How to create a new medical history?

From MedITEX - Wiki

(Difference between revisions)
Jump to: navigation, search
 
(12 intermediate revisions by 2 users not shown)
Line 1: Line 1:
<h2 style="text-align: justify;">Creating a Medical History</h2>
+
<p>On a patient's main window, click on <strong>Medical history</strong>.</p>
<p style="text-align: justify;">When <strong>Medical History</strong> is selected a window will open. There are two different windows, one for the female patient the other for the male patient.</p>
+
<p>In order to create a new <strong>Medical history</strong> click on the arrow at the right of the&nbsp;<strong>New entry</strong> icon. A menu will appear showing a couple of options. Select <strong>Medical history.</strong></p>
 +
<p>&nbsp;</p>
 +
<p style="text-align: justify;">When <strong>Medical History</strong> is selected a window will open.</p>
 +
<p style="text-align: justify;">There are two different windows, one for the female patient the other for the male patient.</p>
 
<p style="text-align: justify;">&nbsp;</p>
 
<p style="text-align: justify;">&nbsp;</p>
<h3 style="text-align: justify;">Creating a female Medical History</h3>
+
<h2 style="text-align: justify;">Creating a female Medical History</h2>
 
<p style="text-align: justify;">If&nbsp;<strong>Medical History</strong> is selected when the selected patient is a woman, the following window will open:</p>
 
<p style="text-align: justify;">If&nbsp;<strong>Medical History</strong> is selected when the selected patient is a woman, the following window will open:</p>
 
<table style="margin-left: auto; margin-right: auto;" border="0" width="605" height="157">
 
<table style="margin-left: auto; margin-right: auto;" border="0" width="605" height="157">
 
<tbody>
 
<tbody>
 
<tr>
 
<tr>
<td colspan="3">[[Image:femedhis.jpg|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/femedhis.jpg|]]</td>
+
<td colspan="3">[[Image:Exa1.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/Exa1.png|]]</td>
 
</tr>
 
</tr>
 
<tr>
 
<tr>
<td><img style="display: block; margin-left: auto; margin-right: auto; vertical-align: middle;" src="/images/QMico.jpg" alt="" /></td>
+
<td><a href="/index.php?title=Free_/_QM_fields"><img style="display: block; margin-left: auto; margin-right: auto; vertical-align: middle;" src="/images/QMico.jpg" alt="" /></a></td>
<td><a href="/index.php?title=Medical_History#Documenting_previous_pregnancies"><img style="display: block; margin-left: auto; margin-right: auto;" src="/images/gravidapara2.jpg" alt="" /></a></td>
+
<td><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;" src="/images/GravidaParaRed.png" alt="" width="321" height="32" /></a></td>
<td><a href="/index.php?title=Medical_History#Documenting_examination_findings"><img style="display: block; margin-left: auto; margin-right: auto;" src="/images/examico.jpg" alt="" /></a></td>
+
<td><a href="/index.php?title=Medical_History#Documenting_examination_findings"><img style="display: block; margin-left: auto; margin-right: auto;" src="/images/Exam.png" alt="" width="160" height="26" /></a></td>
 
</tr>
 
</tr>
 
<tr>
 
<tr>
 
<td>Click on this icon to access the <strong>QM field</strong> section related to this area or on the right arrow to block the QM fields or to see the change log.</td>
 
<td>Click on this icon to access the <strong>QM field</strong> section related to this area or on the right arrow to block the QM fields or to see the change log.</td>
<td>Click on this link or onto the red arrow icon to document <a href="/index.php?title=Medical_History#Documenting_previous_pregnancies">previous pregnancies' outcome</a>.</td>
+
<td>Click on this link or on the red arrow icon to document <a href="/index.php?title=Medical_History#Documenting_previous_pregnancies">previous pregnancy outcome</a>.</td>
<td><span style="font-size: x-small;">Click on this icon to document <a href="/index.php?title=Medical_History#Documenting_examination_findings">examination</a> findings related to the Medical History.</span></td>
+
<td>Click on this icon to document <a href="/index.php?title=Medical_History#Documenting_examination_findings">examination</a> findings related to the Medical History.</td>
 
