Instructions for Use

Instructions for Use

Philips Documentation Center Client

Instructions for Use

PHI

Philips Part No. M2000-9001E

Published in Germany December 2002

Edition 1

E.10.00

Notice

Table of Contents

Index

This document contains proprietary information, which is protected by copyright. All rights are reserved. No part of this document may be photocopied, reproduced or translated to another language without the prior written consent of

Philips Medical Systems Company. The information contained in this document is subject to change without notice.

Philips Medizin Systeme Böblingen GmbH

Cardiac and Monitoring Systems

Hewlett Packard Str. 2

71034 Böblingen

Germany

Manufacturer's Responsibility

Philips Medical Systems only considers itself responsible for any effects on safety, reliability and performance of the equipment if:

• assembly operations, extensions, re-adjustments, modifications or repairs are carried out by persons authorized by Philips, and

• the electrical installation of the relevant room complies with national

© 2002 Koninklijke Philips Electronics N.V.

All rights are reserved.

Reproduction in whole or in part is prohibited without the prior written consent of the copyright holder.

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standards, and

• the instrument is used in accordance with the instructions for use.

Warranty

When purchased new from Philips Medical Systems (Philips), Philips warrants this medical product against defects in materials and workmanship.

If Philips receives notice of such defects during the warranty period, Philips shall, at its option, either repair or replace hardware products which prove to be defective

1

.

Philips software and firmware products which are designated by Philips for use with a hardware product, when properly installed by a Philips Service

Engineer on that hardware product, are warranted not to fail to execute their programming instructions due to defects in materials and workmanship. If

Philips receives notice of such defects during the warranty period, Philips shall repair or replace software media and firmware which do not execute their programming instructions due to such defects. Philips does not warrant that the operating of the software firmware or hardware shall be uninterrupted or error free.

If Philips is unable, within a reasonable time, to repair or replace any product to a condition as warranted, Buyer shall be entitled to a refund of the purchase price upon return of the product to Philips.

Duration and Commencement of Warranty Period

The warranty period for each product is one (1) year

1

, depending upon the

warranty classification code of the product at time of order. The applicable warranty code is specified on the Philips Price List. The warranty period begins either on the date of delivery or, where the purchase price includes installation by Philips, on the date of installation. If Customer schedules or delays installation more than thirty (30) days after delivery, the warranty period begins on the thirty-first (31st) day from the date of delivery.

1.The period of warranty is typically for one (1) year but this may differ depending on the country of sale, or other terms.

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Place of Performance

Within Philips service travel areas, warranty and installation services for products installed by Philips and certain other products designated by Philips will be performed at Customer’s facility at no charge. Outside Philips service travel areas, warranty and installation services will be performed at

Customer’s facility only upon Philips’ prior agreement and Customer shall pay Philips’ round trip travel expenses and applicable additional expenses for such services.

On-site warranty services are provided only at the initial installation point. If products eligible for on-site warranty and installation services are moved from the initial installation point, the warranty will remain in effect only if

Customer purchases additional inspection or installation services at the new site.

Installation and on-site warranty services outside the country of initial purchase are included in Philips’ product price only if Customer pays Philips international prices (defined as destination local currency price or Export price). Service outside the country of initial purchase is subject to the conditions regarding Philips service travel areas and initial installation point described above.

Limitation of Warranty

The foregoing warranty shall not apply to defects resulting from:

• Improper or inadequate maintenance by Buyer or an unauthorized person.

• Using accessories and consumables that are not approved by Philips

Medical Systems.

• Buyer-supplied software or interfacing,

• Unauthorized modification or misuse,

• Operating outside of the environmental specifications for the product, or

• Improper site preparation and maintenance.

• Other terms set forth in the terms and conditions of sale.

TO THE EXTENT ALLOWED BY LOCAL LAW, THE WARRANTY SET

FORTH ABOVE IS EXCLUSIVE AND NO OTHER WARRANTY,

WHETHER WRITTEN OR ORAL, IS EXPRESSED OR IMPLIED AND

PHILIPS SPECIFICALLY DISCLAIMS THE IMPLIED WARRANTIES OF

MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE

Limitation of Remedies and Liability

The remedies provided herein are buyer's sole and exclusive Remedies. In no event shall Philips be liable for direct, indirect, special, incidental or consequential damages (including loss of profits) whether based on contract, tort or any other legal theory.

The foregoing limitation of liability shall not apply in the event that any

Philips product sold hereunder is determined by a court of competent jurisdiction to be defective and to have directly caused bodily injury, death or property damage; provided that in no event shall Philips' liability for property damage exceed the greater of US$50,000 or the purchase price of the specific product that caused such damage.

Australia and New Zealand Only

For consumer transactions the warranty terms contained in this statement, except to the extent lawfully permitted, do not exclude, restrict or modify and are in addition to the mandatory statutory rights applicable to the sale of this product to you.

Declaration of Conformity

M2000 software complies with the requirements of the council directive 93/42/EEC (MDD) concerning medical devices.

5

Disclaimer

Philips Medical Systems Co. (Philips) believes the Documentation Center software product has significant technological improvement that will prove very valuable to your practice and to your patients.

Philips Medical Systems continually strive to provide you with the best possible solutions for our medical instrumentation and supplies.

Installation of the Documentation Center software is only allowed for persons, who are familiar with the English language and with the Windows operating system.

The Documentation Center software, like all Philips products, has also been qualified through rigorous testing and validation.

For the actual list of validated equipment the customer may contact their Philips’ representative. Given the customers interest in using other Office Equipment with Documentation Center he/she has to consider and accept that this combination has not undergone our standard validation procedures.

Philips is making no claim about the reliability, performance or the safety for the use of other Office Equipment.

Deviations from the upgrade and configuration procedures described in the accompanying documentation may adversely affect system reliability and void this warranty.

The installation of other software products may conflict with the installation of the Documentation Center client software. If other software products are installed, it is strongly recommended to reinstall the Documentation Center software after any and all other software has been loaded.

This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 513 North State Street,

Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015 (b)(2) (June

1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7203-3(a) (June 1995), as applicable for U.S. Department of

Defence procurements and the limited rights restrictions of FAR 52.227-14

(June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14

6

(June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR supplements, for non-Department of Defence Federal procurements.

Printing History

New editions are complete revisions of the manual. Update packages, which are issued between editions, contain additional and replacement pages to be merged into the manual by the customer. The dates on the title page change only when a new edition or a new update is published.

Edition 1 September 1998

Edition 2 September 1999

Edition 3 December 2002

Microsoft is a U.S. registered trademark of Microsoft Corporation.

Windows, Windows XP, and Windows NT are U.S. registered trademarks of Microsoft

Corporation.

Operating System/2® and OS/2® are U.S. registered trademarks of Microsoft Corporation and

International Business Machines Corporation.

CPT five-digit codes, descriptions, and other data only are copyright 1998 American Medical

Association. All Rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for data contained or not contained herein.

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Safety Summary

W A R N I N G !

The Philips Documentation Center hardware is safety-approved for office environments only. Philips Medical Systems office products are classified as EDP equipment (UL 478) and are not intended for placement within the patient environment. Patient environment is defined as any area up to 2.5 meters within the intended location of the patient.

The Documentation Center is only for use by persons who have completed the appropriate product training, and are familiar with the contents of the

Operating and Installation Guide.

Intended Use

The Documentation Center is a PC based client/server solution.

The Documentation Center is intended for use with adult, pediatric and neonatal patients in a healthcare facility to gather and store data for the purpose of reimbursement, physician documentation and quality reporting.

Additionally the Documentation Center may be used as an indirect diagnostic tool. Documentation Center Clients and Servers are not suitable for placement within the Patient Environment.

The Documentation Center is NOT intended to be used for direct diagnosis or monitoring of vital physiological processes.

Safety Information

Equipotential Terminal

This symbol is used to identify terminals which are connected together, bringing various equipment or parts of a system to the same potential. This is not necessarily earth potential. (The value of potentials of earth may be indicated adjacent to the symbol.)

International Caution Symbol

!

This symbol indicates that the operator should refer to the product instruction manual before beginning a procedure.

Earth Terminal

This symbol identifies the terminal for connection to an external protective earth.

Conventions

The following conventions for notes, cautions, and warnings are used in this guide:

N o t e

A note calls attention to an important point in the text.

C a u t i o n

A caution calls attention to a condition or possible situation that could damage or destroy the product or the user's work.

W A R N I N G !

A warning calls attention to a condition or possible situation that could cause injury to the user and/or patient.

Table of Contents

Start of Chapter

Index

9

10

Table of Contents

Philips Documentation Center Client

Instructions for Use

Philips Part No. M2000-9001E

Published in Germany December 2002

Edition 1

E.10.00

Notice ............................................................................................................1-2

Manufacturer's Responsibility......................................................1-2

Warranty.......................................................................................1-3

Limitation of Remedies and Liability ..........................................1-5

Declaration of Conformity ...........................................................1-5

Disclaimer ....................................................................................1-6

Printing History............................................................................1-7

Safety Summary ............................................................................................1-8

Intended Use.................................................................................1-8

Safety Information .......................................................................1-8

Conventions..................................................................................1-9

Overview of the Documentation Center 1-1

What is the Documentation Center? .............................................................1-2

Overview of the Software ............................................................1-2

Overview of the System Hardware ..............................................1-4

The Different Versions of the Documentation Center .................1-5

Starting the Documentation Center...............................................................1-7

To Start the Documentation Center Automatically......................1-7

To Start the Documentation Center Manually .............................1-7

Accessing Different Parts of the Documentation Center .............1-8

To Log Off from the Documentation Center ...............................1-8

Contents-11

To Change your Password........................................................... 1-8

To Exit the Documentation Center............................................................. 1-10

Operating Guidelines for the Documentation Center................................. 1-11

Overview of the Screen Layout................................................. 1-11

About Free Text Areas .............................................................. 1-14

About the Patient in Focus ........................................................ 1-14

To Change the Patient in Focus................................................. 1-14

Working with the Windows User Interface............................... 1-14

Using the Toolbar...................................................................... 1-15

To Select an Option from the Menu Bar ................................... 1-18

To Select an Option from a Context Menu ............................... 1-19

To Complete a Dialog Box Before Starting a Command.......... 1-20

Using the Administration Module 2-1

To Display the Patient Administration Module ........................................... 2-2

About the Patient Administration Module .................................. 2-2

To Select a Patient or Bed ........................................................... 2-3

Overview of the Patient Administration Menus.......................... 2-4

To Change the List of Displayed Patients .................................................... 2-6

To Find a Patient .......................................................................................... 2-9

To Admit a Patient whose Details are Known ........................................... 2-10

Additional Information.............................................................. 2-11

To Admit a Patient in an Emergency ......................................................... 2-14

Additional Information.............................................................. 2-15

To Change a Patient's Identification Details .............................................. 2-16

To Take over the Patient ID from the Central Station .............. 2-17

To Merge Two Patients with the Same IDs .............................. 2-17

To Merge Patient Data from the Actions Menu ......................................... 2-19

To Move a Patient to a Different Bed ........................................................ 2-20

To Review or Edit a Patient's Folder.......................................................... 2-22

Additional Information.............................................................. 2-23

To Discharge a Patient to the Discharge List ............................................. 2-24

Additional Information.............................................................. 2-25

To Close a Patient Case.............................................................................. 2-26

Working with Patient Cases ...................................................... 2-26

To Review a Patient's Previous Case Histories.......................................... 2-27

Additional Information.............................................................. 2-27

Contents-12

To Review the Cost of a Patient's Therapy .................................................2-28

Additional Information...............................................................2-28

Using the Patient Folder Module 3-1

To Display the Patient Folder Module ..........................................................3-2

About the Patient Folder Module.................................................3-2

To Save Module Data...................................................................3-4

About the Personal Data Section...................................................................3-5

Additional Information.................................................................3-6

About the Admission Section........................................................................3-7

Additional Information.................................................................3-7

About the Medical History Section...............................................................3-9

Additional Information.................................................................3-9

About the Diagnoses Section ......................................................................3-11

Additional Information...............................................................3-11

About the Procedures Section .....................................................................3-13

Additional Information...............................................................3-14

About the Health State Section ...................................................................3-16

Additional Information...............................................................3-16

About the Nursing Section ..........................................................................3-18

Additional Information...............................................................3-19

About the Cost Capture Section..................................................................3-20

Basic Cost Capture Data ............................................................3-21

Other Cost Capture Data ............................................................3-21

Additional information...............................................................3-22

About the Discharge Section.......................................................................3-23

Additional Information...............................................................3-23

About the SAPS Section .............................................................................3-25

Additional Information...............................................................3-26

SAPS Scoring Tables .................................................................3-27

Using the Patient Trends Module 4-1

To Display the Patient Trends Module .........................................................4-2

About the Patient Trends Module ................................................4-3

Overview of the Patient Trends Menus........................................4-3

Working with Patient Trends .......................................................4-5

To Select a Different Patient without Exiting the Module...........4-9

Contents-13

About Laboratory Data Trends................................................................... 4-11

Color-Coding of the Laboratory Data ....................................... 4-12

To Display a Different Group of Laboratory Data.................... 4-13

To Acknowledge Laboratory Data Manually............................ 4-13

To Input Data Manually or Edit Existing Data ......................... 4-15

About Vital Parameter Trends.................................................................... 4-17

To Display a Different Group of Vital Parameter Data ............ 4-18

About Real-Time Data ............................................................................... 4-19

Using the Reports Module 5-1

To Display the Reports Module ................................................................... 5-2

Working with Reports in the Documentation Center.................. 5-2

To Print a Report .......................................................................................... 5-4

To Define the Time Period Covered by the Report..................... 5-4

Using the Online Configuration Module 6-1

Introduction .................................................................................................. 6-2

General Concepts for Configuration ............................................................ 6-3

Adding New Items....................................................................... 6-3

Changing Existing Items ............................................................. 6-3

“Deleting” or Hiding Items ......................................................... 6-4

Sorting Items in Lists .................................................................. 6-4

Organizing Items in Non-Hierarchical Groups ........................... 6-5

Organizing Items in Hierarchical Groups ................................... 6-6

Using External Keys.................................................................... 6-7

System Configuration................................................................................... 6-8

User Settings................................................................................ 6-9

Patient Identification ................................................................. 6-11

Workstation and System Settings.............................................. 6-12

Bed Settings............................................................................... 6-18

Lab and Vital Parameter Settings.............................................. 6-20

HL7 Settings.............................................................................. 6-31

Scheduling Processes ................................................................ 6-32

Adding and Updating Reports................................................... 6-35

Adding and Updating Database Queries ................................... 6-37

Patient Folder Configuration ...................................................................... 6-39

User Definable Fields................................................................ 6-40

Overall Configuration of the Patient Folder.............................. 6-41

Configuration for the Personal Data Section............................. 6-42

Contents-14

Configuration for the Admissions Section.................................6-48

Configuration for the Medical History Section..........................6-53

Configuration for the Diagnoses Section ...................................6-54

Configuration for the Procedures Section ..................................6-55

Configuration for the Health State Section ................................6-57

Configuration for the Nursing Section.......................................6-61

Configuration for the Cost Capture Section...............................6-63

Configuration for the Discharge Section....................................6-68

Configuration for the User Definable Sections..........................6-70

Using the Data Administration Module 7-1

To Display the Data Administration Module................................................7-2

About the Data Administration Module.......................................7-2

Overview of the Data Administration Menus ..............................7-4

To Change the List of Displayed Patients.....................................................7-6

To Delete the Complete Data for a Patient ...................................................7-7

Additional Information.................................................................7-7

To Define Export Characteristics..................................................................7-8

To Export Patient Data to a File....................................................................7-9

Using the Task Window 8-1

What is the Task Window? ...........................................................................8-2

To Access the Task Window at the CMS Monitor .......................................8-4

To Admit a Patient in an Emergency at a Task Window..............................8-6

Additional Information.................................................................8-6

To Re-Admit a Patient using a Task Window ..............................................8-8

Additional Information.................................................................8-8

To Free an Occupied Bed in the Task Window ............................................8-9

Additional Information.................................................................8-9

To Review Lab Data in a Task Window.....................................................8-11

Additional Information...............................................................8-12

To Acknowledge Lab Data in a Task Window...........................................8-13

Additional Information...............................................................8-14

To Review and Enter Cost Data in a Task Window ...................................8-16

Additional Information...............................................................8-17

To Enter a Cost Item ..................................................................8-18

Contents-15

Using the Database Query Module 9-1

To Display the Query Module...................................................................... 9-2

About the Query Module............................................................. 9-2

To Query the Database ................................................................................. 9-6

Patient Case Management A-1

Hospital Patient Classification .....................................................................A-2

Documentation Center Patient Classification..............................A-2

Case Management Functions........................................................................A-4

Patient Lists .................................................................................A-4

Admission/Readmission..............................................................A-5

Discharge.....................................................................................A-6

Changing Case Status..................................................................A-6

Reviewing Previous Cases ..........................................................A-7

Change Patient Identification ......................................................A-8

Merging cases..............................................................................A-9

Creating a Unique Case Number...............................................A-11

Configuration of Long-term Data..............................................A-11

Database Access B-1

Access Mechanisms .....................................................................................B-2

Query Module..............................................................................B-2

Open DataBase Connectivity (ODBC)........................................B-2

Data Export Utility ......................................................................B-4

HL7 Query Interface ...................................................................B-4

Using Diagnosis and Procedure Lists C-1

Adding Diagnoses and Procedures...............................................................C-2

Entering a Diagnosis/Procedure Manually..................................C-3

Using the Hierarchical Search to enter a Diagnosis/Procedure...C-4

Using the Text Search Function ..................................................C-5

Selecting a Diagnosis/Procedure from the Hitlist .......................C-6

Maintaining Keywords .................................................................................C-9

Adding a Keyword ....................................................................C-10

Glossary Glossary-1

Contents-16

1

Overview of the Documentation Center

Table of Contents

What is the Documentation Center? .............................................................1-2

Overview of the Software ............................................................1-2

Overview of the System Hardware ..............................................1-4

Starting the Documentation Center...............................................................1-7

To Start the Documentation Center Automatically......................1-7

To Start the Documentation Center Manually .............................1-7

Accessing Different Parts of the Documentation Center .............1-8

To Log Off from the Documentation Center ...............................1-8

To Change your Password ...........................................................1-8

To Exit the Documentation Center .............................................................1-10

Operating Guidelines for the Documentation Center..................................1-11

Overview of the Screen Layout..................................................1-11

About Free Text Areas ...............................................................1-14

About the Patient in Focus .........................................................1-14

To Change the Patient in Focus .................................................1-14

Working with the Windows User Interface ...............................1-14

Using the Toolbar.......................................................................1-15

To Select an Option from the Menu Bar....................................1-18

To Select an Option from a Context Menu ................................1-19

To Complete a Dialog Box Before Starting a Command ..........1-20

Index

Overview of the Documentation Center 1-1

What is the Documentation Center?

Overview of the Software

The Documentation Center is a component of the Philips product series which manages patients’ data collected over a period of admission. The system is designed to help nurses and physicians to document the entire period of a patient’s stay from admission to discharge. By simplifying and automating many routine data management tasks, the Documentation Center enables medical staff to spend a greater part of the care process with the patient rather than on paperwork.

The system is composed of a series of software modules with each module representing one complete aspect of the care process. Your system administrator can also configure the modules to tailor them to the specific requirements of your hospital.

The major functions of the Documentation Center can be summarized as follows:

• Automatic data acquisition from patient monitoring equipment by way of the serial distribution network (CareNet) — previously known as SDN.

For example, CMS or V24/V26 patient monitors.

• Automatic data acquisition from patient monitoring equipment by way of the HL7 export interface for the Information Center (Rev. E or later) to access information from the Philips LAN. For example, IntelliVue or M3/

M4 patient monitors.

• Automatic data acquisition from the clinical laboratory by way of the laboratory interface and local area network (LAN) using ASTM and HL7 protocols.

• Review and manual entry of laboratory data.

• Bedside and remote review capability.

• Documentation of the patient record over the complete period of

1-2 Overview of the Documentation Center

admission including a cost-of-stay tracking function.

• High-resolution trends.

• Patient administration.

• Report generation.

• Remote review and entry of data in a task window displayed on the screen of a CMS Patient Monitoring System (CMS) patient monitor.

The system is composed of the following modules, each aimed at a particular aspect of the care process:

Module

Patient Administration

Patient Folder

Patient Trends

Reports

Configuration

Description

Patient bed listing, admission, discharge, and relocation of patients.

Patient demographics, medical history, health status, and diagnosis. Cost-of-stay summary, including:

• Performance gathering and TISS values

• Online review of cost summary

• Review and entry of cost items at CMS in a task window

• Classification as SAPS II

• Encoding according to ICD9/10

• Encoding according to ICPM

• Print cost summary reports.

Displays clinical data for documentation and review; also referred to as the patient trend.

Generates a printout of certain preconfigured reports to document the case history of the patient.

Customize the Documentation Center to the exact requirements of the ward.

To administer the patient data in the database.

Data Administration

Query To extract statistical data from the database.

Overview of the Documentation Center 1-3

Overview of the System Hardware

Information Center

The Documentation Center is a PC-based system which uses the Windows operating system to provide an intuitive user interface and multi-tasking capabilities. This operating system enables you to use proprietary software for other applications, such as word-processors and spreadsheets, while data collection continues in the background. These additional applications complement the clinical modules of the Documentation Center to provide a complete departmental solution for the documentation of a patient’s stay.

CMS Monitors Digital Telemetry

M3/4 Monitors

IntelliVue Monitors

LaserJet

DeskJet

CareNet

Blood Gas Analyzer

Documentation

Center Server

Documentation

Center

Client

Central

Laboratory

Philips LAN

Information

Center

Hospital Network

Overview of a Networked Documentation Center

The Documentation Center is installed using a standard client/server architecture.

The networked version of the Documentation Center is referred to as a Client-

Server system in which one or more client PCs are connected to a central server by way of a local area network (LAN).

The server receives patients’ data from certain medical instruments, such as the CMS or V24/V26 patient monitors, by way of an interface card connected to the hospital’s serial distribution network (CareNet). The CareNet interface

1-4 Overview of the Documentation Center

card is connected to a branch of the CareNet System Communications

Controller (SCC) which acquires data from patient monitors, arrhythmia computers, and central stations.

The server also receives patients’ data from more recent medical instruments, such as IntelliVue or M3/M4 patient monitors, using the HL7 export interface for the Information Center (Rev. E or later). The Information Center acquires information from devices connected to the Philips LAN (P-LAN).

The PC server at the heart of a networked system can manage up to eight additional PC clients. The server, includes the database components that link to the laboratory and the CareNet, the complete network software, and other tools needed for the administration of the Documentation Center.

