How to create a new medical history?

From MedITEX - Wiki

Revision as of 14:41, 14 December 2012 by LuFe (Talk | contribs)

Jump to: navigation, search

Contents

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:

femedhis.jpg

 
 


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 onto the red arrow icon to document previous pregnancies' outcome Click on this icon to document examination 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. (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:

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:

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:

    
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 spermiogram 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.

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.