Revision as of 15:50, 27 July 2012

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The Medical History page is divided in two main parts. The upper contains a summary of previous pregnancies and some anthropometric data. If the summary of previous pregnancies is clicked a window will pop up  The lower section contains a list of all the medical histories and messages recorded for the patient.

<img src="/images/newentry2.jpg" alt="" /> 

In order to create a new Medical History or a Note/Attention Message click on the arrow at the right of the "New entry" icon and choose the option desired.

Creating a Note or an Attention message

When "Attention" or "Note" are selected the following window will open (the only difference will be the title area):

<img src="/images/attention.jpg" alt="" width="500" height="390" />

Explaination of the fields/icons:

• Date: date of the registration of the document
• By: author of the document or of the notes
• QM: QM field icon can be used to access the QM fields associated to this document
• Browse: clicking on the arrows will scroll the documents archived upwards or downwards
• Text area: a "WordPad" like tool that can be used to input a text.
• Container for pictures and documents: pictures and files can be easily linked to the document by dragging and dropping them into the blue box. Then they can be opened doble clicking on the icon.
• Open patient directory: opens the directory that contains all the files related to the patient
• Add document: allows to browse the directories and to add a single document
• Open document: always to open the document added. ff

By clicking on "OK" the Note/Attention message will be created and published in the homepage. Attention messages will be in red whilst note will be in black.

<img src="/images/msghomepage.jpg" alt="" width="426" height="77" />

Creating a Medical History

When "Medical History" is selected a window will open. There are two different windows, one for the female patient the other for the male patient.

Creating a female Medical History

If "Medical History" is selected when the selected patient is a woman the following window will open:

On each section of the Medical History may be documented several data. The fields with the red background have to be filled in order to fullfil the D.I.R. (German Registry for assisted reproduction techniques) requirements. From this page it is possible to access to the previous pregnancies section and to to the examination section. When all the data you need to document are insterted just press ok.

Note: it is possible to customize the "Prior illness" and the "Sterility factors" modifing the related system tables

Note 2: If exists at least one previous Medical History the system will ask if the user wants to take over data from the most recent Medical History.

Note 3: If the date of the new Medical History is empty or younger than the date of an existing Medical History, the system will ask if the date of the first interview is to be updated to the date of the Medical History.

Documenting previous pregnancies

Clicking on the "Gravida:_Para:" link or on the red arrow icon will lead to the following window:

<img src="/images/prevlist.jpg" alt="" width="500" height="266" />

In the new window you will see a list of all pregnancies assigned to this Medical History. To document a pregnancy just click on the button "New". It is also possible to remove a wrong documented pregnancy: just select it and click on the button "Delete".

Documenting examination findings

It is possible to link examination findings to a Medical History just clicking on the button "Examination" in the section "Female Medical History". The following window will open:

<img src="/images/examination.jpg" alt="" width="500" />

In the examination section it is possible to document several exames. If you want to import data from an existing examination, select the examination desired and press "Copy data" button. When all the data you need to document are insterted just press ok.

Creating a male Medical History

If "Medical History" is selected when the selected patient is a man the following window will open:

On each section of the Medical History may be documented several data. The fields with the red background have to be filled in order to fullfil the D.I.R. (German Registry for assisted reproduction techniques) requirements. When all the data you need to document are insterted just press ok.

Note: it is possible to customize the "Prior illness" and the "Sterility factors" modifing the related system tables

Note 2: If exists at least one previous Medical History the system will ask if the user wants to take over data from the most recent Medical History.

Note 3: If the date of the new Medical History is empty or younger than the date of an existing Medical History, the system will ask if the date of the first interview is to be updated to the date of the Medical History.