The clients can be configured either as ward stations or lab stations which include the following components:

Ward Station

Lab Station

Includes the complete application software, and the client part of the network software.

Includes only the laboratory module of the Documentation Center software, and the client part of the network software.

The Different Versions of the Documentation Center

There are three different versions of the Documentation Center covered by this documentation:

• The standard Documentation Center (Intensive Care Configuration)

• Lab Results Configuration

The Standard Documentation Center

The standard Documentation Center provides you with a tool for gathering and presenting patient, case, cost and laboratory information as well as vital data collected from patient monitors and the bedside devices connected to

Overview of the Documentation Center 1-5

them.

The data is integrated to produce meaningful graphical and tabular trends, and patient and case documentation available from any point in the system.

Lab Results Configuration

The Lab Results Configuration provides all of the features of the

Documentation Center that make sense in a laboratory environment. It is particularly useful in situations for entering laboratory results when they cannot or should not be communicated automatically to the rest of the

Documentation Center system.

1-6 Overview of the Documentation Center

Starting the Documentation Center

To Start the Documentation Center Automatically

When the Documentation Center is set up to start automatically:

• Switch on the PC. The operating system will first load, followed by the

Documentation Center. This is the default start-up behavior of the

Documentation Center.

• Type your user ID and password into the logon dialog box, then click

Enter. The program starts.

To Start the Documentation Center Manually

To start the Documentation Center manually from Windows:

1. Click Start, and then select Documentation Center from the Programs menu. Once the group window opens, click Documentation Center.

If you have created a shortcut to the Documentation Center, double-click the icon on the Windows desktop: .

2. Type your user ID and password into the logon dialog box, then click

Enter. The program starts.

3. Click Main Menu and then select the application module that you want to use.

For more information about Windows, see the online help supplied with

Microsoft Windows.

Overview of the Documentation Center 1-7

Accessing Different Parts of the Documentation Center

Your Documentation Center user ID and password enable you to use only those parts of the system for which you are authorized. For example, if you belong to the nursing staff, you will probably be unable to work with most parts of the Configuration module.

Access rights to the system are defined in the online configuration. If at any point you need to change the lab setup, or user ID, see the system administrator.

To Log Off from the Documentation Center

N o t e

When you log off from the Documentation Center, the CareNet communication remains active, and data is still acquired from the CareNet. To prevent unauthorized access, always log off after finishing working with the system.

1. Click , or select Log Off from the Main Menu.

2. The logon dialog box is displayed.

3. Type in your User ID and password.

When you type your password, the characters are represented by asterisks

(*). You will not see the password displayed on the screen for security reasons.

To Change your Password

1. If you are already logged on to the Documentation Center, log off (as

described in “To Log Off from the Documentation Center” on page 8).

2. Enter your User ID in the log on box.

1-8 Overview of the Documentation Center

C a u t i o n

3. Type your current password into the next field.

When you type your password, the characters are represented by asterisks

(*). You will not see the password displayed on the screen for security reasons.

4. Press the Change Password button.

5. Type your new password into the next field.

6. Retype your new password in the last field to detect spelling or typing errors.

7. Press the OK button.

You are still logged on after this procedure. Your new password is effective the next time you log on.

Passwords are case-sensitive! Remember, whether you use lower case or upper case characters; each time that you type your password you must type the characters in exactly the same way.

Overview of the Documentation Center 1-9

To Exit the Documentation Center

C a u t i o n

When exiting the Documentation Center, do not switch off the server PC or reboot it as this can corrupt the database.

Only the system administrator is authorized to shut down the server PC using the method described in the Service Guide.

1. Click Main Menu then select Exit.

2. Click Yes to confirm that you want to exit.

The Documentation Center program is stopped but patients' data continues to be collected from the CareNet on the server.

After exiting the program, you can only restart the Documentation Center as

described in “To Start the Documentation Center Manually” on page 7.

1-10 Overview of the Documentation Center

Operating Guidelines for the Documentation Center

This provides an overview of some of the important operating skills that you will need to master before using the Documentation Center in a clinical environment.

If you have previously used a Windows-type user interface, and feel comfortable with the operating skills, you will probably want to skip this overview.

Overview of the Screen Layout

The following figure shows the standard parts of the screen which are always displayed regardless of the module with which you are working.

Overview of the Documentation Center 1-11

8

4

1

2

3

5

6

7

Item

1 Top status line

2 Menu bar

3 Toolbar

Standard Parts of the Screen

4 Module window

Description

Displays the name of the active module, the hospital name.

Provides a menu of commands for the active module.

Icons to start the most frequently-used tasks.

Displays data for the active module.

If not all of the tabs for a module fit on the screen at one time, the buttons , , and are provided so you can move the module within the module window.

1-12 Overview of the Documentation Center

5 Bottom status line Displays the following information about the patient in focus: name, patient number, age, the time spent, and the bed label.

6 Message line Displays the diagnosis of the patient’s condition, and both general and patient-related messages. If several messages exist, a different message is displayed every five seconds.

7 Message cycle icon Shows a scrolling movement when several messages are available.

8 Window icons Minimize, maximize, or close the active window.

Status lines at the top and bottom of the screen display important information about the patient in focus:

Top Status Line:

Bottom Status

Line:

Message Line:

Active module.

Hospital name.

Current date and time

Case status indicator

Patient’s name.

Patient’s number, or case number.

Patient’s age.

Number of days that the patient has been admitted.

Bed label of the patient in focus.

Diagnostic summary.

Notifications e.g. new lab data arrives which must be reviewed.

As you select a different patient in focus you will see that the contents of the header and footer lines change.

Overview of the Documentation Center 1-13

About Free Text Areas

On some pages you can enter your own text into an area on the screen.

These text areas each have space for 10,000 characters, which is approximately as much as would fit on 10 (A4/Letter) sheets of paper.

About the Patient in Focus

The patient in focus is the patient whose name and summarized details are listed in the status lines at the bottom of all screens. This patient stays in focus until you select a different patient, even if you move to a different module.

N o t e

If you move between the active bed list and the discharge bed list within the

Patient Administration module, the patient in focus changes.

To Change the Patient in Focus

When working in the Patient Administration module:

• Select a patient from either the active list or the discharge list.

When working in other modules of the Documentation Center:

1. Click Patient List in the menu bar.

2. Select the patient from the displayed list.

Working with the Windows User Interface

The application modules of the Documentation Center are presented in windows in which you can perform tasks using a combination of mouse and keyboard actions. In most cases, you will activate options, menus, and

1-14 Overview of the Documentation Center

commands by positioning the cursor and then clicking the left mouse button.

You will need to use the keyboard only when typing data into a patient's forms, or editing data.

You can open several windows at one time even though they may overlap each other. The active window usually has a dark border along the top of the screen, and is always the window at the front (the border can be set in the

Windows control panel).

Depending on the task you want to perform, the Documentation Center provides several methods to access modules or to complete tasks. The different methods available are described here.

Using the Toolbar

The toolbar enables you to start a task in a single operation by clicking the appropriate icon. The toolbar is usually displayed at the top of the screen, but you can reposition it down the left- or right-hand side of the screen using the toolbar context menu. To change the position of the toolbar, position the cursor over the toolbar and click the right-hand mouse button. Choose the new position from the options listed in the menu.

Grayed-out icons (as shown below by the first icon) indicate that the icon is not active and cannot be selected.

Some of the icons in the toolbar change when you are in configuration mode.

Icon Description

Patient Administration module.

Displays a bed-listing of either current or recently discharged patients.

Quick (stat) patient admission.

Admit a patient to the Documentation Center in an emergency.

Overview of the Documentation Center 1-15

Icon Description

Admit patient.

Admits a patient.

Move patient.

Moves a patient to different bed.

Discharge patient.

Discharges a patient.

Reports module.

Generate reports documenting the data gathered during the patient's admission.

Statistics module.

Extract statistical data from the database.

Patient Trends module.

Displays patient data collected from the laboratory or monitoring equipment in a series of patient trends.

Exact Time.

Display the patient data in patient trend columns which represent the exact time the data was collected.

Configuration Mode.

Switches to the configuration mode.

Toggle Bed list.

Use these alternating icons to change back and forward between the list of current patients and the list of patients that have been recently discharged.

Toggle System/Patient Folder Configuration.

Use these alternating icons to change back and forward between the configuration of the patient folder, and the system configuration.

1-16 Overview of the Documentation Center

Icon Description

Increase Resolution.

Show the patient trend in more detail.

Increase Resolution.

Show more of the patient trend.

Patient Folder module.

Displays data entered in the patient’s record, including personal data, admission, discharge, and diagnostic information.

Note: The name of some of these sections may be different in

your configuration (see “Overall Configuration of the Patient

Folder” on page 41 in the Configuration chapter).

Log off.

Quit the Documentation Center and display the logon screen.

Help.

Get on-line help about operating the Documentation Center.

Depending on the configuration of your system, an additional icon to indicate the status of the CCOW connection may be displayed to the right of the toolbar.

No CCOW link.

No link was established to other CCOW enabled applications.

The patient in focus is set independently of other applications.

CCOW link.

A link was established to other CCOW enabled applications.

Changes to the patient in focus is exchanged with other applications.

Checking CCOW Link.

The Documentation Center is trying to extablish a CCOW link.

In addition to the standard icons provided by the Documentation Center, it is possible to add the icons of other frequently-used applications. For example, you might want to add icons to enable you to start your favorite word

Overview of the Documentation Center 1-17

processor or spreadsheet program without leaving the Documentation Center interface.

It is also possible to add any file that has an application assigned to it (that is, a file that opens the correct application when you double-click on it in the

Windows Explorer).

To add an icon for an external application,

1. Make sure you are logged in as an administrator

2. Open the context menu by clicking the right-hand mouse button over the space between two icons in the toolbar.

3. Select “Add Application” from the menu.

4. Search for the executable file of the program, or of the data file you want to add.

5. Press the OK button to add its icon to those in the Documentation Center.

To Select an Option from the Menu Bar

In addition to the commands which you can start by clicking an icon in the toolbar, all commands are also organized into menus. A menu bar, tailored to the active module, is displayed across the top of each application screen. Items in the menu are customized for each application but the order of items is always the same. Each application includes some or all of the following items:

Menu Item

Main Menu

View

Actions

Description

Lists all Documentation Center modules.

Lists the different data views that can be displayed in the active module. For example, you can change the patient listing in the patient administration module, or the patient trend displayed in the Patient Trends module.

Lists all actions that you can perform on the data displayed on the current screen.

1-18 Overview of the Documentation Center

Patient List

Lists the current patients, so that you can select a patient without exiting the current application.

Help

Select help on the current module, or for the whole of the Documentation Center.

When you click the cursor on a menu item, a pull-down menu is displayed.

Active commands that are available for the current situation are displayed in black text. Inactive commands which are not available for the current situation are displayed in a light gray color. If one of the characters in a menu item is underscored, you can activate that command from the keyboard by pressing the [Alt] key together with the underscored character.

In some cases, when you select a menu, a second sub-menu of options is displayed. For example, when you select the Resolution menu in the

Patient Trends module all possible trending intervals are listed in a sub-menu.

The arrow following a menu item shows that a further sub-menu or list box will be displayed when you select that item.

The currently active option is identified by a check mark in the left margin. To select a different option, simply click the required option with the cursor. You will see that the check mark moves to that option.

To Select an Option from a Context Menu

In many modules, within entry fields, or on the toolbar you can also display a

context menu by clicking the right-hand mouse button anywhere in the module window. The context menu lists any options that are available for the current situation. Because it is not attached to the menu bar, this type of menu is often called a pop-up menu.

1-19 Overview of the Documentation Center

For example, if you click the right-hand mouse button over an empty bed in the Patient Administration module, the context menu will display the only valid options for an empty bed: Admit and Stat Admit. The following figure shows the various options cascaded from a context menu opened in the

Patient Trends module.

N o t e

If you are left-handed and have configured your mouse for left-handed operation, click the left-hand mouse button in the module window to display the context menu.

To Complete a Dialog Box Before Starting a Command

A dialog box is displayed over an application window whenever a command requires additional information. For example, before a patient can be admitted, information about the patient must be typed into the admission dialog box.

To move the cursor to a different text box, either:

1. Click the cursor in the field in which you want to enter information, or

2. Use the Tab key to move forward, and Shift Tab to move backward through the available fields.

To close a dialog box, click either the [Ok] or [Cancel] option buttons. If you press the [Cancel] option button the command is not performed.

1-20 Overview of the Documentation Center

Using list boxes in a dialog box

Some dialog boxes use a list box to list all available choices. For example, when moving a patient to a different bed, all available beds are displayed in a list box. To select an item from a list box, move the cursor to that item and then do one of the following:

• Double-click the cursor on that item.

• Press [Enter] on the keyboard.

• Click the cursor on the [Ok] command button.

Using combo boxes in a dialog box

Some dialog boxes use a combo boxes to list all available choices. For example, when admitting a patient, all available beds are displayed when you click the down arrow.

To select an item from a combo box, move the cursor to that item and then do one of the following:

• Click the cursor on that item or

• Type in the first character of the item you want and press [Enter].

• Click the cursor on the [Ok] command button to close the dialog.

If you want to close the combo box without selecting an item click on the down arrow again.

Overview of the Documentation Center 1-21

Setting the time and date in a dialog box

The following figure shows the date and time fields in the Patient Admission form. You will use the same method to enter a date or time in all forms displayed by the Documentation Center.

Click the cursor here to change the month

To change the month setting (shown as 06 in the example above) first click the cursor in the month part of the date. You can now either increase or decrease the number as required using the up or down arrow keys to the right of the date field. To change the day and year settings, click the cursor in either the day or year part, then use the arrow keys as before. Use the same method to change the hours and minutes in the time field.

To view information in a window using the scroll bars

Some application windows of the Documentation Center, have horizontal and vertical scroll bars so that you can move to information that cannot be displayed in a single screen. You will need to use scroll bars most often in the

Patient Trends module. The following figure shows an example of a horizontal scroll bar in the Patient Trends module.

Use the vertical scroll bar to move up or down through the displayed information. Use the horizontal scroll bar to move left or right through the displayed information.

1

2

3

4

5

Horizontal Scroll Bar in the Patient Trends Module

1 Left scroll column by column

1-22 Overview of the Documentation Center

Table of Contents

4

5

2

3

Left scroll screen-full by screen-full

Horizontal scroll box — can be moved by the mouse

Right scroll screen-full by screen-full

Right scroll column by column

The size of the scroll box is used to represent the amount of data currently displayed on the screen as a proportion of the complete data accumulated for the patient. In the previous figure, the size of the horizontal scroll box shows that about 12% of the patient's data is displayed as it fills approximately 12% of the entire scroll bar.

Start of Chapter

Index

Overview of the Documentation Center 1-23

1-24 Overview of the Documentation Center

2

Using the Administration Module

Table of Contents

To Display the Patient Administration Module ............................................2-2

About the Patient Administration Module ...................................2-2

To Select a Patient or Bed............................................................2-3

Overview of the Patient Administration Menus...........................2-4

To Change the List of Displayed Patients.....................................................2-6

To Find a Patient ...........................................................................................2-9

To Admit a Patient whose Details are Known ............................................2-10

Additional Information...............................................................2-11

To Admit a Patient in an Emergency ..........................................................2-14

Additional Information...............................................................2-15

To Change a Patient's Identification Details ...............................................2-16

To Take over the Patient ID from the Central Station ...............2-17

To Merge Two Patients with the Same IDs ...............................2-17

To Merge Patient Data from the Actions Menu..........................................2-19

To Move a Patient to a Different Bed .........................................................2-20

To Review or Edit a Patient's Folder...........................................................2-22

Additional Information...............................................................2-23

To Discharge a Patient to the Discharge List..............................................2-24

Additional Information...............................................................2-25

To Close a Patient Case...............................................................................2-26

Working with Patient Cases .......................................................2-26

To Review a Patient's Previous Case Histories...........................................2-27

Additional Information...............................................................2-27

To Review the Cost of a Patient's Therapy .................................................2-28

Additional Information...............................................................2-28

Index

Using the Administration Module 2-1

To Display the Patient Administration Module

Click , or select Patient Admin from the Main Menu.

About the Patient Administration Module

The Patient Administration module shows a bed-listing of either current or recently discharged patients. The information displayed alongside the bed label includes the patient's name, date of birth (DOB), case number (CN), and patient number (PN). You can use this module to perform any of the following administrative tasks:

• Admit a patient using the standard routine.

• Admit a patient using the emergency routine (Stat Admit).

• Move a patient to a different bed.

• Discharge a patient.

• Review and edit a patient's admission and discharge forms (Patient

Record).

• Review a patient's previous case history.

• Change a patient's identification details.

• Merge patient records.

• Close a patient's case.

• Review the cost of a patient's therapy.

N o t e

The patient number (PN) is usually a fixed number that identifies a patient and never changes in the lifetime of the patient (think of it as a social security/welfare number).

The case number (CN) is used to identify patients during their stay in hospital and may change the next time a patient is readmitted.

2-2 Using the Administration Module

You should change the name used for the PN and CN to reflect the terms used

for these concepts in your hospital. This is described in “Patient Identifica-

tion” on page 11 in “Using the Online Configuration Module“chapter.

Allocating Beds

All beds are listed in the Patient Administration module, irrespective of whether they are occupied, together with a bed label identifying the location of the bed. The order in which the beds are displayed can be changed by your system administrator.

In addition to monitored beds, you can use an unlimited number of temporary beds, usually referred to as non-beds. You can use a non-bed to add a patient to the current patient list when the patient is not physically in the unit or not being monitored. For example, you can use a temporary bed to pre-admit a patient when their arrival is expected. If a patient leaves the unit for tests or therapy, you can move the patient to a non-bed to free a monitored bed.

The last entry in the current patient list is always a vacant non-bed. When a patient is admitted to the non-bed, a new non-bed is added automatically by the system. When the first non-bed is freed, the second non-bed is removed if it is still vacant.

To Select a Patient or Bed

• Click the cursor on the patient or empty bed, or

• Move the cursor bar to the patient or empty bed using the up or down

Using the Administration Module 2-3

arrow keys.

Overview of the Patient Administration Menus

The View Menu

Use the View menu to change the list of displayed patients as follows:

Menu Item

Default Current List

Discharge

List

Total Current List

Description

List all currently admitted patients in the default bed group.

List of patients discharged from the current list.

List all of the currently admitted patients in all bed groups.

The Actions Menu

Use the Actions menu to do the following tasks:

Menu Item

Admit

Stat Admit

Move

Description

Admit a patient to an empty bed.

Admit a patient in an emergency situation.

Move a patient to a different bed.

Discharge

Discharge a patient from the current list to the discharged list.

Review Cases

Review the case histories of patients admitted to the unit on previous occasions (only for current patients, or patients still in the discharge list).

2-4 Using the Administration Module

Change

Patient ID

Edit a patient's identification fields (Name, DOB, CN, and PN).

Merge Patient

Merge the patient’s record with an existing record for the same patient.

Find Patient

Helps you locate a patient in the Discharged patient list.

Close Case

Close a case after discharging a patient. A closed case can be reviewed, but it cannot be modified.

Cost Summary

Review the cost of a patient's therapy.

Configure

View

Define the information to be displayed in the columns of the Patient Administration module.

To configure the columns displayed

The Documentation Center allows you to define the number and content of the columns displayed in the Patient Administration module. Change the information displayed in the columns as follows:

1. Click Configure View in the Actions menu.

This displays the Column Configuration dialog box shown below.

2. Click the check boxes next to the items that you want displayed in a column of the Patient Administration module. In the example above, five columns will be available to display the patient’s first and last names, the case number, date of birth, and date of admission.

3. To display these columns every time you start the Documentation Center, click the Save as default for this workstation checkbox.

Using the Administration Module 2-5

To Change the List of Displayed Patients

Using the toolbar:

• Click to display the list of current patients, or

• Click to display the list of recently discharged patients.

(Note: When changing lists, the patient in focus changes.)

Using the menu:

1. Click View in the menu bar.

2. Click Default Current List to display the list of current patients in the default bed group, or

Click Total Current List to display the list of all current patients, or

Click Discharge List to display the list of discharged patients who are still listed in the database.

N o t e

If you move between the active bed list and the discharge bed list, the patient in focus changes.

2-6 Using the Administration Module

List of Current Patients

The first column contains an icon which indicates the status of the patient: indicates that the bed is empty indicates a patient without a bed

(white background) indicates a bed with a patient requiring a normal amount of nursing effort.

a indicates a bed with a patient requiring a high amount of nursing effort.

a

(green background)

Using the Administration Module 2-7

indicates a bed with a patient requiring an extremely high amount of nursing effort.

a

(red background) a.The amount of nursing effort is derived from the patient catego-

ry.“Patient Category” on page 61 of the chapter Using the Online

Configuration Module

Additional Information

• The Default Current Patient List displays all patients currently admitted to the default bed group.

• The Total Current Patient List displays all patients currently admitted to the system.

• The Discharged Patient List displays all patients recently discharged from the current list. When patients are discharged, their case and demographic information is stored on the database for several days after being discharged. This enables you to:

• Re-admit a patient without having to re-enter the information (see

“Readmission strategy of the Documentation Center” on page 11).

• Complete the patient data at a later date.

2-8 Using the Administration Module

To Find a Patient

Valid for:

Discharged patient list.

You can find a patient in the discharged patient list.

1. Make sure that the list of discharged patients is displayed. If not, click or select Discharge List from the View menu.

2. Select Find Patient from the Actions menu or context menu.

3. Enter as many details as you know in the Find Patient Dialog.

4. Click on [OK] when the patient's details are correct.

5. If more than one patient is found matching the details you entered, click on the patient you were looking for.

Click on [OK].

Using the Administration Module 2-9

To Admit a Patient whose Details are Known

Valid for:

Current patient list.

Empty beds.

You can admit a patient either as a new case, or as a re-admission. To re-admit a patient, their details must still be available in the discharge list.

N o t e

If a patient's name is available on the CareNet, you will see this person's name displayed, by default, in the fields of the admission dialog box. To add a different patient, you can simply overwrite the details taken from the CareNet.

When an asterisk (*) is displayed in the patient list, between the bed label and the patient's name, this shows that a mismatch has occurred between the patient ID at the Documentation Center and the patient ID at the central station.

1. Make sure that the list of current patients is displayed. If not, click or select Current List from the View menu.

2. Select an empty bed, and click .

You can also select Admit from the Actions menu or context menu.

3. If necessary, choose the empty bed into which you want to admit the patient from the Bed Label list box.

4. Complete the necessary details in the Admission Dialog.

The current time and date are automatically entered as the admission time and date; you can change these as required.

You must enter either the patient's name or CN/PN before the patient can be admitted. The [OK] button is activated only when at least one of these

2-10 Using the Administration Module

fields has been completed.