</tr>
 
</tr>
 
</tbody>
 
</tbody>
Line 26: Line 29:
 
<p style="text-align: justify;"><em>Note 2: if there is at least one previous <strong>Medical History</strong>, the system will ask if the user wants to take over the data from the most recent one.</em></p>
 
<p style="text-align: justify;"><em>Note 2: if there is at least one previous <strong>Medical History</strong>, the system will ask if the user wants to take over the data from the most recent one.</em></p>
 
<p style="text-align: justify;"><em>Note 3: if the date of the new Medical History is empty or earlier than the date of an existing <strong>Medical History</strong>, the system will ask if the date of the first interview is to be updated to the date of the <strong>Medical History</strong>.</em></p>
 
<p style="text-align: justify;"><em>Note 3: if the date of the new Medical History is empty or earlier than the date of an existing <strong>Medical History</strong>, the system will ask if the date of the first interview is to be updated to the date of the <strong>Medical History</strong>.</em></p>
<h4 style="text-align: justify;"></h4>
+
<p style="text-align: justify;">&nbsp;</p>
 
<h3 style="text-align: justify;">Documenting previous pregnancies</h3>
 
<h3 style="text-align: justify;">Documenting previous pregnancies</h3>
 
<p style="text-align: justify;">Clicking on the&nbsp;<strong>Gravida:_Para:</strong> link or on the red arrow icon, the following window will open:</p>
 
<p style="text-align: justify;">Clicking on the&nbsp;<strong>Gravida:_Para:</strong> link or on the red arrow icon, the following window will open:</p>
<table style="margin-left: auto; margin-right: auto;" border="0">
+
<p>&nbsp;</p>
 +
<table border="0">
 
<tbody>
 
<tbody>
 
<tr>
 
<tr>
<td>[[Image:prevlist.jpg|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/prevlist.jpg|]]</td>
+
<td>[[Image:Prev.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/Prev.png| ]]</td>
 
</tr>
 
</tr>
 
</tbody>
 
</tbody>
Line 38: Line 42:
 
<p>&nbsp;</p>
 
<p>&nbsp;</p>
 
<p style="text-align: justify;">In the new window, you will see a list of all pregnancies assigned to this <strong>Medical History</strong>. To document a pregnancy just click on <strong>New</strong>. It is also possible to remove a erroneously documented pregnancy: just select it and click on <strong>Delete</strong>.</p>
 
<p style="text-align: justify;">In the new window, you will see a list of all pregnancies assigned to this <strong>Medical History</strong>. To document a pregnancy just click on <strong>New</strong>. It is also possible to remove a erroneously documented pregnancy: just select it and click on <strong>Delete</strong>.</p>
<h4 style="text-align: justify;"></h4>
+
<p style="text-align: justify;">&nbsp;</p>
 
<h3 style="text-align: justify;">Documenting examination findings</h3>
 
<h3 style="text-align: justify;">Documenting examination findings</h3>
 
<p style="text-align: justify;">It is possible to link examination findings to a <strong>Medical History</strong> by clicking on the&nbsp;<strong>Examination</strong> in the section&nbsp;<strong>Female Medical History</strong>. The following window will open:</p>
 
<p style="text-align: justify;">It is possible to link examination findings to a <strong>Medical History</strong> by clicking on the&nbsp;<strong>Examination</strong> in the section&nbsp;<strong>Female Medical History</strong>. The following window will open:</p>
Line 48: Line 52:
 
