbsp;</strong>If the<strong> Medical history entries are correct</strong>, a <span style="color: #339966;">green </span>circle will appear on the right side in the column <strong>Status</strong>. Otherwise, a <span style="color: #ff0000;">red </span><strong>warning </strong>symbol will appear. Put the mouse over the red circle to check the incorrect information.</p>
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<p>You can edit the options for  the<strong> fertility impairment factors</strong><strong>&nbsp;</strong> and <strong>previous illnesses</strong><strong>&nbsp;</strong><strong> </strong>in the settings under <a href="/index.php?title=MedITEX_IVF_Settings#System_tables">system tables</a>.</p>
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<p>&nbsp;</p>
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<td style="text-align: right;"><a href="#top">Back to top</a></td>
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