5. Click on [OK] when the patient's details are correct.

As soon as the patient is admitted to a monitored bed, data is collected from the CareNet.

To admit a patient directly from the list of recently discharged patients, click the [Patient List] button.

You can also admit a patient to a bed using “drag & drop”.

1. Click and hold the mouse button down.

2. Holding the mouse button down, “drag” the icon to the bed.

3. Release the mouse button to “drop” the icon on the bed.

Proceed as described in step 4 above.

Additional Information

Readmission strategy of the Documentation Center

When you click [OK] to close the admission dialog, the Documentation

Center checks whether the patient details you have given match any of the patients still listed in the discharge list. Depending on the result of the search, the Documentation Center takes one of the following actions:

• If the information you have entered doesn’t match anything in the

Using the Administration Module 2-11

N o t e

discharge list, the patient is admitted as a new case.

• If more than one patient is found in the discharge list matching the details you have given, the Select Patient list is displayed. You can now either readmit a patient from this list or select the None of the Patients

Below

option.

• If the details you have given exactly match one patient, you can again choose whether to readmit that patient as a new case, or whether to continue a case.

You can only continue a case if it is already listed in the discharge list and is still open. In this situation, you have access to existing case data. However, if the case is listed in the discharged list but is closed, only patient demographics are copied to the new case, not the data from the previous case.

Patients' data is kept in the discharged list until the discharge date has elapsed for the time period specified for the long-term dataset in the configuration.

After the discharge date has elapsed, the patient's details are removed from the

system. (See “Setting Which Data is Kept Long Term” on page 14 of the

chapter “Using the Online Configuration Module“.)

Even after a patient has been discharged you can re-use some of their data when you readmit them. Which bits of information are used can be

configured. See “Take over data from previous case” on page 49 of the

chapter “Using the Online Configuration Module“

To ensure that patient names are correctly imported from the CareNet by the

Documentation Center, you must use one of the following name writing conventions at other instruments connected to the CareNet:

FirstName LastName

LastName,FirstName

(recommended)

If a patient identifier has been entered at the central station, it is assigned to either CN or PN depending on the configuration item.

Before opening a new case for a patient, you must close any previous case, if one exists.

If a previous case is closed, it cannot be re-opened for continued documenta-

tion. See “Working with Patient Cases” on page 26 for more information.

2-12 Using the Administration Module

Admission conflicts to avoid

As the Documentation Center can identify a patient by the CN/PN or last name, this may lead to the following situations:

1. The CN that you have supplied refers to a patient with a different name. If this occurs, the Documentation Center displays an error message and you must change the admission details of this patient.

2. The patient’s name that you have supplied is different from the name at the central station. In this situation you can either take over the information from the central station, select a patient from the discharge list, or choose to admit the patient as a new case.

3. If there are several admitted patients with the same last name, but who do not have a CN in the database, you must use the first name or DOB to distinguish between them.

Using the Administration Module 2-13

To Admit a Patient in an Emergency

Valid for:

Current patient list.

Empty bed.

You can admit a patient to the Documentation Center in an emergency, without knowing any of the patient's details. The patient's data is saved under a temporary name which you can change later, when the details are known.

As soon as a patient is admitted, data is acquired from the bedside monitors.

1. Make sure that the list of current patients is displayed. If not, click or select Current List from the View menu.

2. Select an empty bed and click .

You can also select Stat Admit from the Actions menu or the context menu.

3. If necessary, choose the empty bed into which you want to admit the patient from the Bed Label list box.

4. Click on [OK] to confirm the emergency admission.

You can also admit a patient to a bed quickly using “drag & drop”.

1. Click and hold the mouse button down.

2. Holding the mouse button down, “drag” the icon to the bed.

3. Release the mouse button to “drop” the icon on the bed.

4. Click on [OK] to confirm the emergency admission.

2-14 Using the Administration Module

Additional Information

When you use the emergency admission procedure, you will see the patient’s name written in the following way in the bed listing:

Date__time

The date and time at admission are included in the label of the temporary patient.

As soon as you click on [OK] to accept the emergency admission, data is collected from the patient monitor. When you change the patient's ID, all data in the patient's temporary record is transferred to the actual record.

To change the temporary patient's ID, see “To Change a Patient's

Identification Details” on page 16.

Using the Administration Module 2-15

To Change a Patient's Identification Details

Valid for:

Current patient list.

1. Select the patient whose ID you want to change.

2. Click on the Actions menu and select the Change Patient ID option. A dialog box is displayed so that you can edit the current details.

3. Edit the information in the fields of the Change ID dialog shown below.

4. Click on [OK] when you are satisfied with your changes. If the entries in the fields exactly match the ID of an existing patient, the Merge dialog box

is displayed. For information about merging patients, see “To Merge Two

Patients with the Same IDs” on page 17.

When the patient's new ID is unique, it is saved to the database and the bed listing is updated accordingly.

The Change ID function is particularly important for patients given a temporary ID at admission, especially the emergency admissions. As soon as the patient’s details are known, you can change the temporary ID using the

Change ID functions.

2-16 Using the Administration Module

To Take over the Patient ID from the Central Station

If a patient’s details have been made available from the central station, you can enter this information straight into the fields of the Change Patient ID dialog as follows:

1. Make sure that the current patient list is displayed. If not, click select Current List from the View menu.

or

2. Select a patient whose record is marked with an asterisk (*) indicating a mismatch between the patient ID at the Documentation Center and at the central station).

3. Click Actions and select the Change Patient ID option.

4. The patient ID from the central station is displayed at the right-hand side of the dialog box in three read-only fields.

5. Click the arrow button to copy the patient’s information from the central station straight into the Change ID fields.

N o t e

Taking over the patient ID from the central station keeps the existing date of birth.

6. Press [Ok] to confirm your changes.

To Merge Two Patients with the Same IDs

If the new ID exactly matches the ID of an existing patient, you can merge the clinical data for the two IDs into a single record as follows:

1. Click on [Ok] after typing in the new ID. The Merge Patient dialog box is displayed.

2. Click on one of the option buttons to select whose demographic data is to be kept. If you don't want to merge the two cases, click on [Cancel] and

Using the Administration Module 2-17

N o t e

change the patient's ID.

3. Click on [Ok] to merge the two cases.

You can only keep the demographic forms for one of the patients to be merged. The other demographic forms are discarded.

2-18 Using the Administration Module

To Merge Patient Data from the Actions Menu

Valid for:

Current patient list.

If separate blocks of patient data exist for the same patient, you can merge both blocks into one from the Actions menu as follows:

1. Select the patient.

2. Click [Actions/Merge Patient].

3. Select the second patient ID to be merged. Click on [Ok] to merge the two cases.

N o t e

Following the merge operation, the original patient data is deleted.

Using the Administration Module 2-19

To Move a Patient to a Different Bed

Valid for:

Current patient list.

Make sure that the list of current patients is displayed. If not, click select Current List from the View menu.

Using the toolbar:

1. Highlight the patient to be moved in the current patient list.

or

2. Click menu.

to open the Move a Patient dialog box or use the context

3. Select the empty bed to which you want to move the patient, then click

[OK].

Using the menu bar:

1. Click the patient to be moved.

2. Click Actions and then select Move to open the Move a Patient dialog box.

3. Select the empty bed to which you want to move the patient, then click

[OK].

The patient is moved to the new bed, and the cursor bar also moves to this bed.

You can also move a patient to another using “drag & drop”.

1. Click on the name of the patient and hold the mouse button down.

2. Holding the mouse button down, “drag” the patient to the new bed.

2-20 Using the Administration Module

3. Release the mouse button to “drop” the patient into the bed and press [OK] to confirm the transfer.

Using the Administration Module 2-21

To Review or Edit a Patient's Folder

Valid for:

Current patient list.

Discharged patient list.

1. Click the patient whose documents are to be reviewed.

2. Click to display the first section of the patient’s folder.

You can also click Actions and then select Patient Folder or double-click on the patient in the list.

All available documents are displayed in the form of a notebook.

First Section of the Patient Folder

3. Click on the section tab corresponding to the section that you want to review or edit.

4. Click [Close] at the bottom of the module when you have finished.

2-22 Using the Administration Module

Additional Information

• For a patient in the current patient list, you can make modifications to the patient’s documents in the record at any time.

• For a patient in the discharge list whose case is still open, you can also make changes to the record until the case is closed. When a patient’s case is closed you can no longer make changes to the entries in the record.

Using the Administration Module 2-23

To Discharge a Patient to the Discharge List

Valid for:

Current patient list.

Using the toolbar:

1. Highlight the patient to be discharged in the current patient list.

2. Click to open the Discharge Patient dialog box.

You can also move a patient to another using “drag & drop”.

1. Click on the name of the patient and hold the mouse button down.

2. Holding the mouse button down, “drag” the patient to the icon.

3. Release the mouse button to “drop” the patient on the icon to open the Discharge Patient dialog box.

Using the menu bar:

1. Make sure that the list of current patients is displayed. If not, click or select Current List from the View menu.

2. Click the patient that you want to discharge to the discharge list.

3. Click Actions then select Discharge or use the context menu.

2-24 Using the Administration Module

Set the discharge date and click [OK].

List of Discharged Patients

Additional Information

When patients are discharged, they are removed from the list of current patients. The details of these patients are kept in the discharged list on the database. As long as a discharged patient’s case is still classed as open, you can make changes to the patient’s record as required, however, once the case is closed, you can no longer make changes to the record. The Status column of the Discharge List shows whether a case is open or closed.

You can re-admit patients to the system without retyping their details for as long as they are in the discharged list.

Using the Administration Module 2-25

To Close a Patient Case

Valid for:

Discharged patients.

1. Make sure that the list of discharged patients is displayed. If not, click or select Discharge List from the View menu.

2. Select the patient whose case you want to close.

3. Click on Actions and then select Close Case.

4. Click [Yes] to confirm that you want to close the case.

Working with Patient Cases

When you discharge a patient to the discharged list, the patient's case remains open, and can be edited, or used to re-admit the patient, until you close the case explicitly Close Case from the Actions menu. To re-admit a patient from the discharged list whose case has been closed, you must specify a new

CN.

Once you close a case, you can review it as long as it remains on the server's hard disk but you cannot make modifications. A patient's case is automatically closed when the period specified by the long-term dataset has elapsed.

2-26 Using the Administration Module

To Review a Patient's Previous Case Histories

Valid for:

Current patients.

Discharged patients.

1. Select the patient whose case history you want to review.

2. Click Actions then select Review Case or use the context menu.

All previous and actual cases existing for the selected patient are listed as a series of summarized diagnoses.

3. Click on the case that you want to review.

N o t e

You can review both open and closed cases. However, you can only modify cases that have the status Open. Cases that you have closed can be reviewed but not modified, and are marked as Closed in the Select Case dialog box.

4. Click [Select].

The selected case is then placed in focus and you can review the data that the case contains. The status of the case that you are reviewing is displayed in the top-right corner of the status line.

Additional Information

To review data of a closed case, click on a patient in the discharged list to place him or her in focus. You will see the label [Review] displayed in the status line, and can review the data available for that patient.

Using the Administration Module 2-27

To Review the Cost of a Patient's Therapy

Valid for:

Current and discharged patient list.

1. Select the patient whose therapy you want to review.

2. Click on Actions then select Cost Summary.

3. Click [Close] when you are finished.

The Cost Summary displays information that is retrieved from other sources and summarizes it in a table. The table shows the type and amount of treatment received by the patient. If the checkbox Show Cost is selected, the cost of the treatment is also displayed.

When you review the cost summary, you can specify the total stay in hospital or focus on a particular time by specifying a time range using the date fields.

If the checkbox Show details is selected, the individual details are also displayed, including the name of the user who enetered or changed the cost.

This screen is intended for review purposes only; you are not permitted to modify values in this screen.

Additional Information

Table of Contents

The Cost Summary screens show all the days for which data has been entered including all entries. Selecting Show Cost lets you track all cost-capture items including the total amount and individual costs.

The cost summary can also be filtered into groups such that if you want specific costs for medication and infusions, you select Medication/Infusion from the Group combo box. The default is All Groups.

Start of Chapter

Index

2-28 Using the Administration Module

3

Using the Patient Folder Module

Table of Contents

To Display the Patient Folder Module ..........................................................3-2

About the Patient Folder Module.................................................3-2

To Save Module Data...................................................................3-4

About the Personal Data Section...................................................................3-5

Additional Information.................................................................3-6

About the Admission Section........................................................................3-7

Additional Information.................................................................3-7

About the Medical History Section...............................................................3-9

Additional Information.................................................................3-9

About the Diagnoses Section ......................................................................3-11

Additional Information...............................................................3-11

About the Procedures Section .....................................................................3-13

Additional Information...............................................................3-14

About the Health State Section ...................................................................3-16

Additional Information...............................................................3-16

About the Nursing Section ..........................................................................3-18

Additional Information...............................................................3-19

About the Cost Capture Section..................................................................3-20

Basic Cost Capture Data ............................................................3-21

Other Cost Capture Data ............................................................3-21

Additional information...............................................................3-22

About the Discharge Section.......................................................................3-23

Additional Information...............................................................3-23

About the SAPS Section .............................................................................3-25

Additional Information...............................................................3-26

SAPS Scoring Tables .................................................................3-27

Index

Using the Patient Folder Module 3-1

To Display the Patient Folder Module

Click , or select Patient Folder from the Main Menu.

You can also double-click a patient in either the Current or Discharge List within the Patient Administration module.

About the Patient Folder Module

The Patient Folder module is organized in the same way as a medical notebook. The tabs displayed down the right-hand side of the notebook represent the different sections of the notebook. To open a particular section, click the corresponding section tab. The tabs displayed at the bottom of some pages of the record indicate that the section contains multiple pages. To open a particular page, click the corresponding page tab. Depending on the options installed by your system administrator, any of the following sections may be available:

N o t e

The name of some of these sections may be different in your configuration

(see “Overall Configuration of the Patient Folder” on page 41 in the Configu-

ration chapter).

Section:

Personal Data

Admission

Med. History

Diagnoses

Contents:

Sex, Nationality, and birth place.

Date of admission, admitting department, and reason for admission.

Former medical conditions and illness.

Main and secondary diagnoses.

3-2 Using the Patient Folder Module

Procedures

Health State

SAPS

Nursing

Cost Capture

Operations and treatment procedures previously performed. (This feature is not available in the United

States of America)

Daily health state of the patient.

The SAPS II scoring system provides a quick overview of a patient's state and survival chances on entering the unit.

Nursing attention received by the patient.

Performance gathering and daily TISS number accrued by the patient.

Discharge Discharge date and time, condition, and discharge diagnosis.

Additional Notes Two pages for keeping freehand notes.

User Pages Two pages for data on specific topics, either as fields

for entering data, or pull-down lists. See “Configuration for the User Definable Sections” on page 70 of the

Configuration chapter.

The following figure shows the functional areas of the Patient Folder module.

From this screen, you can go to any of the different sections by clicking the appropriate section tab.

Patient Folder Module

Using the Patient Folder Module 3-3

General features of the Patient Folder module are as follows:

• Each section may be a single page, for example, Diagnoses, or may contain several pages, for example, Personal data. When a section contains multiple pages, the first page is referred to as the main page.

• Navigate through the module by clicking section tabs and page tabs or arrows at the bottom of the screen.

• Enter data into a field by placing the cursor in that field and then either type the desired entry or select from a preconfigured list. Check buttons are also available in some screens; simply click them on or off as appropriate.

• Some pages may contain fields that can be defined by the system administrator. For more information about these fields, see your system administrator.

To Save Module Data

After entering data, either select another module or another page. The data on the selected page is automatically saved.

Data is also saved if you log off, or if the automatic log off locks the

Documentation Center.

Data in dialog boxes is saved as soon as you press [OK]

The rest of this chapter describes the contents each section in detail. As many of the fields can be configured by your system administrator, only the default settings are described. For more information about the configuration of these fields, see your system administrator.

N o t e

The actual setup of the sections as well as their visibility is configurable and may be different from the default configuration, described in this document.

3-4 Using the Patient Folder Module

About the Personal Data Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41 in the Configuration chapter).

Use the Personal Data section to enter patient demographic details, for example, sex, address, and nationality. This section also contains several pages in which you can enter medical data, next of kin information, and insurance details.

1. Click the Personal Data section tab.

2. Type in the appropriate data or use the selection lists.

3. If necessary, enter data on pages.

4. If you make mistake, click [Undo] to remove your last entry.

5. Click [Close] to save your changes.

Using the Patient Folder Module 3-5

Additional Information

• The Patient Data section contains the following pages:

Page:

Med. Data

Next of Kin

Insurance

Contents:

Height, weight, BSA, and blood group.

Next of kin details.

Details about medical insurance(s).

• Most hospitals use two identifiers per patient:

Patient No.

Case No.

Zipcode

Primary Care Provider (PCP)

The Patient Number (PN) is unique to a patient and never changes. It can be a combination of initials, date of birth, plus an additional number. You can also use the patient’s social security or welfare number.

The Case Number (CN) identifies a patient's current stay in the hospital and is used for accounting purposes.

The postal code of the patient’s home address.

Also known as General Practitioner (GP).

Both the CN and PN are displayed in the Patient Folder window. However, other windows may display only one number depending on which one is configured as the primary identification number.

• The body surface area (BSA) displayed on the Medical Data page is calculated from the patient’s weight and height. You can choose between either a Neonatal or an Adult setting. The supported units are either square meters (m

2

) or square inches (in

2

).

3-6 Using the Patient Folder Module

About the Admission Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41 in the Configuration chapter).

The Admission section consists of two pages containing administrative information about the admission. Primary information is on the main page and secondary information is on the page.

1. Click the Admission section tab.

2. Type in the appropriate data or use the selection lists.

3. If necessary, enter data on the page.

4. If you make a mistake, click [Undo] to clear entries just made.

5. Click [Close] to save your changes.

Additional Information

Field

Date

Operation

Description

Date and time of admission. Fields are preset with current date and time. Note: Date of hospital admission can be entered on the second page.

Specifies whether the patient was admitted after an operation or for other medical reasons.

Using the Patient Folder Module 3-7

Patient Category

Primary Hospital

Diagnosis

Age

Defines the type of nursing effort required (this is the same as the list in the Nursing section).

Primary diagnosis from when the patient was admitted to the hospital. Note: This is on the second page. (This note is not ICD-coded.)

The age used throughout Documentation Center is the age at the date of admission.

3-8 Using the Patient Folder Module

About the Medical History Section

N o t e

The Lab Results Configuration does not use the Medical History section.

The Medical History section includes information about chronic diseases, infections, and long-term drug treatment. The main page is a list box containing medical history information. You can enter as much information as required by typing directly into the Notes page.

1. Click the pointer on the Med. History section tab. (The screen is blank if no data is attached.)

2. Click [Add].

3. Select an entry from the preconfigured Groups list.

4. Select an entry from the preconfigured Diseases list.

5. Type in any comments.

6. Click [Save] to save your changes.

7. You can now make further selections before returning to the main page.

8. Click [Close] to return to the main page.

This information is displayed on the main page.

Additional Information

• Once an entry has been added to the medical history list, it is removed from the preconfigured list to prevent you from selecting the same entry again.

• Use the [Delete] and [Change] buttons to delete and change entries.

Using the Patient Folder Module 3-9

First highlight the item, then click on [Delete] or [Change].

• Use the [Copy] button to copy data from a previous case if one exists for the patient.

• You can enter additional comments to provide more detailed information about the condition. To suppress the display of these comments, click the

Show Comments toggle switch.

• If the last entry in a group is deleted, the group name is automatically deleted.

• Up to 10 000 characters can be typed in on the Notes page.

3-10 Using the Patient Folder Module

About the Diagnoses Section

N o t e

Please make sure that the diagnosis codes supplied with Documentation

Center comply with your hospital’s procedures before using them.

The Diagnoses section is a single page containing information about the main and secondary patient diagnoses. The Documentation Center has a built in feature enables you to code your diagnoses according to the ICD 9 or ICD 10 code (depending on the configuration of the database). You can enter the name of the diagnosis and then search for the appropriate ICD code.

1. Click the Diagnoses section tab.

2. Click [Add].

3. Select the type of diagnoses: Main or Secondary.

4. Enter the diagnosis and the ICD 9 or ICD 10 code if known.

5. Enter any comments if required.

6. Enter a secondary diagnosis. if required

7. Click [Save] to save your changes.

8. Click [Exit] to return to the main page.

Additional Information

• The diagnosis text must always be specified.

• The ICD 9 or ICD 10 code (for example 250.2) consists of the following

Using the Patient Folder Module 3-11

fields:

Field

Category

Subcategory

User Extension

Description

Three digits for ICD 9.

For example, 250 for diabetes mellitus.

One digit for ICD 9. For example, 2 for Diabetes with coma.

Eight character user-definable extension.

Some hospitals have developed schemes to define diagnoses in more detail.

The coding feature includes a search capability which you can use to search for a keyword and then make your selection from a list. The search options are as follows:

Option

Hitlist

Search

Hierarchy

Description

A list box of the 50 most frequently used diagnoses on the ward.

Searches for a specified keyword or the diagnosis text for a specified code. Using this method, you can also select additional search criteria, for example, you might search for an exact word match or for a similar spelling or sound. For example, if you search for tuber

mening with exact match selected, all combinations of

tuberculosis and meningitis are found.

Manual search of diagnoses according to the hierarchy of the code (top down).

The outcome of a search operation depends on the search option requested.

Typically, however, you might enter a keyword such as tumor and then click a search option. The Documentation Center then displays a list of related diagnoses. At this point, simply highlight the desired item and click [Take

Over].

The coding feature can be configured to:

• Accept an empty code field.

• Accept an illegal code (for example, ICD 9 codes not in format ###.#).

3-12 Using the Patient Folder Module

About the Procedures Section

N o t e

Please make sure that the procedure codes supplied with Documentation

Center comply with your hospital’s procedures before using them.

N o t e

The Lab Results Configuration does not use the Procedures section.

The Operations and Procedures section is a single page which details all operations and procedures received by the patient and the associated ICPM or

CPT code.

1. Click the Procedures section tab.

2. Click [Add].

3. Select the type of procedures: Main or Secondary

4. Enter the operation/procedure name and ICPM code if known.

5. Enter any comments if necessary.

6. Click [Save] to save your changes.

7. Click [Exit] to return to the main page.

Using the Patient Folder Module 3-13

Additional Information

• The operation/procedure text must always be specified.

• The Procedure code consists of the following fields:

Field

Category

Subcategory

User Extension

Description

Four digits for ICPM (or CPT).

Two digits for ICPM.

a

Eight character user-definable extension.

a.CPT codes do not have any subcategory.