</tbody>
 
</tbody>
 
</table>
 
</table>
<p>&nbsp;</p>
+
<ul>
<p style="text-align: justify;">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.</p>
+
<li>In the new window you will see a <strong>list of all pregnancies</strong> assigned to this Medical History. </li>
<h3 style="text-align: justify;">Creating a male Medical History</h3>
+
<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> on it.</li>
 +
<li>It is also possible to <strong>remove </strong>a wrong documented pregnancy: just select it and click on the button <strong>"Delete"</strong>.</li>
 +
</ul>
 +
<p style="text-align: justify;"><strong>If the anamneses are plausible</strong>, a <span style="color: #339966;">green </span>circle will appear on the right side in the column <strong>&ldquo;Status&rdquo;</strong>. Otherwise, a <span style="color: #ff0000;">red </span><strong>warning </strong>symbol will appear.</p>
 +
<p style="text-align: justify;">&nbsp;</p>
 +
<h2 style="text-align: justify;">Creating a male Medical History</h2>
 
<p style="text-align: justify;">If&nbsp;<strong>Medical History</strong> is selected when the selected patient is a man, the following window will open:</p>
 
<p style="text-align: justify;">If&nbsp;<strong>Medical History</strong> is selected when the selected patient is a man, the following window will open:</p>
 
<table style="margin-left: auto; margin-right: auto;" border="0" width="444" height="157">
 
<table style="margin-left: auto; margin-right: auto;" border="0" width="444" height="157">
 
<tbody>
 
<tbody>
 
<tr>
 
<tr>
<td colspan="2">[[Image:mamedhis.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/mamedhis.png|]]</td>
+
<td colspan="2">[[Image:MedMale.png|none|740px|thumb|left|link=http://wiki.meditex-software.com/images/MedMale.png| ]]</td>
 
</tr>
 
</tr>
 
<tr>
 
<tr>
<td><img style="display: block; margin-left: auto; margin-right: auto; vertical-align: middle;" src="/images/QMico.jpg" alt="" /></td>
+
<td><a href="/index.php?title=Free_/_QM_fields"><img style="display: block; margin-left: auto; margin-right: auto; vertical-align: middle;" src="/images/QMico.jpg" alt="" /></a></td>
 
<td><a href="/index.php?title=Lab_diagnostics#Creating_a_spermiogram.C2.A0"><img src="/images/spermedhis.png" alt="" width="384" height="26" /></a></td>
 
<td><a href="/index.php?title=Lab_diagnostics#Creating_a_spermiogram.C2.A0"><img src="/images/spermedhis.png" alt="" width="384" height="26" /></a></td>
 
</tr>
 
</tr>
Line 67: Line 77:
 
</tbody>
 
</tbody>
 
</table>
 
</table>
 +
<ul>
 +
<li>On each section of the Medical History may be documented <strong>several data</strong>. </li>
 +
<li>The fields with the <strong>red background</strong> have to be filled in order to fullfil  the<strong> D.I.R.</strong> (German Registry for assisted reproduction techniques)  requirements.</li>
 +
<li>When all the data you need to document are insterted just press <strong>OK</strong>.</li>
 +
<li>It is possible to customize the<strong> Previous illnesses</strong> and the <strong>"Fertility impairment factors"</strong> modifing the related <strong>system tables.</strong></li>
 +
<li>If <strong>exists </strong>at least one previous <strong>Medical History</strong> the  system will ask if the user wants to <strong>take over data</strong> from the most recent  Medical History.</li>
 +
<li>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.</li>
 +
</ul>
 +
<p style="text-align: justify;"><strong>&nbsp;</strong></p>
 +
<p><strong>If the anamneses are plausible</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.</p>
 
