Per creare una nuova Anamnesi, una nota o un messaggio di Attenzione cliccare sul freccia alla destra dell'icona Nuovo elemento e scegliere l'opzione desiderata.  La lista può essere estesa indefinatmente. E' possibile aggiungere nuove voci nella lista nelle impostazioni -->Tabelle di sistema. Per modificare le voci dell'Anamnesi:  cliccare su Sistema (nella barra del menù) --> Configurazione/Amministr.    --> Impostazioni --> Sistema --> Tabelle di sistema o  nella sezione Anamnesi cliccare su Nuovo elemento--> Gestione lista.

 

 

Creare una Nota o un messaggio di Attenzione

Quando vengono selezionate le opzioni Note o Attenzione si aprirà la seguente finestra (l'unica differenza sarà l'intestazione): 

 

Spiegazione dei campi/icone:

• Data: data della registrazione del documento. Cliccando il fulmine giallo comparirà la data corrente. 
• Da: autore del documento o della nota.
• QM: l'icona dei campi QM  permette l'accesso ai campi QM associati a quel documento. 
• Naviga: cliccando sulle frecce è possibile passare da un documento all'altro relativi a quel paziente. 
• Area Testo: sezione in cui è possibile inserire testo libero/note. 
• Riquadro per documenti da allegare: è possibile trascinre documenti o immagini all'interno della nota/Attenzione nel campo sul fondo della finestra. Questi documenti allegati possono essere aperti facendo doppio click sull'icona con la lente di ingrandimento.
• Apri directory paziente: aprire la directory che contiene tutti i file relativi a quel paziente. 
• Aggiungi documento: permette di sfogliare le varie directory per aggiungere un singolo documento.

 

• You can assign notes / attention messages to any patient. These are free text entries to which you can add date, status (normal/abnormal), name of the editor and a file attachment.
• Notes / attention messages that are particularly important, clinically relevant or have to be edited still can be given the status "abnormal".
• In the overview of the main window Medical history all notes / attention messages will be displayed (sorted by date). Their respective statuses can be seen on the right side of the overview.
• 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.
• Notes / attention messages can be edited again by double-clicking them. You can delete a note by selecting it and pressing the Delete key on your keyboard.

 

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

 

Creating a Consultation fertility preservation / social freezing

In the medical history area you will find an entry for the consultation of fertility preservation / social freezing. The entries are also displayed in the main window below messages.

To sign a cycle as a social freezing or fertility preservation cycle, you have to set a checkmark under the choosen treatment. You can find this in the "new cycle" area.

 

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:

Creating a female Medical History.

 

Buttons with a blue dotted frame have special functionalities. Click on it to have more information.

	Access the QM field section related to this area or click on the right arrow to block the QM fields or to see the change log.
	Document previous pregnancies outcome.
	Document examinations findings related to the Medical History.

• The fields with red backgrounds have to be filled as a requirement.
• 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 inserted just press OK.
• If at least one previous Medical History exists, the system will ask if the user wants to retrieve data from the most recent Medical History.
• If the date of the new Medical History is left empty or is prior to the date of an existing Medical History, the system will ask if the date of the Initial consultation should be updated to the date of this new Medical History.

You can edit the options for the previous illnesses and sterility factors in the settings under system tables.

 

 

Documenting previous pregnancies

Clicking on the "Gravida: Para:" area, the following window:

Documenting previous pregnancies.

• In this 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.
• If you want to edit a pregnancy, double click it.
• It is also possible to remove a mistakenly documented pregnancy. Select it and click on Delete.

Previous pregnancies information is only editable if you open this window from inside a Medical history.

 

If the Medical history entries are correct, a green circle will appear on the right side in the column Status. Otherwise, a red warning symbol will appear. Put the mouse over the red circle to check the incorrect information.

Documenting examination findings

It is possible to link examination findings to a Medical History. In order to do that, click on the button Examination located at the bottom of the Medical history window. The following window will open:

Documenting examination findings.

 

In the examination section it is possible to document several exams. If you want to import data from an existing examination, select the desired examination and press the Copy data button. When all the data you need to document are inserted, press OK.

If you document data in a examination you will see this sign in the status column at the examination window.

 

 

Creating a male Medical History

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

Creating a male Medical History.

 

Buttons with a blue dotted frame have special functionalities. Click on it to have more information.

	Access the QM field section related to this area or click on the right arrow to block the QM fields or to see the change log.
	A maximum of two basis semen analysis can be assigned to each Medical history. There are two ways to do this: Double click on the empty field or press the lightning icon to create a new semen analysis and link it to the Medical History. Click on Sperm concentration if no semen analysis is available.

• The fields with red backgrounds have to be filled as a requirement.
• When all the data you need to document are inserted, press OK.
• If at least one previous Medical History exists, the system will ask if the user wants to retrieve data from the most recent Medical History.
• If the date of the new Medical History is left empty or is prior to the date of an existing Medical History, the system will ask if the date of the Initial consultation should be updated to the date of this new Medical History.

 

 If the Medical history entries are correct, a green circle will appear on the right side in the column Status. Otherwise, a red warning symbol will appear. Put the mouse over the red circle to check the incorrect information.

You can edit the options for the fertility impairment factors  and previous illnesses  in the settings under system tables.

 

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