The coding feature includes a search capability which you can use to search for a keyword and then make your selection from a list. The search options are as follows:

Option

Hitlist

Search

Hierarchy

Description

A list box of the 50 most frequently used procedures on the ward.

Searches for a specified keyword or the procedure for a specified code. Using this method, you can also select additional search criteria, for example, you might search for an exact word match or for a similar spelling or sound. For example, if you search for endoscop les with exact match selected, all combinations of endo-

scope, endoscopy and lesion are found.

Manual search of procedures according to the hierarchy of the code (top down).

The outcome of a search operation depends on the search option requested.

Typically, however, you might enter a keyword such as lesion and then click a search option. The Documentation Center then displays a list of related procedures. At this point, simply highlight the desired item and click [Take

Over].

3-14 Using the Patient Folder Module

The coding feature can be configured to:

• Accept an empty code field.

• Accept a non-ICPM code, that is, codes which don’t have the standard format #-###.##).

Using the Patient Folder Module 3-15

About the Health State Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41 in the Configuration chapter).

N o t e

The Lab Results Configuration does not use the Health State section.

Use the Health State section to document the daily health condition of a patient by judging the degree of functional disturbance to single organs or organ systems.

1. Click the Health State section tab.

2. Click [Add].

3. Select the appropriate condition and disturbance.

4. Enter any comments if necessary.

5. Click [Save] to save your changes.

6. Click [Exit] to return to the main page.

Additional Information

• Use the [Delete] and [Change] buttons to delete and change entries. First highlight the desired item and then click [Delete] or [Change].

• Use the [Copy] button to copy the health state, including comments if available, from one day to another. This is useful if a patient's condition does not change from one day to the next. Note: Copying is only possible if there are no entries for the target day; entries cannot be overwritten. The

[Copy] button can be suppressed in the configuration by the system

3-16 Using the Patient Folder Module

administrator.

• You can enter additional comments to elaborate on the details of a condition if required. To prevent these comments from being displayed, click the Show Comments toggle switch.

• The list boxes are preconfigured by the system administrator according to the requirements of your hospital. If you need to change these lists, see your system administrator.

• The date shown is the current date but you can change this as appropriate.

Using the Patient Folder Module 3-17

About the Nursing Section

N o t e

The Lab Results Configuration does not use the Nursing section.

The Nursing section provides a means of tracking nursing effort for each patient. Use this section of the Patient Folder module to estimate the total nursing effort per patient and the total effort for the entire unit. You can use the estimate to predict staffing requirements on the ward.

1. Click the Nursing section tab.

2. Select the shift period.

This depends on the shifts defined in the configuration, for example, morning or afternoon shifts.

3. Click [Change].

4. Select an entry from the Patient Category list.

5. Enter any comments if necessary.

6. Click [Save] to save your changes and return to the main page.

You can choose either of the following methods to measure the amount of nursing effort:

• TISS Score (Therapeutic Intervention Score System)

You can calculate the number of care-minutes from the number of TISS points accrued. Documentation Center uses this to calculate costs (shown

on the Basic Cost page, see “About the Cost Capture Section” on page 20).

• Assign a Patient Category, for example:

• Monitoring Patient

• Therapy Patient

• Respirated Patient.

An average number of care-minutes is assigned for each category.

3-18 Using the Patient Folder Module

The TISS scoring method is more precise than the assignment method for tracking nursing effort but it requires more effort from nursing personnel.

Additional Information

• Patient categories can be extended or modified in the configuration by the system administrator.

As space is limited, comments cannot be displayed on the main page.

• In addition to the category, you can also enter a comment or explanation.

This can serve as a prompt for the following shift.

• Use [Delete] to remove an entry.

Using the Patient Folder Module 3-19

About the Cost Capture Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41 in the Configuration chapter).

N o t e

The Lab Results Configuration does not use the Cost Capture section.

The Cost Capture section provides a means of tracking the cost of a patient's stay in hospital in terms of duration of treatment, type of treatment, and medication administered. It can be used as basis for statistics and cost tracking.

The Cost Capture section includes the following features:

• The number and type of cost items can be configured.

• Supported data types are:

• Yes/No items (for example, patient is ventilated)

• Counted items (for example, two lab investigations done)

• Time duration (for example, patient is ventilated for 12 hours).

The following schemes are provided:

Basic Cost: a forms-like input scheme to enter the routinely-captured data per shift or per day.

Other Cost: a single-cost scheme for less frequent actions which can be entered either:

• Immediately following the action/treatment.

• Per shift or per day.

• Randomly (includes weekly or once only).

The cost scheme can be configured to support the TISS score. It is also possible to modify the TISS score and to add additional entries without affecting the score. The TISS score summary is only visible within the Basic

Cost section. (See “About the Nursing Section” on page 18.)

3-20 Using the Patient Folder Module

N o t e

The actual cost of each item or action is specified in the Configuration module of the Patient Folder but cannot be seen in the Patient Folder itself. To see the cost per patient, select Cost Summary in the Patient Administration module.

Basic Cost Capture Data

1. Make sure you are logged in using your own login name.

2. Click the pointer on the appropriate Cost Capture section tab.

If you cannot click the appropriate Cost Capture section tab, ensure once again that you are correctly logged in, and check with your System

Administrator that you have permission to access the Cost Capture section tab.

3. Click the pointer on the appropriate basic cost page tab (data set).

4. If necessary, select another time range via the period slider.

5. Select a day or shift and click on [Change] or double click on the item.

6. Click the appropriate check boxes.

7. If necessary, change the amount of medication.

8. If necessary, click [Next] / [Previous] to go to the next / previous group or page.

9. Click [OK] to store the data and return to the main page.

Other Cost Capture Data

1. Make sure you are logged in using your own login name.

2. Click the pointer on the appropriate Cost Capture section tab.

Using the Patient Folder Module 3-21

If you cannot click the appropriate Cost Capture section tab, ensure once again that you are correctly logged in, and check with your System

Administrator that you have permission to access the Cost Capture section tab.

3. Click the pointer on the appropriate other cost page tab (data set).

4. If necessary, select another time range via the period slider.

5. Click [Add] to add another cost item or

6. Click [Change] to change the selected cost item (go to step 9.).

7. Select a cost group.

8. Select a cost item.

9. If necessary, change the amount of medication.

10. Click [Save] to save the selected cost item.

11. Click [Exit] to return to the main page.

Additional information

The Cost Capture section supports two types of entries:

• Time-dependent procedures - the duration of the procedure is important.

• Procedure and medication administered - how often something is given.

3-22 Using the Patient Folder Module

About the Discharge Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41 in the Configuration chapter).

The Discharge section consists of two pages, the first containing administrative discharge information and the second containing user-input fields to document future therapy.

1. Click the Discharge section tab.

2. Select the time and date if the current time and date are not appropriate.

If the patient is still admitted, the fields on the main page are blank and cannot be edited. You can use the fields on the second page to prepare the discharge report.

3. Enter the appropriate data or use the selection lists provided.

4. Click the Disch. Notes page tab to go the page.

5. Enter discharge comments as appropriate.

6. If you make a mistake, click [Undo] to clear the last entries.

7. Click [Close] to return to the main page.

Additional Information

• For statistical purposes, the most important data are the date and time of discharge, the location to which the patient is discharged, and the patient’s condition when discharged.

• The Discharge to field lets you enter the location to which you are discharging the patient. This might be a different ward in the hospital or to a different hospital entirely. Your system administrator can change the list

Using the Patient Folder Module 3-23

of entries if required.

• The Diagnoses field displays all main and secondary diagnoses as entered in the Diagnoses section. This is a read-only list and cannot be modified in this section. The list is provided to enable the personnel discharging the patient to ensure that all diagnoses were completed correctly. You can change this information only in the Diagnoses section.

• The Discharge Notes pages contains three fields. The content of these fields is used for the discharge or transfer letters which are automatically generated. The default titles (Therapy, Therapy Recommendations, and

Comments) can be changed by your system administrator if necessary.

3-24 Using the Patient Folder Module

About the SAPS Section

N o t e

The Lab Results Configuration does not use the SAPS section.

Use the Simplified Acute Physiological Score (SAPS) section to enter relevant information required to generate a SAPS II Score.

N o t e

SAPS II is based on the following study: Le Gall JR et al. JAMA (270:2957-

2963). Refer to this publication for more details.

The SAPS II Score provides a quick overview of a patient's state and survival chances on entering the unit. The probability of death is low when there are few points and rises when there are many. The SAPS II Score is based on information gathered within the first 24 hours of a patient entering the unit.

This means that a patient is assigned only one SAPS II Score irrespective of the length of time they are in the unit.

The SAPS section consists of a page which you can use to view and enter data. The main page contains the SAPS II Score for the patient shown in the header line. This page contains no user-input fields. If you want to add or change the data that is used to calculate the SAPS II Score, click [Add] or

[Change] to go to the SAPS II dialog box.

The SAPS II dialog box contains 17 parameters some of which are manually entered and others that are supplied automatically. The current SAPS II Score is highlighted in the lower right-hand corner of the dialog box. When new data is added, or existing data changed, the score is recalculated. The final value is also displayed on the main page of the patient’s record. (It is possible to enter a list of values for one parameter, separated by blanks. The calculation algorithm selects the value, which generates the biggest impact.)

To add information to the SAPS section:

1. Click the SAPS section tab.

2. Click [Add].

Using the Patient Folder Module 3-25

3. Click the appropriate check boxes and radio buttons.

For example, to edit the Glasgow Coma Scale value: a. Click [Edit].

b. Click the appropriate response button in Eye, Motor, and Verbal.

c. Click [OK] to return to the SAPS II page.

4. Click [OK] to return to the main page.

Additional Information

• The Vital Signs group at the left-hand side of the form contains fields into which you can directly type data such as heart rate (HR). This data is not retrieved by the system.

Click on [Show] beside one of the vital signs to see a record of the previously entered values. Highlight a value in the list and click on [Take

Over] to re-use it for the SAPS score calculation.

• You can enter several values at one time. The values should be separated with a blank space.

The value which yields the highest SAPS score will be used by the

Documentation Center.

• The Laboratory group at the right-hand side of the form contains lab data that is automatically retrieved by the system from laboratory results. You can override these values if appropriate.

• If automatic data is unavailable and you want to assign a worst-case value, then enter the highest and lowest values, separated by blanks. The system then assigns the highest SAPS points to this parameter.

• Click the checkbox Missing values are lying within normal ranges when data is not available but is required for the SAPS II Score.

Clicking this checkbox sets the SAPS status to Complete even if parameters are missing. The only exceptions are GCS and age; if these two parameters are missing the SAPS score is not considered to be complete.

The missing parameters contribute zero (0) points to the SAPS II Score. If the ventilation parameters are missing, six (6) points are added.

• The Glasgow Coma Scale (GCS) value shown on the SAPS II main page is derived from the points accumulated on the GCS page. The three groups of buttons on the GCS page represent the three groups of examinations.

3-26 Using the Patient Folder Module

Once you click a button, the value is displayed in the group field. The accumulated points are then passed to the SAPS II dialog box. Note that response options are mutually exclusive.

• If you administer sedatives, the GCS value must be taken before sedation.

• Information in the fields Type of admission group and Age is derived from the Admission page (The patient’s age is the age at the date of admission). You can change this information but it is a local change only; changes are not reflected in the source information.

SAPS Scoring Tables

The following scoring tables shows how SAPS points are mapped to the parameter values. This table is for reference purposes only.

AGE

[Years] a

HEART RATE

[bpm]

WBC

[1/nl]

SERUM POTASSIUM

a

[mmol/l]

SERUM SODIUM

[mmol/l]

HCO3

a a

[mmol/l]

a

Value

Points

SAPS Scoring Table

< 40

0

40 - 59

7

60 - 69

12

Value

Points

Value

Points

Value

Points

Value

Points

Value

Points

< 40

11

< 1.0

12

< 3.0

3

< 125

5

< 15

6

40 - 69

2

1.0 -

19.9

0

3.0 -

4.9

0

125 -

144

0

15 - 19

3

70 -

119

0

>=20.

0

3

>= 5.0

3

>=145

1

>=20

0

70 - 74

15

120 -

159

4

75 -79

16

>=

160

7

>= 80

18

Using the Patient Folder Module 3-27

BILIRUBIN [

TEMPERATURE [°C]

TEMPERATURE [°F]

PaO2 [mg/dl] / FiO2 [%]

PaO2 [kPa] / FiO2 [%] l]

a

µmol/l]

BILIRUBIN [mg/dl]

GLASGOW COMA

SCALE

TYPE OF ADMIS-

SION

SYSTOLIC BLOOD

PRESSURE [mmHg]

a a

SERUM UREA [mmol/

SERUM UREA [g/l]

BUN

a a

[mg/dl]

a

CHRONIC DISEASES b

Value

Value

Points

Value

Points

Type

Points

Value

Points

SAPS Scoring Table

< 68.4

< 4.0

0

68.4 -

102.5

4.0 -

5.9

4

6 - 8

13

< 6

26 scheduled surgical

0

< 70

13

70 - 99

5

>=

102.6

>= 6.0

9

9 - 10

7 medical

6

100 -

199

0

Value

Value

Points

Value

Value

Points

Value

Value

Points

Value

Points

< 39

<

102.2

0

< 100

< 13.3

11

< 10.0

< 0.6

0

< 28

0

>= 39

>=

102.2

3

100-

199

13.3-

26.5

9

10.0-

29.9

0.6-

1.79

6

28 - 83

6

>=

30.0

>=

1.80

10

>=

200

>=

26.6

6

>= 84

10

Disease

Points metastatic cancer hematologic malignancy

0

11 - 13

5

14 - 15

0 unscheduled surgical

8

>=

200

2

AIDS

17

9

3-28 Using the Patient Folder Module

a.This data is entered automatically when it is available from other parts of the Documen-

tation Center. See “Setting External Coding for SAPS II Scoring” on page 27 of the chapter

“Using the Online Configuration Module“.

b.Note: As a patient may be suffering from more than one chronic disease, multiple selections are possible in the Chronic Diseases category.

Table of Contents

Start of Chapter

Index

Using the Patient Folder Module 3-29

3-30 Using the Patient Folder Module

4

Using the Patient Trends Module

Table of Contents

To Display the Patient Trends Module .........................................................4-2

About the Patient Trends Module ................................................4-3

Overview of the Patient Trends Menus........................................4-3

Working with Patient Trends .......................................................4-5

To Select a Different Patient without Exiting the Module...........4-9

About Laboratory Data Trends ...................................................................4-11

Color-Coding of the Laboratory Data ........................................4-12

To Display a Different Group of Laboratory Data.....................4-13

To Acknowledge Laboratory Data Manually ............................4-13

To Input Data Manually or Edit Existing Data ..........................4-15

About Vital Parameter Trends ....................................................................4-17

To Display a Different Group of Vital Parameter Data .............4-18

About Real-Time Data ................................................................................4-19

Index

Using the Patient Trends Module 4-1

To Display the Patient Trends Module

Click , or select Patient Trends from the Main Menu.

1

2

3

6

7

Patient Trends Module Showing Tabular and Trend Segments

3

4

1

2

5

6

7

Chart label (active segment has a dark blue color).

Parameters and units.

Trend data.

Date and time of displayed data.

Click on time sector to activate data for further processing or double-click to display the data dialog box.

Vertical scroll bar to move up or down through data in chart.

Horizontal scroll bar to move forward or backward through the collected data.

4-2 Using the Patient Trends Module

4

5

About the Patient Trends Module

The Patient Trends module enables you to review laboratory and monitoring data collected for a patient in several different trends. You can display:

• Laboratory data resulting from laboratory analyses.

• High-resolution vital parameter trends showing data collected from the patient monitors.

You can display several trends at any one time on a single screen; the maximum number depends on the resolution of your display. By default, data is listed in columns, with each column representing the time period from which that data was obtained. You can adjust the time period, or patient

trends interval, by clicking either of the Resolution icons by selecting Resolution from the Options menu.

or , or

W A R N I N G !

Because of the limitations of the displays being used, the graphical trends shown on the screen serve as a rough guide, but are not of diagnostic quality. You should always consult your patient monitor for diagnostic purposes.

A notes-entry area enables you to add free-form to the chart. All notes for a patient can be reviewed in the notes chart, however, you can only edit those notes that are assigned to your account.

A note can consist of up to 10000 characters.

Overview of the Patient Trends Menus

The view menu

Use the View menu to select the patient trends displayed as follows:

Menu Item Description

Using the Patient Trends Module 4-3

Patient

Folder

Switch to the Patient Folder module.

Add New Module

Move Module

Add another patient trend to the display. Choose from the list of available patient trends from the submenu.

Move the active patient trend up or down in the display.

Load Settings

Switch between the system default settings and settings customized for the patient in focus.

Save Settings

Save the current settings (group, resolution, size, and module) as the patient or system default.

All currently active modules are listed at the bottom of the View menu and marked with a checkmark. To close a module, select the module in the View menu; you will see that the check mark disappears and the module is no longer displayed.

The actions menu

Use the Actions menu and the context menu to perform tasks on the data contained in a patient trend:

Menu Item

Display

Maximize

Resolution

Description

Switch the display of a lab data chart between either tabular or graphical mode. If you choose the graphical display mode, you can plot the data as either continuous, discrete, or mixed points.

Display the active patient trend in full-screen size, without deactivating other patient trends. This menu item changes to Minimize when the data set is maximized.

Change the time scale of displayed data to increase or reduce the patient trends interval. You can set the time resolution of displayed data from between one minute and eight hours.

4-4 Using the Patient Trends Module

Go To

Go to a data set from a particular date or time.

The actions that you can perform vary depending on the patient trend on which you are working. The following options apply to the Lab data trend.

Enter/Edit

Acknowledge

Manually input lab data or edit existing data.

Acknowledge that you have seen the received data.

Select Group

Select data from a different parameter group within the chart.

Compressed

Time View

View a set of values in the chart according to the exact time that the values were received.

Copy to Clipboard

Copies the selected, non-realtime data into the clipboard. The data is tab delimited, and is suitable for pasting into a spreadsheet, such as Microsoft Excel.

Working with Patient Trends

To select a patient trend for further tasks

• Move the cursor to the patient trend that you want to work with, and click the left mouse button. The border of the patient trend changes to a dark blue color to show that it is active.

When you activate a patient trend, the previously active patient trend is automatically deactivated.

To display data from a different time

• Move the horizontal scroll box at the bottom of the screen to scroll backward or forward through the patient's data, or

• Select the Go to function from the Options menu, and enter the day of

Using the Patient Trends Module 4-5

interest into the dialog box.

To select a data column for further tasks

• Click the cursor in the column of data that you want to process.

The background color of the active column changes to gray, with the values highlighted in white. To deactivate a column of data, click the column a second time, or activate a different column.

To change the size and number of displayed patient trends

The patient trends window enables you to view several patient trends simultaneously, providing a good overview of the patient's condition. If, however, you need to inspect a patient trend in more detail you can either:

• Select Maximize from the Actions menu (or double-click the titlebar) for the active patient trend, or

• Deactivate one of the other patient trends using the View menu.

The maximize function has the advantage that the other patient trends remain active in the background.

Select Minimize from the Actions menu to hide an active patient trend without deactivating it.

When the maximum number of patient trends is displayed

If you try to activate a patient trend when the maximum number of patient trends for your display is already active, the Remove Segment dialog box is displayed. Before you can display a new patient trend, you must deactivate one of the patient trends already displayed.

• Click the option button of the patient trend that you want to remove from the screen. The new patient trend is displayed in place of the previous

4-6 Using the Patient Trends Module

patient trend.

To display data in graphical or tabular form

When the patient trend is displayed, you can choose to display the collected data in either tabular or graphical form. When you select a tabular display, numeric data is displayed in columns. When you select a graphical display, numeric data is plotted in a graph.

Change the way data is displayed in the patient trend as follows:

1. Click Actions then select Display.

2. Click on Tabular to display numeric data in columns, or

Click on Graphical to plot data in a graph.

When you select the graphical display mode, you can also select one of the following methods to plot the data points in the graph:

Discrete

Continuous

Mixed

Plots each value as a discrete point without a connecting line. A preconfigured symbol helps to distinguish between the different data types.

Plots a continuous line through the points without showing the individual data points. This mode provides a less cluttered view of the trend data.

Combines the previous two methods to plot each point on the continuous trend curve.

Discrete Graphical Display Mode

Using the Patient Trends Module 4-7

Continuous Graphical Display Mode

Mixed Graphical Display Mode

To add a note to the chart

If the notes module is not currently displayed, select Notes from the Add new

module element of the View menu.

If necessary, deactivate one of the charts so that the notebook can be displayed.

You will see a list of the most recent notes, together with the time and date that they were made.

1. Click on the Actions menu, then select Add.

The notebook dialog box is displayed.

2. Type the text of the new note using the keyboard.

3. Click on Ok to add the note to the end of the list.

4-8 Using the Patient Trends Module

N o t e

Additional Information

Only the first line of a note is displayed in one line of the notes list. Three periods ( . . . ) at the end of a note show that the note continues.

You can use the Options menu to select either the complete notes list for a patient, or only those notes that are attributed to your ID.

The time that you allocate to a note is used to place it in the notes list. This lets you add notes after an event has occurred. If the time of a note is not within the displayed time range, the note is saved in its correct place, but the list on the screen is not updated.

N o t e

To edit an existing note

You can only edit notes that are attributed to your ID and password.

1. Select the note to be edited in one of the following ways:

Click on the note, then select the Edit option from the Actions menu, or

Double-click on the note.

The notebook dialog box is displayed and you can edit the note as required using the keyboard.

To Select a Different Patient without Exiting the Module

1. Click the Patient List menu.

All active patients are listed in a dialog box.

2. Click the patient whose data you want to view, then click [OK] or doubleclick the patient's name.

You will see that the status line changes to display the name, CN, and bed label of the new patient.

Using the Patient Trends Module 4-9

N o t e

Additional Information

The Select Patient function enables you to display the data collected for a different patient without exiting the Patient Trends module. The selected patient becomes the patient in focus, and the status header and footer lines change to display the summarized details for this patient.

If you decide not to select a different patient, click the pointer on [Cancel] to close the Select Patient dialog box.

This method of selecting a patient applies to all other modules of the Documentation Center except the administration module.

4-10 Using the Patient Trends Module

About Laboratory Data Trends

Laboratory data are organized into data groups in which similar parameters are grouped together for ease of viewing. The elements in each data group can be changed by your system administrator if necessary. For example, the laboratory data chart could be configured to include the following groups:

• Cytology

• Hematology

• Blood gases

• Electrolytes

When a trend is displayed, you can select a different data group by choosing

Select Option

from the context menu or Actions menu, or by doubleclicking on the data group.