<p>&nbsp;</p>
 
<p>&nbsp;</p>
<p style="text-align: justify;">The fields with the red background have to be filled in order to  fullfil the D.I.R. (only for the German version) requirements. When  all the data you need to document are insterted, press <strong>OK</strong>.</p>
+
<table style="float: right;" border="0">
<p style="text-align: justify;"><em>Note: <strong>&nbsp;</strong></em><em>it is possible to customize the&nbsp;<strong>Prior illness</strong> and the&nbsp;<strong>Sterility factors</strong> modifing the related <strong>system tables</strong>.</em></p>
+
<tbody>
<p style="text-align: justify;"><em>Note 2: </em><em>if there is at least one previous <strong>Medical History</strong>, the system will ask if the user wants to take over the data from the most recent one.</em></p>
+
<tr>
<p style="text-align: justify;"><em>Note 3: </em><em>if the date of the new Medical History is empty or earlier than the date of an existing <strong>Medical History</strong>, the system will ask if the date of the first interview is to be updated to the date of the <strong>Medical History</strong>.</em></p>
+
<td style="text-align: right;"><a href="/index.php?title=MedITEX_IVF_how_to">Back to How to</a></td>
 +
<td style="text-align: right;"><a href="#top">Back to top</a></td>
 +
</tr>
 +
</tbody>
 +
</table>

Latest revision as of 15:46, 12 February 2013

On a patient's main window, click on Medical history.

In order to create a new Medical history click on the arrow at the right of the New entry icon. A menu will appear showing a couple of options. Select 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.

 

Contents

Creating a female Medical History

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

<tbody> </tbody>
Exa1.png
<a href="/index.php?title=Free_/_QM_fields"><img style="display: block; margin-left: auto; margin-right: auto; vertical-align: middle;" src="/images/QMico.jpg" alt="" /></a> <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;" src="/images/GravidaParaRed.png" alt="" width="321" height="32" /></a> <a href="/index.php?title=Medical_History#Documenting_examination_findings"><img style="display: block; margin-left: auto; margin-right: auto;" src="/images/Exam.png" alt="" width="160" height="26" /></a>
Click on this icon to access the QM field section related to this area or on the right arrow to block the QM fields or to see the change log. Click on this link or on the red arrow icon to document <a href="/index.php?title=Medical_History#Documenting_previous_pregnancies">previous pregnancy outcome</a>. Click on this icon to document <a href="/index.php?title=Medical_History#Documenting_examination_findings">examination</a> findings related to the Medical History.

 

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. (only for the German version) requirements. From this page, it is possible to access the previous pregnancy's section and the examination section. When all the data you need to document are insterted, press OK.

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

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

Note 3: if the date of the new Medical History is empty or earlier 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, the following window will open:

 

<tbody> </tbody>
Prev.png

 

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

 

Documenting examination findings

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

<tbody> </tbody>
examination.jpg
  • 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".
  • If you want to edit a pregnancy, "double click" on it.
  • It is also possible to remove a wrong documented pregnancy: just select it and click on the button "Delete".

If the anamneses are plausible, a green circle will appear on the right side in the column “Status”. Otherwise, a red warning symbol will appear.

 

Creating a male Medical History

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

<tbody> </tbody>
MedMale.png
<a href="/index.php?title=Free_/_QM_fields"><img style="display: block; margin-left: auto; margin-right: auto; vertical-align: middle;" src="/images/QMico.jpg" alt="" /></a> <a href="/index.php?title=Lab_diagnostics#Creating_a_spermiogram.C2.A0"><img src="/images/spermedhis.png" alt="" width="384" height="26" /></a>
Click on this icon to access the QM field section related to this area or on the right arrow to block the QM fields or to see the change log. Double-click on the empty field or press the lightning icon to create a new <a href="/index.php?title=Lab_diagnostics#Creating_a_spermiogram.C2.A0">semen analysis</a> and link it to the Medical History.
  • 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.
  • It is possible to customize the Previous illnesses and the "Fertility impairment factors" modifing the related system tables.
  • 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.
  • 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.

 

If the anamneses are plausible, a green circle will appear on the right side in the column Status. Otherwise, a red warning symbol will appear.

 

<tbody> </tbody>
<a href="/index.php?title=MedITEX_IVF_how_to">Back to How to</a> <a href="#top">Back to top</a>