With the trend, you can switch from the tabular view to a graphical presentation in which the different data points are plotted in a graph against a horizontal time axis. This enables variations and trends in a patient's data to be viewed more easily.

Depending on the configuration, the data contained in certain trends can be automatically or manually acknowledged after it is received by the

Documentation Center. Usually, data is received automatically from the laboratories but if necessary, you can type data directly into the trend, or edit existing values. When data arrives, a message is displayed in the status footer line. You can now acknowledge this data so that it is entered into the trend.

To change the resolution of displayed data

If more than one value for a parameter is available in a single patient trends interval, the first value received by the Documentation Center is displayed. An arrow symbol (>>) next to a value in a column shows that more data is available for that patient trends interval. You can view these other values either by changing the resolution of the displayed data, or by clicking the

Show Exact icon

Actions

menu.

. You can also select Show Exact from the

Using the Patient Trends Module 4-11

Resolution

1 minute

5 minutes

10 minutes

30 minutes

1 hour

2 hours

4 hours

8 hours

09:00

09:00

09:00

09:00

If you have defined a resolution of 30 minutes, each column in the chart contains all the data collected over that 30 minute period. Use the icons shown in the following table to increase or decrease the resolution of displayed data.

Example Times

Column 1 Column 2 Column 3

Decreasing

Resolution

Increasing

Resolution

.

.

09:01

09:05

09:10

09:30

09:02

09:10

09:20

10:00

09:00

09:00

09:00

09:00

10:00

11:00

13:00

17:00

11:00

13:00

17:00

01:00

Color-Coding of the Laboratory Data

Valid for:

Laboratory Data Chart.

The data in the chart is color-coded as follows:

Black

• If the laboratory system assigns a normality of "No

Limits" to the values, or this normality is entered manually.

• If no normality is given, and the values are within the normal range as specified in the Documentation Center.

4-12 Using the Patient Trends Module

Green

Red

• If the laboratory system assigns a normality of

"Higher" or "Lower" to the values, or one of these normalities is entered manually.

• If no normality is given, and the values are outside the normal range, but within the maximum range as specified in the Documentation Center.

• If the laboratory system assigns a normality of

"Abnormal", "Much Higher" or "Much Lower" to the values, or one of these normalities is entered manually.

• If no normality is given, and the values are outside the maximum range as specified in the Documentation

Center.

To Display a Different Group of Laboratory Data

Valid for:

Laboratory Data Chart.

1. Click the laboratory data trend.

2. Click on Actions or the context menu, and then Select Group.

All configured groups of lab data are displayed in a list box.

3. Move the selection cursor to the group that you want to display, then click

[Ok].You can also double-click the desired group.

The selected group is now displayed in the lab data trend.

To Acknowledge Laboratory Data Manually

Valid for:

Laboratory Data Chart.

1. Make sure that the correct patient is displayed in the Patient Trends mod-

Using the Patient Trends Module 4-13

N o t e

ule.

2. Make sure that the laboratory data trend is active. If not, click the cursor anywhere in the trend.

Make sure you have seen all of the data that has been received before you acknowledge the laboratory data.

In particular, if the data received belongs in different groups, the items in groups that you have not reviewed will be acknowledged together with items you have reviewed.

See “Grouping Lab Parameters” on page 24 of the chapter “Using the Online

Configuration Module“

3. Click the Actions menu, then select the Acknowledge option.

You need not select a particular column when validating laboratory data.

All received data that has not been acknowledged is displayed. Data which has not been acknowledged is displayed by specimen, the oldest received specimen first.

4. If any of the values in the group are incorrect, click the first incorrect value to position the cursor. You can now enter the correct value into the box.

5. Click on [OK], or press [Enter] on the keyboard to acknowledge the first group of the specimen.

Each new group of data in that specimen is displayed, followed by each specimen, until you have acknowledged all new lab data received by the

Documentation Center.

Additional Information

Manual acknowledgment of data

The current column in the trend displays the message Received until you acknowledge the data it contains. When lab data arrives at the Documentation

Center the message Lab data arrived is displayed in the status line at the bottom of the screen.

4-14 Using the Patient Trends Module

After lab data has been received, you can acknowledge it within a certain time limit. When the time limit expires, the lab data is given the status not

acknowledged

. This time period is configured by the system administrator.

You can acknowledge data from any point in the Patient Trends module. You don't need to locate the patient trends interval relating to the point at which the sample was taken.

Automatic acknowledgment of data

If your system is configured for automatic data acknowledgement, lab data is entered into the column corresponding to the time when the sample was taken.

However, the screen is not automatically updated when data is received.

When lab data arrives at the Documentation Center, the message Lab data

arrived

is displayed in the message line at the bottom of the screen. To update the data in the trend, simply click on the horizontal scroll bar at the bottom of the Patient Trends module.

To Input Data Manually or Edit Existing Data

Valid for:

Laboratory Data.

N o t e

You can only input or edit laboratory data for the previous 7 days.

1. Make sure that the correct patient is displayed in the Patient Trends module.

2. Make sure that the lab data trend is active. If not, click anywhere in the trend.

3. Select the column of data to be edited.

4. Click Actions, then select the Enter/Edit option.

The Edit Lab Data dialog box is displayed. You can now edit the data as required.

4-15 Using the Patient Trends Module

5. Click [Ok] to save your changes to the lab data.

6. Click [Exit] to leave the editing window.

To select a different data group when editing

1. Click the [Select Group] command button in the Edit Lab Data dialog box.

2. Double-click the pointer on the group of interest in the list box.

3. The selected group is displayed for editing.

When the patient trends interval is so large that more than one set of data is present in the column, the next set is displayed when you click [Ok]. As an indication, you see the time field change. If no more sets are available, an empty dialog box is displayed. To finish entering data, click the [Exit] button.

4-16 Using the Patient Trends Module

About Vital Parameter Trends

N o t e

The Lab Results Configuration does not use the Vital Parameter Trends.

The vital parameter trends display data points collected from patient monitors and transmitted to the Documentation Center by way of the CareNet, or via the HL7 export interface for the Information Center (Rev. E or later). The trends are organized into data groups in which similar parameters are grouped together for ease of viewing. The elements in each data group can be changed by your system administrator if necessary.

When a particular trend is displayed, you can select a different data group from the Actions menu.

With the vital parameter trend, you can switch from the tabular view to a graphical presentation in which the different data points are plotted in a graph against a horizontal time axis. This enables variations and trends in a patient's data to be viewed more easily.

N o t e

It is not possible to modify or acknowledge data contained in a vital parameter trend.

N o t e

When you display the vital parameter as a tabular trend, the values in the table represent the median average for the time interval for each parameter.

Do not use the values to correlate trends in different parameters.

If you need to correlate trends in different parameters, use the graph trends.

Using the Patient Trends Module 4-17

To Display a Different Group of Vital Parameter Data

Valid for:

Vital Parameter Trend.

1. Click on the vital parameter trend.

2. Click on Actions or the context menu, and then Select Group.

All configured groups of vital parameter data are displayed in a list box.

3. Move the selection cursor to the group that you want to display, then click

[Ok]. You can also double-click on the desired group.

The selected group is now displayed in the vital parameter trend.

4-18 Using the Patient Trends Module

About Real-Time Data

N o t e

The Lab Results Configuration does not use Real-Time Data.

Real-time data is not available in the United States of America or Japan.

Real-time data is only available from CMS Patient Monitoring System (CMS) or V26/V24 patient monitors.

To select waves to display in real time

The real-time window enables you to view up to two waves simultaneously, providing an overview of the patient's condition.To select these waves you can either:

• Double click on the parameter in the list on the right of the real-time data window, or

• Use “Select wave” in the Action menu.

You can change the speed of all the waves displayed by using “Wave Speed” in the Action menu.

N o t e

There is a delay of a few seconds in the display of the waves.

W A R N I N G !

The real time data is not a substitute for your patient monitor, it is intended to give you the possibility of viewing selected, current patient data. The time resolution of the waves is only given approximately by the selected wave speed (the mm/sec), and depends on the resolution of the display being used.

Consult your patient monitor for diagnostic purposes.

Using the Patient Trends Module 4-19

N o t e

You can freeze and un-freeze the wave for closer inspection using “Freeze/

Unfreeze” in the Action menu.

Changing the resolution of other elements in the Patient Trends module does not affect the real-time data.

Depending on the resolution used by the patient trends, there may be a difference in the vital parameters displayed in the patient trend and the current value shown for the real-time data.

Only the current waves and numerical data are available for the real-time data.

To change the size and number of displayed waves

The real-time window enables you to view up to two waves simultaneously, providing an overview of the patient's condition. If, however, you need to inspect a chart in more detail you can either:

• Select Maximize from the Actions menu (or double-click the titlebar) for the active real-time data, or

• Deactivate one of the other waves using the Action menu.

The maximize function has the advantage that the other waves stay displayed.

When the maximum number of waves is displayed

If you try to activate a wave when the maximum number of waves for your display is already active, the wave corresponding to the lowest numeric in the list on the right of the real-time data window is replaced by the new wave.

In some cases, the overall number of waves being displayed by all of the clients in the system will mean no resources are available for an additional wave on your client. In this case, you will have to reduce the number of waves being viewed on other clients to free up resources for the client where you are working.

4-20 Using the Patient Trends Module

Table of Contents

Start of Chapter

Index

Using the Patient Trends Module 4-21

4-22 Using the Patient Trends Module

5

Using the Reports Module

Table of Contents

To Display the Reports Module ....................................................................5-2

Working with Reports in the Documentation Center...................5-2

To Print a Report...........................................................................................5-4

To Define the Time Period Covered by the Report .....................5-4

Index

Using the Reports Module 5-1

To Display the Reports Module

Click , or select Reports from the Main Menu.

Group Name

Description

Start/Stop

List of Printers

Selection of Patients

Report

Name

Report Selection Screen

Working with Reports in the Documentation Center

The Reports module enables you to print one of several reports documenting the data gathered during the patient's admission. The reports available are defined when the system is installed.

When you start the Reports module, all available reports are displayed. A brief description of the report is also provided alongside the report name. Reports are organized by groups and named according to the names used by the module.

Typical reports might include the following:

Tab text: Description

5-2 Using the Reports Module

Laboratory

Vital Signs

Patient Listing

Documentation of laboratory data gathered for the selected patient.

Documentation of vital signs data gathered for the selected patient.

Daily report of bed occupancy.

You can specify at which point the report should start and end, or define a time interval relative to either the start or end time.

You can list all printers available to the workstation in a combo box so that you can choose the most convenient to print the report.

Multiple Reports

You can select whether the reports are printed

• just for the patient in focus,

• for all current patients in a selected group of beds (if a default bed-group has been defined for the workstation, multiple reports can only be printed for the patients in this group of beds),

• or for the sub-group of current patients that either are or are not in a bed.

The Select Patient Menu

If you are printing a report for the patient in focus, you can change the patient by clicking Patient List then select the different patient from the current list without leaving the Reports module.

Using the Reports Module 5-3

To Print a Report

1. Select the group of reports.

2. Click the section tab of the report that you want to print.

3. Make sure the correct patient or group of patients is selected.

If you are printing for the patient in focus only, make sure that the correct patient is displayed. If not, select the patient from the Select Patient menu.

4. Select the printer from the combo box.

5. To use the default time range, simply click the Start button.

If you need the report to cover a more specific time range, click the [Modify] button and define the time interval covered by the report as described below.

To Define the Time Period Covered by the Report

For some patients, you may sometimes need to print a report that covers a different time period from the default setting of a particular report. To change the default time period covered by a report, click the [Modify] button. This displays the Modify Report Start Conditions dialog box shown below.

2

1

Modifying the Report Start Times

5-4 Using the Reports Module

2

Table of Contents

To set a new time period, either choose a suitable Reporting Duration from the list box, or move the scroll bar until the desired reporting interval is displayed.

Use the horizontal slidebar at the bottom of the dialog to set the start-time.

The start-time and stop-time are shown in the Reporting Interval part of the dialog. The slidebar jumps in steps as defined by the Interval Steps (1 minute,

1 hour,...). You can slide the slidebar (1), click the left/right arrows (2), or if appropriate, click the space adjacent to the slidebar.

To print the report, click [OK]. If desired, you can save your changes as the default report start conditions for that report by clicking the Save as Default checkbox. The default printer for a report is always the printer assigned at the last printing of that report.

For information on configuring reports to print at specified times or at regular

intervals, see “Adding and Updating Reports” on page 35 in “Using the

Online Configuration Module“

Start of Chapter

Index

5-5 Using the Reports Module

5-6 Using the Reports Module

6

Using the Online Configuration Module

Table of Contents

Introduction ...................................................................................................6-2

General Concepts for Configuration .............................................................6-3

Adding New Items .......................................................................6-3

Changing Existing Items ..............................................................6-3

“Deleting” or Hiding Items ..........................................................6-4

Organizing Items in Non-Hierarchical Groups ............................6-5

System Configuration....................................................................................6-8

User Settings ................................................................................6-9

Patient Identification ..................................................................6-11

Workstation and System Settings...............................................6-12

Bed Settings ...............................................................................6-18

Lab and Vital Parameter Settings...............................................6-20

HL7 Settings...............................................................................6-31

Scheduling Processes .................................................................6-32

Adding and Updating Reports....................................................6-35

Adding and Updating Database Queries ....................................6-37

Patient Folder Configuration.......................................................................6-39

User Definable Fields.................................................................6-40

Overall Configuration of the Patient Folder...............................6-41

Configuration for the Personal Data Section .............................6-42

Configuration for the Admissions Section.................................6-48

Configuration for the Medical History Section..........................6-53

Configuration for the Diagnoses Section ...................................6-54

Configuration for the Procedures Section ..................................6-55

Configuration for the Health State Section ................................6-57

Configuration for the Nursing Section.......................................6-61

Configuration for the Cost Capture Section...............................6-63

Configuration for the Discharge Section....................................6-68

Index

Using the Online Configuration Module 6-1

Introduction

Both system-wide and workstation settings are made on the client.

System wide settings apply for all workstations and for the server.

Workstation settings apply only for the workstation selected. If a workstation setting is different from the system-wide setting, the workstation setting applies.

To display the Configuration module:

Click or select Configuration from the Main Menu.

A message will tell you if somebody else is already configuring the system. In this case, you should contact the other person to ensure that you do not interfere with the changes they intend to make.

If this message appears and you are sure that nobody else is configuring the system, continue with your configuration.

There are two different Configuration modules:

• the System Configuration module, for configuring settings that apply to the functioning of the Documentation Center.

• the Patient Folder Configuration module, for configuring settings that apply to the collection of patient information.

Using the toolbar:

• Click to configure the system, or

• Click to configure the patient folder.

Using the menu:

1. Click View in the menu bar.

2. Click System to configure the system, or

Click Patient Folder to configure the patient folder.

6-2 Using the Online Configuration Module

General Concepts for Configuration

Adding New Items

1. Go to the section and page where you want to add the new item.

2. Press the Add button.

A dialog will be displayed which shows the default values for the item you are adding.

3. Enter the information for the item you want to add.

4. Press the [Ok] button.

Changing Existing Items

1. Go to the section and page containing the item you want to change.

2. Click on the item you want to change to highlight it.

3. Press the Change button.

A dialog will be displayed which shows the current values for the item you are changing.

4. Enter the new information for the item.

5. Press the [Ok] button.

Using the Online Configuration Module 6-3

“Deleting” or Hiding Items

Deleting items is not possible in Documentation Center, except in a small number of cases. This is because it is not always possible to determine the effect on existing records after an item has been removed. For this reason, instead of deleting items, you can only hide them.

To hide an item:

1. Go to the section and page containing the item you want to hide.

2. Click on the item you want to hide to highlight it.

3. Press the Hide button.

To Show a Hidden Item

1. Go to the section and page containing the item you want to show.

2. Make sure that View All is selected at the top of the page.

3. Click on the item you want to show to highlight it.

Hidden items are shown in braces, ‘()’.

4. Press the Show button.

Sorting Items in Lists

1. Go to the section and page containing the list.

2. Click on the item you want to move to highlight it.

3. Press the Ï or the Ð button to move the item up or down the list.

6-4 Using the Online Configuration Module

Organizing Items in Non-Hierarchical Groups

For non-hierarchical groups, the existence of the groups and the items is independent. Non-hierarchical groups are used for organising items for quicker and more efficient searching. You set up the item and then afterwards you can put it into the appropriate groups. For example, beds, and lab or vital parameters can be grouped into non-hierarchical groups.

Item 1

Item 2

Item 3

.

.

.

Item m

Item n

.

.

.

Group A

Group B

Group C

Group D

.

.

.

Adding an Item to a non-hierarchical Group

1. Go to the section and page containing the list of groups.

2. Click on the group to which you want to add the item.

3. Press the Change button.

4. Click on the item that you want to add to the group, in the box on the right to highlight it.

5. Press the Í button to add the item up to the group.

Using the Online Configuration Module 6-5

Removing an Item from a non-hierarchical Group

1. Go to the section and page containing the list of groups.

2. Click on the group that contains the item you want to remove.

3. Press the Change button.

4. Click on the item that you want to remove from the group, in the box on the left to highlight it.

5. Press the Î button to remove the item from the group.

Organizing Items in Hierarchical Groups

For hierarchical groups, the existence of the groups and the items is interdependent. When you set up an item you must specify to which group it belongs. For example, cost items are grouped in hierarchical groups.

Group A Group B Group C Group D

Item 1 Item 2 Item 3 Item 4 . . . Item m Item n . . .

Moving an Item from one Group to another

1. Go to the section and page containing the list of groups and items.

2. Click on the item you want to move.

3. Press the Change button.

4. Select the new group in the box at the top of the dialog box.

5. Press the Ok button.

6-6 Using the Online Configuration Module

Using External Keys

The External key is not used by Documentation Center, but is included in the database so that you can use it for searches of the database using external applications. You are free to define the external keys to suit your own application.

Using the Online Configuration Module 6-7

System Configuration

The system settings cover a number of areas for the general configuration of the Documentation Center, including

• User Settings

• Patient Identification

• Workstation and System Settings

• Network and HL7 Interface Settings

• Bed Settings

• Parameter Settings

• Scheduling Processes

• Adding and Updating Reports

• Querying the database

Reference information is given below for each of these settings.

For information on adding and changing settings, see “General Concepts for

Configuration” on page 3.

To configure the system

1. Select Configuration in the Main menu.

2. If it is not already selected, click or select System in the View menu.

6-8 Using the Online Configuration Module

User Settings

Adding or Changing a User

System Setting

Notes

Must be unique.

Section:

System Administration

Page:

User Administration

Dependencies Parameter

Name

Password

Description

User Groups

At least 4 characters.

Reenter Password Repeat the Password entered above exactly to confirm it.

Optional

There are four defaultuser groups. Other User

Groups can be configured. Any user can be assigned to any one or combination of User

Groups.

The four default groups and their access rights are given in the table below. (These access rights for a group are not configurable)

Using the Online Configuration Module 6-9

Module/High Level User

Rights

Patient Administration

Patient Folder

Patient Trends

Report Writer

Data Administration

Configuration

Terminate Documentation

Center

Access to Operating System

(moving/ minimizing Documentation Center)

No

Admin Windows

Yes

Yes

Yes

No

No

No

No

No

No

No

No

No

No

No

Yes

Physician

No

No

No

Yes

Yes

Yes

Yes

No

Nurse

No

No

No

Yes

Yes

Yes

Yes

No

Low Level User Rights

Low level user rights can be set for particular Modules (marked in the list with

"#"), Main Pages of the Patient Folder (marked in the list with "(M)") and

Subpages of the patient folder (Marked in the list with "(S)").

If the user is to have access to a specific Main Page or Subpage, they must have access to the elements above this Main Page or Subpage in the hierarchy.

High Level Rights (for the four default User Groups) apply to all of the elements in a Module - so, for example, a user set up as a "Nurse" or a

"Physician" has access to all of the Main Pages and Subpages of the Patient

Folder.

For example, If a user should have access to the "Other Cost Dr. A"

1

subpage in the Cost Capture Main Page, though not to the other subpages

• the user must be assigned to a User Group other than "Nurse" or

1.This example assumes that the subpage "Other Cost Dr. A" has been configured in the

Cost Capture module. See “Configuration for the Cost Capture Section” on page 63, for in-

formation on configuring the subpages of the Cost Capture module.

6-10 Using the Online Configuration Module

"Physician".

• the User must be given Low Level User Rights to the module: "Patient

Folder (#)"

• the User must be given Low Level User Rights to the Main Page: "Cost

Capture (M)"

• the User must be given Low Level User Rights to the Subpage: "Other cost

Dr. A (S)"

Passwords

For information on changing passwords, see “To Change your Password“ in

the chapter “Overview of the Documentation Center“.

Patient Identification

System Setting

Parameter

Select primary patient identification

Patient Number

Case Number

Notes

User defined label for the patient number.

User defined label for the case number.

Section:

System Administration

Page:

Patient Identification

Dependencies

Select the identification code used by external systems (HIS, Lab systems) that interface with the Documentation

Center.

Used in the Patient

Folder and Patient

Administration to identify the patient.

Used in the Patient

Folder and Patient

Administration to identify the patient’s current medical case.

Using the Online Configuration Module 6-11

Workstation and System Settings

Automatic Logoff Settings

These settings affect whether an automatic logoff is forced after the workstation or system has not used for the time period set.

System Setting

Parameter

Select a workstation

System wide default setting

On workstation

Section:

Applications Defaults

Page:

Auto Logoff

Dependencies Notes

For a workstation setting, select the current or another workstation.

Select this if this setting is to be used system wide.

Overrides the system wide setting.

6-12 Using the Online Configuration Module

Setting whether the Workstation is in a Ward or Laboratory

System Setting

Parameter

Select a workstation

Workplace type

Section:

Applications Defaults

Page:

Workplace Type

Dependencies Notes

select the current or another workstation.

Ward: Laboratory data that is entered manually

IS

automatically acknowledged.

Lab: Laboratory data that is entered manually

IS

NOT

automatically acknowledged.

Using the Online Configuration Module 6-13

N o t e

Setting Which Data is Kept Long Term

If you intend to do TISS evaluations, keep the “Cost detail” in the longterm data set.

System Setting

Parameter

The full patient data set is kept for longterm data set is kept for

Section:

Applications Defaults

Page:

Long-Term Data Set

Dependencies Notes

After this time period the data that is not included in the longterm set is deleted and cannot be recovered.

You are advised to make paper copies for archive purposes.

After this time period all of the patient data is deleted.

included in the longterm data set

NOT included in the longterm data set

This data is deleted at the end of the time specified for the full patient data set.

6-14 Using the Online Configuration Module

Setting your department identification and CCOW link

System Setting

Parameter

Department

Notes

Section:

System Administration

Page:

General Settings

Dependencies

Used for system identification and in the title bar.

CCOW link active

CCOW synchronization string

The Documentation

Center provides synchronization for the patient context. The Documentation Center is compatible with CCOW V1.2. An external context manager is required.

The value for this string depends on the context manager you are using.

Using the Online Configuration Module 6-15

Defining the data sources in the network

Defining the data sources is required before you start configuring beds.

System Setting

Parameter

Description

Type

Notes

Section:

System Administration

Page:

Data Sources

Dependencies

Used for identification over the CareNet network. This description must be unique.

This can be SDN for data collected via CareNet.

(CareNet was formerly called SDN.), or IIC for data collected via the

HL7 export interface for the Information Center

(Rev. E or later).

6-16 Using the Online Configuration Module

System Setting

Parameter

Host

Media

Resource

External Key

Notes

Host name of the data source.

If the Type is SDN, this is normally the Documentation Center server where the interface to the

CareNet is located.

If the Type is IIC this will be the host name of the Information Center, or in case of a networked

Information Center system the host name of the

Database Server.

PIPE protocol for SDN,

Socket protocol for IIC.

Section:

System Administration

Page:

Data Sources

Dependencies

Normally the values for

Host, Media and

Resource will be set for your system before delivery according to the purchasing information.

If Type is SDN, each data source must have a unique identifier on the host. (For CareNet the defaults are SDNSRV, for the first CareNet,

SDNSRV2, for the second CareNet)

If Type is IIC, the resource field is used for the port number of the socket connection.

Unique number for the data source between 1 and 4.

One of the selected data sources must have the number "1".

Using the Online Configuration Module 6-17

Bed Settings

Adding or changing a bed

System Setting

Parameter

Room

Bed label

Data Source

Branch

Notes

Section:

System Administration

Page:

Beds

Dependencies

Descriptive (optional)

It is possible, but not recommended, to use a different bed label here than is used by the controller on the CareNet.

Select from the list of configured data sources.

Shown in the bed list.

The combination of data source and branch must be unique to each bed.

Range of 1 to 24 for

CareNet, 1 to 999 for other sources.

Defined in “Defining the data sources in the network” on page 16)

Used to assign a bed on

CareNet to the bed label used by the Documentation Center.

Grouping beds together

For the Documentation Center and the Lab Results Configuration, a bed can be in a number of bed groups.

The group “All Beds” automatically contains all of the beds configured for the

Documentation Center. This group cannot be edited and so is not listed.

6-18 Using the Online Configuration Module

N o t e

Do not add new groups with the name “All Beds”, as this can lead to confusion.

Beds can be assigned to a default group when they are created first. See

“Default bed group” on page 20 for more information.

System Setting

Parameter

Group

Section:

System Administration

Page:

Bed Groups

Dependencies Notes

The name of the group must be unique.

Using the Online Configuration Module 6-19

Default bed group

Used when adding new beds (see “Adding or changing a bed” on page 18, and

“Grouping beds together” on page 18).

System Setting

Parameter

Select a workstation

System wide default setting

On workstation

Section:

Applications Defaults

Page:

Default Bed Group

Dependencies Notes

For a workstation setting, select the current or another workstation.

Default value is “All

Beds”

Overrides the system wide setting.

New values can be selected from the existing bed groups, as con-

figured in “Grouping beds together” on page 18.

New values can be selected from the existing bed groups, as con-

figured in “Grouping beds together” on page 18.

Lab and Vital Parameter Settings

N o t e

The Lab Results Configuration systems do not use Vital Parameters.

6-20 Using the Online Configuration Module

Defining the units to be used

You should not change the text used for a unit. The changed text is used for all existing measurements in the database. If you need to change a unit, it is better practice to create a new one.

System Setting

Parameter

Unit

External key

Notes

Section:

Parameter Settings

Page:

Units

Dependencies

Used by various system components (for example, SAPS scoring).

See “Using External

Keys” on page 7

Using the Online Configuration Module 6-21

Defining the unit conversions to be used

Conversion of units ensures that the SAPS score can be calculated correctly.

The unit conversions are only used in conjunction with SAPS. New conversions can be added, but the pre-defined conversions cannot be changed or deleted..

T

arg

et

=

(

Source

×

Factor

) Offset

System Setting

Notes

Section:

Parameter Settings

Page:

Unit conversion

Dependencies Parameter

Source

Target

Factor

Offset

Label The Label is only used for mmol calculations.

The predefined mmol conversions depend on molecular weight. This label identifies the molecule.

This label is only available for predefined unit conversions.

6-22 Using the Online Configuration Module

Adding and changing parameter definitions

System Setting

Parameter

Label

Class

Description

Color

Marker

Unit

External Key no ranges

Ranges

Notes

Section:

Parameter Settings

Page:

Parameters

Dependencies

Only the first 12 characters of the label can be seen on the patient monitor.

Laboratory or Vital

Optional

Used for patient trends

Used for patient trends

Previously defined. See

“Defining the units to be used” on page 21.

See “Using External

Keys” on page 7

The following conditions must be satisfied:

Maxima Min <

Normal Min <

Normal Max <

Maxima Max

No validity check is performed for manually entered lab data

The ranges given here are used to check all manually entered lab data for validity.

Negative values are also possible.

Using the Online Configuration Module 6-23

C a u t i o n

Grouping Lab Parameters

When your system is configured for automatic acknowledgment, you acknowledge the complete specimen ordered from the lab.

If data belonging to different groups is also part of this order, it is possible that part of the lab data will be acknowledged without you having seen it.

System Setting Section:

Parameter Settings

Page:

Lab Parameter Groups

Dependencies Parameter

Group

Default Group

Notes

Suppress missing parameters

Scales

Any lab parameters that are not assigned to any other group are automatically put into this group.

In particular, unknown lab parameters received from the lab system are automatically added to this default group.

If this is enabled, parameters which have not been used in the current patient trends period are not displayed.

The scales used for the vertical patient trends axis.

Only one group can be default.

To change the default group you must start by de-selecting the current default group. Make sure you select a new default group.

Always enabled for the default group.

6-24 Using the Online Configuration Module

Grouping Vital Parameters

System Setting Section:

Parameter Settings

Page:

Vital Parameter Groups

Dependencies Parameter

Group

Suppress missing parameters

Scales

Notes

If this is enabled, parameters which have not been used in the current patient trends period are not displayed.

The scales used for the vertical patient trends axis.

Setting up the external coding system

W A R N I N G !

The external coding system is used by the Documentation Center to interpret values arriving over the CareNet. Changing this configuration could cause errors or bad data in the operation of the

Documentation Center.

System Setting

Parameter

Coding System

Section:

Parameter Settings

Page:

Coding Systems

Dependencies Notes

Name of the external coding system

Using the Online Configuration Module 6-25

System Setting

Parameter

Coding System

Code

Coding System

Parameter

Coding System

Unit

Section:

Parameter Settings

Page:

Coding Systems

Notes

Code used by the external coding system

Dependencies

A matching code has priority over a matching parameter name.

Parameter name used by external coding system

Unit used by the external coding system

If the unit set here is different than the unit set for displaying the parameter, then the parameter will not be stored in the database.

displayed as

Parameter displayed as Unit Unit used by Documentation Center

If the unit configured for the parameter on the

Documentation Center is not equivalent to the unit used by the external coding system, it is recommended that you create a new parameter for the

Documentation Center.

ignore parameter

Parameter name used by

Documentation Center.

Selected by specifying the item in the available codes box to the right and pressing the << button.

Setting up the available codes is described in

“Adding and changing parameter definitions” on page 23

Parameter will be ignored when it is transmitted from another system or application.

6-26 Using the Online Configuration Module

N o t e

Setting External Coding for SAPS II Scoring

To ensure that the SAPS II scoring system interprets the lab values correctly when they are received from the lab system or BGA device, you need to make sure that they are mapped to the correct internal codes for the 7 parameters that are used. These parameters are:

SAPS II Parameter Default Labels in the

Documentation

Center SAPS II Dialog

WBC (l/nl)

Serum Potassium

(mmol/l)

Leuco

SerK

Natrium Serum Sodium

(mmol/l)

HCO3 (mmol/l)

Bilirubin (µmol/l)

Bilirubin (mg/dl)

Serum Urea (mmol/l)

Serum Urea (g/l)

BUN (mg/dl)

HCO3

BiliT

SUrea

BUN

Na

Example of codes from external coding

Leu

678

HCO3

TBili

UreaS

793

system

In the first column are the names of the parameters as given by the SAPS II definition.

The second column lists the default label used when they appear in the SAPS

II dialog (which may be different on your system).

An example of possible parameter labels as they are received from your lab system or BGA device is shown in the third column. You can also use this column to list the codes used by your lab system or BGA device.

The same SAPS II parameter may have different external codes depending on the device that sends it.

Using the Online Configuration Module 6-27

To set up the external codes:

1. Check how each of the SAPS II parameters are coded by your lab system or BGA device.

2. For each coding system (for example, “GLI”), make sure that the code used by the lab system or device appears in the columns Coding System

Parameters” or “Coding System Code”.

3. Select each code and make sure that it is mapped to the correct label used in the SAPS II dialog.

6-28 Using the Online Configuration Module

Setting How Lab Values are Acknowledged

System Setting

Parameter

Automatic

Manual

Select a workstation

System wide default setting

On workstation

Section:

Applications Defaults

Page:

Acknowledgement

Dependencies Notes

All lab values received from a lab system are acknowledged automatically.

Incoming lab values received from a lab system have to be explicitly acknowledged by a user.

For a workstation setting, select the current or another workstation.

Time limit (before the current time) for which lab results can be manually acknowledged, and for which lab results can be entered manually.

Overrides system wide settings for the time limit for manual acknowledgement or entry.

Using the Online Configuration Module 6-29

Setting the Resolution of the Vital Trend

System Setting

Parameter

Resolution

Storage Period

Section:

Applications Defaults

Page:

Vital Trend Resolution

Dependencies Notes

30sec., 1min., 2min.,

3min.,..., 60min.

Minimum storage period

= 1 hour.

Maximum storage period depends on resolution selected.

A shorter resolution decreases the maximum storage period.

The maximum storage time is 5760 times the resolution, that is:

Resolution

30 seconds

...

5 minutes

...

60 minutes

Maximum Storage

Period

2 days

...

20 days

...

240 days

6-30 Using the Online Configuration Module

HL7 Settings

Setting up HL7 connections

The HL7 configuration is only shown when this has been enabled.

For information on configuring HL7, please refer the “HL7 Implementation and Configuration Guide”, or consult your service personnel or HIS specialists.

Using the Online Configuration Module 6-31

Scheduling Processes

A number of sensitive processes are controlled by the scheduler. If you are not certain about the possible effects of a process you want to schedule please consult your Documentation Center service personnel.

N o t e

You can only schedule jobs for execution on the server, so all paths and references must be on the server.

System Setting

Notes

Section:

Scheduler

Page:

none

Dependencies Parameter

Date

Time

Type

Process

Select “Other” if you want to schedule the execution of an external program

Program name if type is

“Other”

Status

Repetition after

Description

Program parameters

The period after the planned start time at which the process will be repeated.

Optional

If the type is not “Other”, default parameters will be displayed initially.

Start parameters

Process Type Processes should be run in the background where possible.

6-32 Using the Online Configuration Module

N o t e

Scheduling Reports

Reports can only be scheduled on the server, and therefore can only use printer queues that are set up on the server.

Additionally, these printer queues must be set up for the user "acuser"

To schedule a report to run on the server at a specified time, or regularly, select the Type “Standard -Report” in the Scheduler section.

The default program parameter for the Standard-Report type is

/Database=$(DB) "/ReportName=

<Reportname>"

"/PrinterQueue=

<Queue Name>"

/CaseID=$(ActiveCase) "/StartDateTime=$(NOW-24H)"

"/StopDateTime=$(NOW)" /IF=LOG\

You MUST replace <Reportname> with the name of the report you want to print, and <Queue Name> with the name of the printer queue on the server where the report is to be printed.

For example, for the scheduled midnight statistics (in English), on the printer queue "LaserJet4100", the parameters are

/Database=$(DB) "/ReportName=Midnight Statistics"

"/PrinterQueue=LaserJet4100"

/CaseID=0 /IF=LOG\

You can change $(ActiveCase) to select the cases to include in your report. The possibilities are

$(ActiveCase)

$(PassiveCase)

$(DischCase)

$(ClosedCase)

Cases of admitted patients in a bed.

Cases of admitted patients not in beds.

Cases of discharged patients.

Cases of closed patient cases

Using the Online Configuration Module 6-33

You can change $(NOW-24H) and $(NOW) to set the period for your report.

The syntax for these variables is:

$(NOW

[:{I | D | T}] [[{- | +}]<numeric>[{H | D | M}]])

Where:

[ ] means an optional element, { } means you select one of the elements in the contained list.

NOW

{I | D | T} is the current date and/or time at the instant that the report is scheduled

I

is for time and date in the format

’YYYY_MM_DD hh:mm’ (default)

D

is for date only, in the format ’YYYYM-

MDD’

T

is for time only, in the format ’hhmm’

[{- | +}]<numeric>

{H | D | M}

-

<numeric> is the time difference before the current time. (default)

+

<numeric> is the time difference after the current time.

H

for the time difference is hours. (default)

D

for the time difference is days.

M

for the time difference is minutes.

Scheduling The Daily Backup and Patient Data Maintenance

The correct functioning of the Documentation Center requires a backup of the database, and patient data maintenance every 24 hours.

Database Backup

Date

Time

Type

Process

Set the date and time when the first backup should take place.

Other wscript

6-34 Using the Online Configuration Module

Repetition after 24

Program Parameters //b c:\ac\bin\ac_db_manager.js /AC_Full_Backup

Patient Data Maintenance

Date

Time

Set the date and time when the first maintenance should take place. This should be 1 hour after the backup.

Type

Repetition after

Delete

24

Program Parameters /CHECK=YES

Adding and Updating Reports

Reports are defined as part of from the database.

System Setting

Parameter

Definition File

Name

Description

Section:

Reports

Page:

none

Notes

.ini files are Documentation Center reports. (see the Documentation

Center Report Generator

Guide for information on how to create your own.ini files)

Dependencies

Must be entered or selected to enable the rest of the dialog.

The rest of the dialog begins with the values specified in the definition file.

Used for the page tab in the module.

Used to identify the report in the module.

Using the Online Configuration Module 6-35

System Setting

Parameter

Group

Type

Time specific

Patient specific

Interval Type

Default interval

Default Start

Default Stop

Printer Queue

User

Notes

Section:

Reports

Page:

none

Dependencies

Used for the section tab in the module.

“Standard report” for

Documentation Center reports.

If not otherwise specified in the definition file, this is enabled by default.

If not otherwise specified in the definition file, this is enabled by default.

Default “last x hours”

Default 8 hours.

Disables the time interval selected in the

Reports module.

Disables the patient group selected in the

Reports module.

Default is the default printer of the Server PC, or the first printer in the list of printers on the

Server PC.

Depending on the selected interval type, either the default interval or the default start and stop are active.

Used for server based printing.

On each client, the

Reports module stores the default printer queue for each report. The last printer used to print a report is stored as the default for the next time this report is printed.

Default is for All users to be permitted to create the report.

6-36 Using the Online Configuration Module

When you change an existing report you cannot select a new definition file.

You can use the Edit button to edit the definition file.

If you need to make a copy of the definition file (for archive purposes, as the basis for a new report) use the Export button.

To test a report, use the Test run button. This will generate a report from the data from the last 8 hours for a randomly selected patient.

Adding a New Report

To add a new report:

1. Find an existing report that comes close to your requirements.

2. Export the definition file of this report to a file.

3. Add the new report, importing the exported definition file (use the Browse button to locate and select the file).

4. Edit the definition of your new report to fit your requirements.

Adding and Updating Database Queries

N o t e

For further information on database queries, please also refer to the Documentation Center Statistics Guide on the CD-ROM supplied with your system.

System Setting

Parameter

Name

Description

Notes

Section:

Query

Page:

none

Dependencies

Used for the page tab in the module.

Used to identify the query in the module.

Using the Online Configuration Module 6-37

System Setting

Parameter

Group

User

Notes

Section:

Query

Page:

none

Dependencies

Used for the section tab in the module.

Default is for All users to be permitted to use the query.

If you need to make a copy of the query definition (for archive purposes, as the basis for a new query) use the Export button.

If you need to import a query definition, use the Browse button to locate and load it

To test a query, use the Test run button. This will generate a query from the database. If date is one of the criteria for the query, the report will be for the previous month.

6-38 Using the Online Configuration Module

Patient Folder Configuration

The patient folder settings cover a number of areas for the configuration of the patient folder kept by the Documentation Center, including

• Configuration of which modules are available on the system, and the configuration of the

• Personal Data

1

section

• Admissions

1

section

• Medical History section

• Diagnoses section

• Procedures section

• Health State

1

section

• Nursing section

• Cost Capture

1

section

• Discharge

1

section

Reference information is given below for the configuration of each of these sections.

For information on adding and changing settings, see “General Concepts for

Configuration” on page 3. For information on the user definable fields, see

“User Definable Fields” on page 40.

To configure the patient folder

1. Select Configuration in the Main menu.

2. If it is not already selected, click or select Patient Folder in the

1.The name of this section may be different in your configuration (see “Overall Configuration of the Patient Folder” on page 41).

Using the Online Configuration Module 6-39

View menu.

User Definable Fields

Some sections of the patient folder have additional user definable fields that you can add to meet your own requirements.

To activate a user definable field:

1. Select the section in the patient folder configuration that corresponds to the actual patient folder section to which you want to add your fields.

2. Select the page “User definable fields”.

C a u t i o n

Changing the meaning of a user definable field can have undesirable effects on any existing patient folders that used the field with the original meaning.

3. Enter the label for field.

4. Select “text” for a field where the user should type in the value.

Select “textlist” for a field where the user should select a value from a list.

5. If you select “textlist”, a. Press the Edit list button.

b. Type in the “Value” and press the Add button.

c. When you have entered all the values, press the OK button.

6-40 Using the Online Configuration Module

Overall Configuration of the Patient Folder

Patient Folder

Setting

Parameter

Page name

Page type

Main tab:

Tab text

Status text

Section:

Pages

Page:

none

Dependencies Notes

This is an identification of the page which is independent of the text used for the tab.

Major (main page) or minor.

Changes the section name and the name of the corresponding elements of the configuration.

The section name can only be changed for the

Personal Data, Admissions, Health State, Cost

Capture, and Discharge sections.

Changes the page name.

Description of page.

The tab texts for the cost capture section determine the data sets for cost information that can

be configured. See “Cost

Items” on page 63)

Appears at bottom of page.

If the name of a section is changed, the new label will be used throughout the

Documentation Center to refer to this section, replacing the original/generic label used in this documentation.

Using the Online Configuration Module 6-41

Configuration for the Personal Data Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41).

Sex

Patient Folder

Setting

Parameter

Sex

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Personal Data

Sex

Dependencies

Marital Status

Patient Folder

Setting

Parameter

Marital State

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Personal Data

Marital Status

Dependencies

6-42 Using the Online Configuration Module

Nationalities

Patient Folder

Setting

Parameter

Nationality

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Personal Data

Nationalities

Dependencies

Religion

Patient Folder

Setting

Parameter

Religion

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Personal Data

Religion

Dependencies

Using the Online Configuration Module 6-43

BSA Formula

Patient Folder

Setting

Parameter

Default Body-

Surface Area Formula

Section:

Personal data

Page:

BSA Formula

Dependencies Notes

Adult (Dubois)

BSA(m

2

) = Height(cm)

0.725

X

Weight(kg)

0.425

X

0.007184

Neonatal (Boyd)

BSA(m

2

) = Height(cm)

0.3

X

Weight(g)

(0.7285

ℜ log(Weight)) X

0.007184

Allow the user to choose the formula

6-44 Using the Online Configuration Module

Insurance Companies

New insurance companies can also be added in the insurance section of the patient folder.

Patient Folder

Setting

Parameter

Name

Phone

City

Zip

Street

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Personal Data

Insurance Companies

Dependencies

Insurance State

Patient Folder

Setting

Parameter

Insurance Status

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Personal Data

Insurance Status

Dependencies

Using the Online Configuration Module 6-45

User Definable Fields

There are user definable fields in the Personal Data section for the

• Main Page

• Medical Data

• Next of Kin and

• Insurance

For information on configuring these fields, see “User Definable Fields” on page 40

Personal Data Labels

The names of the following elements in the Personal Data section can be changed or hidden.

Patient Folder

Setting

Parameter

Birth place

Sex

Notes

Section:

Personal Data

Page:

Personal Data Labels

Dependencies

6-46 Using the Online Configuration Module

Patient Folder

Setting

Section:

Personal Data

Page:

Personal Data Labels

Dependencies Parameter

Nationality

Phone

Zipcode

Prim. Care Physician

Maiden name

Marital status

Religion

Street

City

PCP phone

Notes

If the label for an element is changed, the new label will be used throughout the Documentation Center to refer to this element, replacing the original/ generic label used in this documentation.

Using the Online Configuration Module 6-47

Configuration for the Admissions Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41).

Admitted from

Patient Folder

Setting

Parameter

Location

Location is

Notes

Section:

Page:

Used when generating statistics.

Admission

Admitted From

Dependencies

If “Inside the hospital”, then “In house” will be shown.

If “Outside the hospital” then “Out of house” will be shown.

External key

See “Using External

Keys” on page 7

6-48 Using the Online Configuration Module

Clinical Departments

Patient Folder

Setting

Parameter

Clinical Department

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Admission

Clinical Department

Dependencies

Reasons for admission

Patient Folder

Setting

Parameter

Reason

Reason applies for...

External Key

Notes

Section:

Page:

You can have different list of reasons available depending on whether the patient is being admitted in connection with an operation or not.

See “Using External

Keys” on page 7

Admission

Reasons for Admission

Dependencies

Take over data from previous case

This list is effective when the same patient, with the same patient number, is re-admitted with a new case number.

Using the Online Configuration Module 6-49

N o t e

The name used for the Personal Data section may be different in your configu-

ration (see “Overall Configuration of the Patient Folder” on page 41).

Patient Folder

Setting

Parameter

Personal data

Medical History

Diagnoses

Notes

Section:

Admission

Page:

Data from Previous Case

Dependencies

User definable fields

There are user definable fields in the Admission section for the

• Main page and

• Page 2

For information on configuring these fields, see “User Definable Fields” on page 40

6-50 Using the Online Configuration Module

Admission Labels

The names of the following elements in the Admissions section can be changed or hidden.

Patient Folder

Setting

Section:

Admission

Page:

Admission Labels

Dependencies Parameter

Admitted from

Admitting department

Urgency

Notes

Operation

Cannot be renamed because of how it is used by the database.

Cannot be renamed because of how it is used by the database.

Reason for admission

Patient category Cannot be renamed because of how it is used by the database.

Trauma

Adm. physician

If the label for an element is changed, the new label will be used throughout the Documentation Center to refer to this element, replacing the original/ generic label used in this documentation.

Using the Online Configuration Module 6-51

Admission Labels

The names of the following elements in the Admissions section can be changed or hidden.

Patient Folder

Setting

Parameter

Primary hospital diagonsis

Assigning physician

Attending physician

Notes

Section:

Page:

Admission

Admission Labels Page 2

Dependencies

If the label for an element is changed, the new label will be used throughout the Documentation Center to refer to this element, replacing the original/ generic label used in this documentation.

6-52 Using the Online Configuration Module

Configuration for the Medical History Section

N o t e

The Lab Results Configuration does not use the Medical History section.

Patient Folder

Setting

Parameter

Group

Item

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Medical History none

Dependencies

Using the Online Configuration Module 6-53

Configuration for the Diagnoses Section

N o t e

The default codes to be used for diagnoses can only be loaded at the server.

Setting the Options for the Diagnosis

Patient Folder

Setting

Parameter

Allow more than one main diagnosis

Diagnoses MUST be coded

Diagnosis code

Additional diagnosis types

Notes

Uncoded diagnoses are not stored.

Determines the error handling for invalid codes.

Sets the name used for the final two types of diagnoses.

Section:

Diagnoses

Page:

Options

Dependencies

The main diagnosis is displayed in the message bar (status bar) at the bottom of the screen)

6-54 Using the Online Configuration Module

Maintaining the Keywords

Keywords work like non-hierarchical groups for diagnoses. You can use them to make searching for a diagnosis quicker, by grouping the diagnoses together under a term that you can define.

You can use this page to

• Add new keywords for search criteria

• Make links between existing keywords.

Patient Folder

Setting

Parameter

Keyword

List of referenced

Diagnoses

Diagnosis

ICD 9

Notes

Section:

Diagnoses

Page:

ICD

Dependencies

Configuration for the Procedures Section

N o t e

The Lab Results Configuration does not use the Procedures section.

N o t e

The default codes to be used for procedures can only be loaded at the server.

Using the Online Configuration Module 6-55

Setting the Options for the Procedure

Patient Folder

Setting

Parameter

Default procedure location

Procedures

MUST be coded

Procedure code

Notes

Section:

Procedures

Page:

Options

Dependencies

6-56 Using the Online Configuration Module

Configuration for the Health State Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41).

N o t e

The Lab Results Configuration does not use the Health State section.

Organ Systems

Patient Folder

Setting

Parameter

Organ

Disturbance

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Health State

Organs

Dependencies

Degree of Disturbance

The degree of disturbance can be used to trend an organ system.

The same degrees of disturbance are used for all organs.

Using the Online Configuration Module 6-57

The user can define the order. That is, 0% can mean either “no disturbance”, or “no function”. Start entering the values with the no disturbance value.

Patient Folder

Setting

Parameter

Name

Degree

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Health State

Degree of Disturbance

Dependencies

Change of health state

Patient Folder

Setting

Parameter

Name

External Key

Section:

Health State

Page:

Changes

Dependencies Notes

Describes the change of

Health State compared to the day before.

See “Using External

Keys” on page 7

6-58 Using the Online Configuration Module

Options

Patient Folder

Setting

Parameter

Allow copying the state of health to another day.

Allow copying the comments to another day

Force the entry of the "Degree of

Functional Disturbance" and the

"Change since yesterday" data.

Notes

Section:

Health State

Page:

Options

Dependencies

Ensure that these fields

are visible (see “Health

State Labels” on page 60).

Using the Online Configuration Module 6-59

Health State Labels

The names of the following elements in the Health State section can be changed or hidden. .

Patient Folder

Setting

Parameter

Organ

Functional Disturbance

Degree of Functional Disturbance

Change since yesterday

Notes

Section:

Page:

Health State

Health State Labels

Dependencies

If the label for an element is changed, the new label will be used throughout the Documentation Center to refer to this element, replacing the original/ generic label used in this documentation.

6-60 Using the Online Configuration Module

Configuration for the Nursing Section

N o t e

The Lab Results Configuration does not use the Nursing section.

Patient Category

This is used so patients can be categorised according to the amount of nursing they require.

Patient Folder

Setting

Section:

Nursing

Page:

Patient Category

Dependencies Parameter

Category

Description

Average Nursing

Requirements

Notes

Color

External Key

Optional

In minutes per day.

Range 0 to 9999

Nursing requirement =

(nurse to patient ratio)

X

1440 minutes.

Sets the color used to indicate the amoung of nursing effort required for the icon in the current patient list.

See “Using External

Keys” on page 7

Using the Online Configuration Module 6-61

Nursing Shifts

Shifts can be defined with the following restrictions:

• Shifts cannot overlap (that is, if one shift finishes at 20:30, the next starts at 20:31)

• Only the last shift in the list can start before midnight and finish after it.

Patient Folder

Setting

Parameter

Shift

Begin

End

Notes

Section:

Nursing

Page:

Nursing Shifts

Dependencies

6-62 Using the Online Configuration Module

Configuration for the Cost Capture Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41).

N o t e

The Lab Results Configuration does not use the Cost Capture section.

Cost Items

Patient Folder

Setting

Parameter

Group

Section:

Cost Capture

Page:

Cost Items

Notes

A cost item can only belong to one group.

Dependencies

This text is used in the task window on the patient monitor.

Name

Using the Online Configuration Module 6-63

Patient Folder

Setting

Parameter

Data Set

Notes

Basic or Other

The names of the data set.

Section:

Cost Capture

Page:

Cost Items

Dependencies

4 data set names are possible for each cost item.

The data set names are configured as the tab text for the cost capture page

(see “Overall Configuration of the Patient

Folder” on page 41).

The data sets to which a user has access are as part of that user’s configuration (see "User

Groups" in “User Settings” on page 9).

Type

Points

Average costs for one Item

The type cannot be changed after it has been configured.

Default is TISS.

For one item, or for one day.

The names used for the basic cost data sets and the names used for the other cost data sets are independent.

Average costs, and default amount/duration are not permitted

for the elements of a textlist.

The scoring name entered is used for all entries.

This field is not applicable if ’textlist’ is chosen for the ’Type’.

6-64 Using the Online Configuration Module

Patient Folder

Setting

Parameter

Default amount / duration

External Key

Notes

Section:

Cost Capture

Page:

Cost Items

Dependencies

This field is not applicable if ’textlist’ is chosen for the ’Type’.

See “Using External

Keys” on page 7

Task window

Use this to configure which cost items are available in the patient monitor task window.

First you will need to setup groups

Patient Folder

Setting

Parameter

Softkey label

Description

Section:

Cost Capture

Page:

Task

Dependencies Notes

Only characters accepted by the monitor can be used.

a

Limited to two lines, each of seven characters.

Used to refer to the Task

Window Group.

a.Only the characters which are allowed for the CareNet can be used.

Please refer to the CareNet specifications for your country.

Using the Online Configuration Module 6-65

After you have set up the groups you can add the items to these groups. If necessary you can assign an item to more than one softkey (to ease navigation).

Patient Folder

Setting

Parameter

Task Window

Group

Softkey label

Cost Capture

Group

Item

Notes

Only the characters which are allowed for the

CareNet can be used.

Please refer to the

CareNet specifications for your country.

Section:

Cost Capture

Page:

Task

Dependencies

Text from Description when setting up the

group in “Cost Items” on page 63.

The label is in the Task

Window on the patient monitor. The softkey on the patient monitor has space for two lines, each

7 characters long.

As defined in Cost Items,

see “Cost Items” on page 63

As defined in Cost Items,

see “Cost Items” on page 63

6-66 Using the Online Configuration Module

Mode

Changing the mode of collecting cost data can cause the following problems with cost data that has already been captured:

Existing

Mode

Shift

New Mode

Daily

Possible Problems

Daily

Daily

Shift

Shift

Exact

Exact

Yes/No entries have typically been entered up to 3 times a day. All of these are still in the data set, and can count up to 3 times in the cost calculation.

All existing cost entries appear in the first shift.

All existing cost entries appear at 00:00

All existing cost entries appear at the start time of the shift in which they were recorded.

Patient Folder

Setting

Parameter

Basic Cost data is entered...

Other cost data is entered...

Notes

Section:

Cost Capture

Page:

Mode

Dependencies

Using the Online Configuration Module 6-67

Configuration for the Discharge Section

N o t e

The name of this section may be different in your configuration (see “Overall

Configuration of the Patient Folder” on page 41).

Discharge to

Patient Folder

Setting

Parameter

Location

Location is...

External Key

Notes

Section:

Page:

See “Using External

Keys” on page 7

Discharge

Discharge To

Dependencies

Outcome

Patient Folder

Setting

Section:

Discharge

Page:

Outcome

Dependencies Parameter

Description

Condition applies for...

External Key

Notes

Use this to separate outcome evaluations for surviving from dead patients.

See “Using External

Keys” on page 7

6-68 Using the Online Configuration Module

User definable fields

There are user definable fields in the Discharge section for the

• Main page and

• Notes, which are the headlines of the text fields on the Discharge Notes page.

For information on configuring these fields, see “User Definable Fields” on page 40.

Configurable Element Names in the Discharge Section

The names of the following elements in the Discharge section can be changed or hidden. .

Patient Folder

Setting

Parameter

Discharge to

Outcome

Notes

Section:

Page:

Discharge

Discharge Labels

Dependencies

If the label for an element is changed, the new label will be used throughout the Documentation Center to refer to this element, replacing the original/ generic label used in this documentation.

Using the Online Configuration Module 6-69

Configuration for the User Definable Sections

There are two user definable sections in the patient folder. Each of these sections contains 20 user definable fields (2 columns of 10 fields each).

For information on configuring these fields, see “User Definable Fields” on page 40.

Table of Contents

Start of Chapter

Index

6-70 Using the Online Configuration Module

7

Using the Data Administration Module

Table of Contents

To Display the Data Administration Module................................................7-2

About the Data Administration Module.......................................7-2

Overview of the Data Administration Menus ..............................7-4

To Delete the Complete Data for a Patient ...................................................7-7

Additional Information.................................................................7-7

To Define Export Characteristics..................................................................7-8

To Export Patient Data to a File....................................................................7-9

Index

Using the Data Administration Module 7-1

To Display the Data Administration Module

1. Click the pointer on ``Main Menu''.

2. Click the pointer on the ``Data Administration'' option.

Data Administration Module Listing the Discharged List

About the Data Administration Module

The Data Administration module enables the Documentation Center system administrator to manage patients' data stored on the database. For example, if the disk becomes full, data in the form of a patient's file or record, must be removed from the disk.

C a u t i o n

Currently, there is no automatic data-archiving, therefore, before deleting patient data it is advisable to print a copy of the report.

7-2 Using the Data Administration Module

The module screen lists the cases whose data is still in the current patient list or the discharged patient list. To select a case from the list, simply click on that line with the mouse pointer. You can select more than one case if required; the files are processed in series, one after the other.

You can change the order of the list by clicking beside the sort criterion you want at the bottom of the top of the screen:

Patient Name

List according to the patients' last name. The patient’s name is shown in the first column.

Patient No./

Case No.

List according to the patient number or the case number. Which of these numbers is available depends on what has been configured as the primary key (see

“Patient Identification” on page 11 in the chapter

“Using the Online Configuration Module“). The case

number or patient number is shown in the first column.

Admission date

Discharge date

List according to when the patient was admitted from the Documentation Center. The admission date is shown in the first column.

List according to when the patient was discharged from the Documentation Center. The admission date is shown in the first column.

When displaying list of cases for discharged patients, a slider bar is available that lets you scan backwards in time. The viewing period represents about 3 months. The total scanning period is the length specified in the long-term

dataset configuration (see “Setting Which Data is Kept Long Term” on

page 14 in the chapter “Using the Online Configuration Module“).

This slider bar is not available in the list of current cases.

Using the Data Administration Module 7-3

Overview of the Data Administration Menus

The view menu

Use the View menu to do the following:

Menu Item

Discharge

List

Description

Lists patients whose details are maintained in the discharged list.

Current List

Lists all current patients.

The actions menu

Use the Actions menu to perform the following tasks on the selected patient(s):

Menu Item

Delete

Patient Case

Description

Deletes all demographic and patient trends data from the hard disk.

Reduce Case

Data to Longterm Dataset

Reduces patient case data to the long-term dataset.

N o t e

This manual operation is similar to the automatic process that is done after the time period specified by the Documentation Center configuration.)

Export

Patient Case

Data

Export Characteristics

Exports patient data from the database into ASCII files.

Displays dialog box to let you specify location, type of data.

7-4 Using the Data Administration Module

Configure

View

Define the information to be displayed in the columns of the Data Administration module.

To configure the columns displayed

The Documentation Center allows you to define the number and content of the columns displayed in the Data Administration module. Change the information displayed in the columns as follows:

1. Click Configure View in the Actions menu.

This displays the Column Configuration dialog box shown below.

2. Click the check boxes next to the items that you want displayed.

3. To display these columns every time you start the Documentation Center, click the Save as default for this workstation checkbox.

Using the Data Administration Module 7-5

To Change the List of Displayed Patients

Using the toolbar:

• Click to display the list of cases for current patients, or

• Click to display the list of cases for recently discharged patients.

(Note: When changing lists, the patient in focus changes.)

Using the menu:

1. Click View in the menu bar.

2. Click Current List to display the list of cases for current patients, or

Click Discharge List to display the list of cases for discharged patients who are still listed in the database.

N o t e

If you move between the active bed list and the discharge bed list, the patient in focus changes.

List of Current Patients

Additional Information

• The Current Patient List displays the cases for all patients currently admitted to the system.

• The Discharged Patient List displays the cases for all patients recently discharged from the current list. When patients are discharged, their details are stored on the database for several days after being discharged.

7-6 Using the Data Administration Module

To Delete the Complete Data for a Patient

1. Click on Main Menu then select Data Administration.

2. Click on the patient(s) to be removed from the discharged list.

3. Click on Actions then select Delete Patient Case Data.

4. Click on [OK]. A confirmation dialog box is displayed.

Deleting a Patient from the Discharged List

Additional Information

• When a patient has been deleted, the entry in the Status column changes to Deleted. This is a temporary status and remains until Documentation

Center scheduler erases the data from the system at the scheduled time.

Once the data is erased, the complete entry disappears.

• If more than one patient is selected for deletion, you are asked to confirm either every single patient or all selected patients.

• Several cases can exist for the same patient. When a case is deleted, the patient name, DOB, and CN/PN only remain. If the last case of a patient is deleted, the patient is also deleted.

Using the Data Administration Module 7-7

To Define Export Characteristics

N o t e

Data Export is not applicable for the Lab Results Configuration systems.

N o t e

Data can only be exported on the server, therefore all paths must be valid on the server.

1. Click on View.

2. Click on Export Characteristics.

3. Specify any of the following parameters for the data to be exported:

• Type of data to be exported.

• Output path of the file on the server.

N o t e

Defining Export Characteristics

When exporting trend data, you must be aware that these files can be very large. Make sure that enough disk space is available, and that you delete any trend data files that are not used.

7-8 Using the Data Administration Module

To Export Patient Data to a File

N o t e

Data Export is not applicable for the Lab Results Configuration systems.

1. Highlight a patient.

2. Click on Actions.

3. Click on Export Patient Case Data.

4. Click on [OK].

Exporting Patient Case Data

Exported patient data is saved in the default subdirectory on the server:

C:\DOCVUE\EXPORT

You can specify a different directory in the Export Characteristics dialog box.

The following file extensions are added to the file to help you identify the type of data it contains:

********.NOT

<<Notes in ASCII format>>

********.DEM

********.FOL

********.TRD

<<Demographics in ASCII format>>

<<Personal Folder in ASCII format>>

<<Trends in ASCII format>>

Using the Data Administration Module 7-9

********.LAB

********.XLC

<<Lab data in ASCII format>>

<<Data in Microsoft Excel format>>

N o t e

Table of Contents

The Documentation Center data export function lets you extract data from the database, and save it as a file that you can open with proprietary software packages, such as Microsoft® Excel.

If no case number has been entered, the exported file is automatically given a file name based on the internal case ID of the patient.

When you specify a case interval the setting is saved as the default when you close the Export Characteristics dialog box. This means that you may need to give a new case interval for the next patient, or click on [[Default]] to return the case interval to ``Full Case''.

If a large amount of data is to be exported (for example, data for 12 patients), the performance of the server may be reduced when exporting data. This reduction in performance can affect the performance of the clients.

Trend curves are only available in the database for the time period specified in the configuration.

Trend data stored in an ASCII file can fill disk space rapidly. Make sure that you remove any unused ASCII files periodically from your hard disk to keep the maximum space available for the database.

Start of Chapter

Index

7-10 Using the Data Administration Module

8

Using the Task Window

Table of Contents

What is the Task Window? ...........................................................................8-2

To Access the Task Window at the CMS Monitor .......................................8-4

To Admit a Patient in an Emergency at a Task Window..............................8-6

Additional Information.................................................................8-6

To Re-Admit a Patient using a Task Window ..............................................8-8

Additional Information.................................................................8-8

To Free an Occupied Bed in the Task Window ............................................8-9

Additional Information.................................................................8-9

To Review Lab Data in a Task Window.....................................................8-11

Additional Information...............................................................8-12

To Acknowledge Lab Data in a Task Window...........................................8-13

Additional Information...............................................................8-14

To Review and Enter Cost Data in a Task Window ...................................8-16

Additional Information...............................................................8-17

To Enter a Cost Item ..................................................................8-18

Index

Using the Task Window 8-1

What is the Task Window?

N o t e

The task window can be displayed only on the screens of CMS Patient Monitoring System (CMS) or V26/V24 patient monitors.

If your Documentation Center is situated at a central station area, away from the beds, you can use the task window to review data stored on the database, and perform some administrative tasks at the point of care. Data is transmitted from the Documentation Center to the patient monitor by way of the CareNet.

You can perform the following Documentation Center tasks in a task window:

• Admit a patient in an emergency (Stat admit).

• Re-admit a patient from a temporary bed.

• Move a patient from another bed into the current bed.

• Review lab data.

• Acknowledge lab data.

In the standard Documentation Center it is also possible to use the task window to:

• Move a patient from the current bed to a temporary bed.

• Enter and review Cost Capture data.

All tasks are performed by pressing the softkeys on the front panel of the

CMS, or on the CMS keypad. Each of the seven softkey labels displayed at the bottom of the task window corresponds to the CMS softkey directly below it.

N o t e

It is not possible to input data to the task window using the CMS keypad or hard keys.

8-2 Using the Task Window

1

Patient Folder

2

4

5

Lab data has arrived

Select

Group

Next

Page

Prev.

Page

Time

<<

Time

>>

Cancel

3

N o t e

Overview of the Documentation Center Task Window

Key:

3

4

1

2

5

Task window label.

Data display area.

CMS softkey labels.

Status messages.

Help text.

Help information is provided for some operations in the lower part of the task window.

Some special characters in local languages cannot be displayed in the task window (they may be displayed without their accents, or as a ’?’).

Using the Task Window 8-3

To Access the Task Window at the CMS Monitor

1. Press the [Patient Data]

1

key on the CMS front panel.

2. Move the cursor to the row containing the [Patient Folder] softkey label, using the arrow keys on the CMS front panel.

3. Press the [Patient Folder] softkey.

The task window is displayed in the lower half of the CMS screen.

When the current bed is empty, details of how to admit a patient are displayed in the window, and the message No patient admitted is displayed until you admit a patient.

When the bed is occupied, you will see a screen similar to the following:

Patient Folder

Current Patient Bed: ICU-5

Name : Hegarty, David

CN : 82101205

DOB : 7/7/64

Stat admission: press Stat Admit

Remove Patient from Bed: press Free Bed

Data review: press any other key

Stat

Admit

Free

Bed

Other

Cost

Lab

Data

Patient Admitted in the Task Window

1.The exact text on this button (the second function key from the right) depends on your patient monitor.

8-4 Using the Task Window

If unacknowledged lab data is present for the patient, the message New Lab

data available is displayed.

If there is a mismatch between the patient ID entered on the Documentation

Center and the central station, you will get a notification that you should change the patient ID.

Information displayed in the task window is completely independent of the

CMS. The admission and discharge functions of the CMS have no influence on the data displayed in the task window, and administrative tasks performed at the Documentation Center do not influence the CMS.

Using the Task Window 8-5

To Admit a Patient in an Emergency at a Task

Window

1. Press the [Patient Folder] softkey to display the task window.

2. Press the [Stat Admit] softkey. If a patient is already admitted to this bed, you are first requested to free the bed by moving the patient to a temporary bed.

3. Press the [Confirm Admit] softkey.

Patient Folder

A patient with the temporary name

990810_135734

Will be admitted. Patient demographics must be entered immediately after Stat Admission patient monitoring starts.

Confirm stat admit: press Confirm Admit

Cancel stat admit: press Cancel

Confirm

Admit

Cancel

Confirming the Emergency Admission of a Patient

Additional Information

When you use the emergency admission procedure, a temporary patient is admitted to the Documentation Center with the following name:

Date_time (in the format YYMMDD_hhmmss)

8-6 Using the Task Window

The date and time at admission are included in the label of the temporary patient.

As soon as you confirm the emergency admission, data is collected from the patient monitor and stored in the database. You can add the patient's demographic details, and change the patient's ID at the Documentation Center when convenient.

Using the Task Window 8-7

To Re-Admit a Patient using a Task Window

1. Press the [Patient Folder] softkey to display the task window.

2. Press the [Re-Admit] softkey.

This softkey is displayed only when the bed is unoccupied. A list of current patients is displayed.

3. Move the selection cursor to the patient you want to re-admit using either the [Next Patient] or [Prev. Patient] softkeys.

4. Press the [Confirm Admit] softkey to complete the admission.

Additional Information

You can only re-admit a patient who is in the current patients list.

Up to eight current patients in temporary beds can be displayed in a single task window. To display more patients, page through the list using the [Next

Page] and [Prev. Page] softkeys.

8-8 Using the Task Window

To Free an Occupied Bed in the Task Window

1. Press the [Patient Folder] softkey to display the task window.

2. Press the [Free Bed] softkey.

3. Check that the patient's details are correct.

4. Press the [Free Bed] softkey once more to remove the patient from the bed.

Patient Folder

Bed: ICU-5

The following patient will be removed from the bed:

Name : Hegarty, David

MRN : 82101205

DOB : 7/7/64

Remove patient: press Free Bed

Cancel remove: press Cancel

Free

Bed

Moving a Patient to a Temporary Bed

Cancel

Additional Information

When you move a patient from the current bed in the task window to a temporary bed on the Documentation Center, you can admit another patient to the vacated bed.

Using the Task Window 8-9

N o t e

Discharging a patient using the CMS discharge function does not discharge the current patient in the task window.

You can move a patient from the task window to a temporary bed on the Documentation Center, and discharge a patient from the CMS using the CMS discharge function.

8-10 Using the Task Window

1

To Review Lab Data in a Task Window

5

2

1. Press the [Patient Data]

1

key on the CMS front panel.

2. Move the cursor to the row containing the [Patient Folder] softkey label, using the arrow keys on the CMS front panel.

3. Press the [Lab Data] softkey.

The most recent lab data is displayed for review as shown in the following figure.

Lab Data

3

New Data 12.8 12.8 13.8 Units

HGB GAS (A) 07.35 15.20 08.03

HGB 15.4 15.5 15.4 gm-% pH 7.7 7.7 7.7 ---

SaO2 98.5 95 98 %

PaO2 95 93 95 mmHg

PaCO2 43 42 43 mmHg

Temp 37.5 37.5 37.5 deg C

FiO2 .40 .40 .30 ---

CaO2 14.5 14.8 14.9 ml/dl

Select

Group

Next

Page

Prev.

Page

Time

<<

Time

>>

Cancel

4

Key:

1

2

Reviewing Lab Data in a Task Window

Group label.

Status message displayed when new data is available in this group.

1.The exact text on this button (the second function key from the right) depends on your patient monitor.

Using the Task Window 8-11

3

4

5

Date and time data received from the lab.

Data received within the last 48 hours (when the task window is first displayed).

Parameters within the group.

Note - Only the first 12 characters of the parameter label can be displayed. A ’Ç’ indicates that the parameter label is longer than 12 characters.

Additional Information

Lab data is displayed according to the same groups of parameters described in

Chapter 4. Up to eight parameters can be listed in a single task window, with three columns representing the date and time when the data was received from the lab. When the review task window is displayed, the parameter group with the most recent results is displayed at the top, with the most recent results in the right-hand column.

You can now review all lab results, one group at a time.

The softkeys have the following functions:

Softkey

[Select Group]

[Next Page]

[Prev. Page]

[Time <<]

[Time >>]

[Cancel]

Function

Select a different group of parameters; and display the validation window if new lab data have arrived.

Display the next page of data.

Display the previous page of data.

Display data from an earlier time.

Display data from a later time.

Quit the data review screen.

8-12 Using the Task Window

To Acknowledge Lab Data in a Task Window

N o t e

The following description applies only to systems configured for the manual acknowledgment of laboratory data.

When the Documentation Center is configured for automatic data acknowledgment, this procedure is not required. This will probably be the default configuration for most systems.

1. Press the [Patient Folder] softkey to display the task window.

2. Press the [Lab Data] softkey.

The system searches for all unseen specimens, and then displays the oldest specimen received from the lab in the task window.

3. Press the [Confirm Result] softkey to acknowledge that you have seen the lab data.

Using the Task Window 8-13

If other unseen results are available, then the next specimen is displayed. If not, the review screen is displayed in the task window.

Lab Data

Specimen ID:13452-92 27.10.99, 09:30

Parameter Units

HGB 15.4 gm-% pH 7.7 ---

SaO2 98.5 %

PaO2 95 mmHg

PaCO2 43 mmHg

Temp 37.5 deg C

FiO2 .40 ---

CaO2 14.5 ml/dl

Confirm

Result

Next

Page

Prev.

Page

Cancel

Acknowledging Lab Data in a Task Window

Additional Information

When you list the data groups, a group containing data to be acknowledged is preceded by the label NEW. If old data exists for a data group, an asterisk (*) is displayed.

Lab data values displayed in bold type or inverse video (black text on a green background) are outside their configured range. Values shown in bold are abnormal, and values in inverse video are far above or below their configured range.

The data validation softkeys have the following functions:

Softkey Description

[Confirm Result] Acknowledge the data currently displayed, then display the next group with data to be acknowledged.

[Next Page] Display the next specimen.

8-14 Using the Task Window

C a u t i o n

[Prev. Page]

[Cancel]

Display the previous specimen.

Return to the data review screen.

When your system is configured for automatic acknowledgment, you acknowledge the complete specimen ordered from the lab.

If data belonging to different groups is also part of this order, it is possible that part of the lab data will be acknowledged without you having seen it.

Before you can acknowledge lab data in a task window, your system must be configured for manual acknowledgment. If your system is configured for the automatic acknowledgment of lab data (this is the default setting), you can only review lab data in the task window.

It is not possible to add lab data manually, or edit existing values in a task window.

Using the Task Window 8-15

To Review and Enter Cost Data in a Task Window

N o t e

The Lab Results Configuration does not use Cost Data.

You can also review and enter cost data in a task window if your system has been configured for this function. If it has not been configured, the softkeys

[More Items] and [Select Group] do not appear.

The text, list items, and softkeys that appear in the task window can be configured by your system administrator so the examples given here may differ slightly from your system.

1. Press the [Patient Folder] softkey to display the task window.

2. Press the [Other Cost] softkey.

The date, type of treatment, and amount are displayed.

Patient Folder

Other Cost Unit

1.03. 10:12 XRAY 1 x

21.03. 14:30 Multi Lead ECG measurement 1 x

22.03. 10:15 EEG measurement

ECG Pat.

Visit

Cost

Item 3

Cost

Item 4

Cost

Item 5

More

Items

Select

Group

Cost Data Review

8-16 Using the Task Window

N o t e

The softkey [Other Cost] has the same label as the “Other cost” page of the patient folder.

Additional Information

The lines immediately following the window header Other Cost display up to the last ten items entered over the previous 48 hours. If only eight items have been entered over the previous 48 hours, then only eight lines are displayed regardless of how many other entries are available.

The information displayed in this window:

• Depends on such parameters as the cost capture entry mode, date, time, shift, and unit amount applied.

The following softkeys are intended for example purposes only, as the text displayed in the softkey depends on the configuration of your system:

Softkey

[ECG]

[Pat. Visit]

[Cost Item3]

[Cost Item4]

[Cost Item5]

Description

A short description of the stored ECG cost item.

A short description of the planned patient visit.

A short description of the stored cost item.

A short description of the stored cost item.

A short description of the stored cost item.

The text in the following softkeys is fixed and cannot be changed in the configuration:

Softkey

[More Items]

Description

This softkey is active only when more than five items are configured in the selected group. Press this softkey to cycle through the list.

Using the Task Window 8-17

[Select Group] This softkey is active when more than one cost group is configured. Press this softkey to display the cost group selection window in the task window.

To return to the Task Window, press the [Patient Data] key.

To Enter a Cost Item

The following information is intended as an example only as the information that you will see depends on the groups and items configured for your system:

1. Press the [Patient Folder] softkey.

2. Press the [Other Cost] softkey.

3. If necessary, press the [Select Group] softkey to display other groups.

This step is only necessary if the group you want is not the currently displayed group.

Patient Folder

Select Cost Group

Therapy Blood Cell Therapy

ICU Care ICU Nursing Care Activities

Diag. Diagnostics

Press a ’cost group’ softkey to show the individual

cost items per group for the data entry

Therapy ICU

Care

Diag.

Cost

Group 4

Cost

Group 5

More

Groups

Cancel

4. Cost Data Review

Press the relevant softkey to display individual cost data items for entry.

5. Press the desired group, for example [Group #2].

8-18 Using the Task Window

6. Select the desired item, for example [Therapy].

7. If necessary, use the softkeys [Decr...] and [Incr...] to adjust the default amount that is displayed.

8. Press [Confirm Item] to save your data. To quit without saving your inputs, press [Cancel].

The Documentation Center displays the Other Cost screen together with the added item.

Typically, the softkeys in these two windows have the following functions:

Softkey

[Therapy]

[2] to [5]

[More Groups]

[Confirm Item]

[Decr.by 10]

[Decr.by 1]

[Incr.by 1]

[Incr.by 10]

[Cancel]

Description

This is the configured softkey label, the full description for this label is Blood Cell Therapy.

Similar functions to softkey 1.

Displays more groups if more than five groups are configured.

Saves the selected cost item and amount. The Other

Cost window is then displayed.

Decrease amount by an increment of 10.

Decrease amount by an increment of 1.

Increase amount by an increment of 1.

Increase amount by an increment of 10.

Closes the window and redisplays the Other Cost window without saving any changes.

N o t e

Table of Contents

The increments depend on the current amount of the item.

.

Start of Chapter

Index

Using the Task Window 8-19

8-20 Using the Task Window

9

Using the Database Query Module

Table of Contents

To Display the Query Module.......................................................................9-2

About the Query Module .............................................................9-2

To Query the Database..................................................................................9-6

Index

Using the Database Query Module 9-1

To Display the Query Module

1. Click the pointer on “Main Menu”.

2. Click the pointer on the “Query” option.

Query Module

About the Query Module

The Query module enables selected Documentation Center users to get statistical data from the database. For example, the age distribution of the patients over the last month, or a list of all items that made up more than 5% of total costs last year.

The module can only be launched by a user, with the right “Query”

The Query Module consists of a notebook (similar to that of the report start module) where the major tabs at the top represent query groups and the minor tabs on the right hand side represent individual queries, by name.

9-2 Using the Database Query Module

The Query Page

Each query page contains:

• A text describing the query in detail

• A box to select a time range

• This box consists of buttons to easily select a date range:

Current month

Current year

Last month

Last year

• The selected date range

• Two fields for the selection of a start and end date.

The time is added internally: start time is 00:00.00, end time is

23:59:59).

If a radio button other than ‘Given date range’ is selected, these fields are read-only.

If ‘Given date range’ is selected, the dates can be scrolled up and down.

The upper limit fo the start or end date is ‘today’.

The lower limit for the start or end date is given by the maximum storage period for that database.

The initial value for the time range is: ‘Current month’. The selected values are used as default for all queries until the logoff of the user. This means, the last time range is the default value for the next query. The assumption is that a user makes more than one query for a selected time range.

• A

Start

button to start the query

The Result Page

The result page consists of:

• A table with a column for every result column and a row for every result row. The names of the result columns are shown as headlines of the table

Using the Database Query Module 9-3

columns.

• An

Exit

button to exit the page.

• By printing them: click on the Print button, select the printer to use

(printer queue), and whether the results should be printed "portrait"

(normal page orientation) or "landscape" (to use the full width of the sheet).

• A

Copy to clipboard

button to copy the contents of the table, together with the name of the query and the selected date range, to the clipboard.

• A

Save

button to copy the contents of the table, together with the name of the query and the selected date range, to a file.

All of the items in a line are tab separated. A line is terminated with CR

LF.

The stored result has the format:

• 1st line: the name of the query,

If a date macro was used: the start and stop date

If a case / patient macro is used: the last name of the patient, the first name of the patient, the patient and case numbers

• 2nd line: row of column headlines

• 3rd and subsequent lines: results

Example:

Age distribution

Age

1. < 1

2. 1-5

3. 6-16

4. 17-40

5. 41-60

6. 61-70

7. 71-80

8. > 81

Count(DISTINCT C.CaseID)

45

62

18

2

23

56

1

4

9-4 Using the Database Query Module

Errors

If a query could not be performed, a detailed error message is shown.

This message comes from the database engine and is always in English.

Using the Database Query Module 9-5

To Query the Database

1. Click the section tab for the group of queries.

2. Click the page tab of the query that you want to perform.

3. If you need the report to cover a more specific time range, click the radio button beside the period that interests you.

If you want to view the statistics for another period, click the radio button beside Given Data Range and define the time interval by entering the start and end date in the boxes provided. The statistics will cover the period from 00:00:00 on the start date to 23:59:59 on the end date.

4. Click the Start button.

Table of Contents

Start of Chapter

Index

9-6 Using the Database Query Module

A

Patient Case Management

The Documentation Center is a valuable tool for case management in the ICU.

It provides structured data collection on a per case basis for

• comprehensive case review

• statistical purposes and

• cost control.

Using the Documentation Center Patient Case Management is similar to the procedure used by most hospitals. This chapter explains the Patient Case

Management functionality and provides information to help you adapt it to your specific needs.

Index

Table of Contents

Hospital Patient Classification .....................................................................A-2

Documentation Center Patient Classification .............................A-2

Case Management Functions .......................................................................A-4

Patient Lists.................................................................................A-4

Admission/Readmission..............................................................A-5

Discharge.....................................................................................A-6

Changing Case Status..................................................................A-6

Reviewing Previous Cases ..........................................................A-7

Change Patient Identification......................................................A-8

Merging cases..............................................................................A-9

Creating a Unique Case Number...............................................A-11

Configuration of Long-term Data .............................................A-11

Patient Case Management A-1

Hospital Patient Classification

Most hospitals issue a hospital number to each patient at his or her first admission. This hospital number (or unique patient identifier) usually remains the same throughout the patient's life.

For each of this patient's individual stays in the hospital an additional number is issued to allow tracking of data. This is called a visit or encounter number.

All lab results for a patient, for instance, are identified using this visit or encounter number.

Sometimes units issue patients another number for each individual stay in that unit. These unit case numbers are usually issued in sequence beginning with the number 1. The first patient admitted at the start of a new calendar year or other specific time period is identified using the first number. If, during one visit to the hospital, the patient is readmitted to a unit multiple times, he or she is always issued a new unit case number.

Hospital Patient Classification

issued once per patient issued per admission to hospital

Hospital Number

Stay I

Visit or Encounter Number

Stay n

Visit or Encounter Number issued per admission to a department

Unit Case Number I

Unit Case Number II

Unit Case Number n

Documentation Center Patient Classification

The Documentation Center utilizes the same general classification scheme as the hospital, with a more general terminology for the individual numbers.

A-2 Patient Case Management

The visit or encounter number is named 'Patient Number' within the

Documentation Center. It is assigned to this patient for the total storage period, independent of how many patient visits will be stored.

The unit case number is named 'Case Number' within the Documentation

Center. It will be different for any visit.

Documentation Center Patient Classification

Department e.g. ICU

Patient Number =

Visit or Encounter

Number

Case I

Case II

Case III

Case n

Medical Record Number

Medical Record Number

Medical Record Number

Medical Record Number

For example, if a patient is discharged from the ICU, but returns several days later, he or she is issued a new ICU Case Number, yet maintains the same

Patient Number. The Documentation Center collects all information, such as diagnosis, lab data, daily health state, cost data, etc., on a per ICU case basis.

An ICU case (or visit) starts with the patient's admission to the unit and ends with the patient's formal discharge from the ICU.

A case can be in an "open" or "closed" state. "Open" indicates that new information can be added to a particular case, and the existing information can be edited. Once the case is "closed," the patient information can be reviewed

only. (For further details on closing a case, see “Changing Case Status” on page 6.) Each patient can have multiple cases registered under his or her ICU

Patient Number, but only the most recent can be in the "open" state.

Patient Case Management A-3

Case Management Functions

Following is a list of the major functions of the Documentation Center Patient

Case Management:

• Patient Lists

• Admission and Readmission

• Discharge

• Changing case status

• Reviewing previous cases

• Change Patient Identification

• Merging cases

• Creating a unique Case Number

• Configuration of Long-term Data.

Patient Lists

The Documentation Center maintains two patient lists in the Patient

Administration Module, the

• Current Patient List and the

• Discharged Patient List.

The Current Patient List shows all beds in the unit, either occupied or unoccupied. Additionally there are the so-called “non-beds” for patients currently in a transfer status or out of the unit for tests or procedures, such as

X-rays. If test results arrive for a patient who is not yet registered, the patient’s name will appear in a “non-bed.” This prevents the loss of test results. Once the patient is admitted to the unit, he or she must be moved from non-bed to a specific bed.

The Discharged Patient List includes all discharged patients, showing the status of their most recent case.

A-4 Patient Case Management

If you are in the Current Patient List, click on the

Discharged Patient List.

icon to switch to the

If you are in the Discharged Patient List, click on the the Current Patient List.

icon to switch to

Admission/Readmission

To admit a patient, click on the icon in the toolbar, then select a bed.

• If you admit a patient for the first visit to the ICU under this Patient

Number, enter the patient’s identification data in the “Admit a Patient” window.

• To readmit a patient, select Patient List from the "Admit a Patient" window.

A list containing all known discharged patients is displayed.

Select the appropriate patient from the list, then click “OK”. The “Admit

Patient” dialogue now appears on the screen filled with the patient’s identification data from his or her most recent stay in the ICU.

Click “OK” to complete the readmission.

If an open case already exists for this patient, you are asked if you wish to continue this case or close and create a new case.

If you create a new case you are asked to enter a unique case number. If

Patient Case Management A-5

you do not use case numbers, just click “OK” and continue.

Discharge

To execute the discharge procedure, click on the icon in the toolbar or select “Discharge” from the Actions menu in the Patient Administration

Module. Then complete the discharge dialogue and click “OK”.

The patient now appears on the Discharge List, but his or her case remains open so that new data can be added and/or existing data edited. For example, delayed lab results will still be assigned to the patient, and the patient record information can be completed.

Changing Case Status

As mentioned, a case can be in an open or closed status. To change the status from open to closed, the patient must appear in the Discharge List. A status change may be performed manually or automatically by the system.

To close a case manually,

1. Switch to the Discharge List, by clicking on the

2. Select the patient.

3. In the Actions menu, select “Close Case.”

icon, if necessary

A-6 Patient Case Management

Cases that are not closed manually are automatically closed by the system after a configurable period of time. With the close procedure (either manual or automatic) the system automatically deletes some data according to the

system’s present long-term data configuration (see “Configuration of Longterm Data” on page 11).

Reviewing Previous Cases

In the Patient Administration Module, select the patient whose case you wish to review. The patient can be in the Current or Discharged Patient List.

From the Actions menu select “Review Cases.” You will then see a list of this patient’s cases.

N o t e

N o t e

Select the case you wish to review and click on the “Review” option.

Even if the case is closed, all patient data can only be reviewed. It is not possible to edit or enter patient case data!

The icon at the bottom left of the screen indicates, that the case of the patient in focus is open.

Patient Case Management A-7

N o t e

N o t e

The icon in the bottom left of the screen indicates, that the case of the patient in focus is closed.

Whenever you select a patient, that patient’s most recent case is automatically selected.

Change Patient Identification

If the patient has been admitted using a wrong Patient Number, Last Name,

First Name, Date of Birth or Case Number, it is a simple procedure to change the patient identification

1. Select the patient with the incorrect Patient Number.

2. In the Actions menu, select "Change Patient ID."

3. Override the Patient Number field with the correct Patient Number.

4. Click "OK."

A-8 Patient Case Management

If there is a patient with the same name, this is recognized by the system. The system asks if you wish to merge the two cases and which patient's data should be preserved.

N o t e

N o t e

N o t e

Select "Already existing patient" and click "OK." The data of both patient cases is now merged into one patient case, e.g. if both patients had lab results, they are preserved, or if both had diagnoses, all diagnoses are kept.

The exception is "Trends." Only Trends from the patient who had the previously correct Patient Number are kept.

Make sure the merged patient is in the correct bed. If not, move the patient to correct bed.

If you find the patient name in the bed list displayed with a leading star, then the patient identification on the bedside monitor and/or at the central station is different. Check that the correct patient is admitted in the Documentation

Center. A patient discharge at the central station and/or at the bedside monitor is not a discharge in the Documentation Center!

Merging cases

If there is a need to merge two cases, e.g. lab results arrive with an incorrect

Patient Number, it is a simple procedure to merge them using the correct

Patient Number.

Prerequisite: Both of the cases to be merged have to be open.

Patient Case Management A-9

1. In the current bed list select the patient case to be merged.

2. In "Actions" menu, select "Merge Patient".

The "Merge Patient" Window is displayed:

N o t e

3. From the list on the right hand side of the window select the patient to be merged.

4. Click Ok.

The data of the left-hand case will be merged into the case selected on the right hand side. The case displayed on the left-hand side will be deleted.

5. Confirm that you really want to do this.

The data of both patient cases is now merged into one patient case, e.g. if both patients had lab results, they are preserved, or if both had diagnoses, all diagnoses are kept.

The exception is "Trends." Only Trends from the patient who had the previously correct Patient Number are kept.

A-10 Patient Case Management

N o t e

Make sure the merged patient is in the correct bed. If not, move the patient to correct bed.

Creating a Unique Case Number

The Documentation Center revision C.02 or earlier requires unique Case

Numbers when a patient has multiple cases under a single Patient Number. If there is a Patient Number given by the hospital, but no Case Number is issued, you can use the following methods to create a unique Case Number:

In the Case Number field, enter the Patient Number again. Add a number as an extension. If this is the patient’s first admission, use the number “1”. If you readmit a patient from the Discharge Patient List, you automatically get the

Case Number of the most recent case. Override the number extension by adding “1” to the previous number. Then admit the patient as described above.

Configuration of Long-term Data

From the Configuration Module select “View,” then “Application Defaults,” and then its sub menu “Long-term Data Set.” You then have the option to specify a length of time between 7 and 365 days that you wish to keep all of the case data before the case is automatically closed. You may also specify which data elements should be kept after a case is closed. And, finally you can specify the number of months that the patient’s case is kept in the database

Patient Case Management A-11

before it is completely deleted. The maximum storage period in the database is 50 months, which allows the review of at least four years of the unit’s cases, e.g. for statistical purposes.

Table of Contents

Start of Chapter

Index

A-12 Patient Case Management

B

Database Access

There is an increasing demand in hospitals for analysis and statistical evaluation of data. To further support hospitals in their need to access data collected via the Documentation Center, Philips offers Database Access, tools and access mechanisms that enable users to both extract data and create specific views, charts, summaries, etc.

Index

Table of Contents

Access Mechanisms ..................................................................................... B-2

Query Module ............................................................................. B-2

Open DataBase Connectivity (ODBC) ....................................... B-2

Data Export Utility...................................................................... B-4

HL7 Query Interface ................................................................... B-4

Database Access B-1

Access Mechanisms

There are four principle ways to access the stored data of the Documentation

Center’s SQL database:

• Via the Query Module, which is a part of the Documentation Center

• Via Open Database Connectivity (ODBC)

• Via the Data Export Utility.

• Via the HL7 Engine, using Query Messages

Query Module

The Query module enables selected Documentation Center users to get statistical data from the database. For example, the age distribution of the patients over the last month, or a list of all items that made up more than 5% of total costs last year. All predefined queries are described in the Statistics

Guide on the Documentation Center CD.

You can use the results of your query further

• By saving them to a file.

• By copying them to the clipboard for pasting into another application such as a spreadsheet.

Open DataBase Connectivity (ODBC)

Database access via ODBC is part of the standard Documentation Center.

Therefore all standard applications, such as MS Access, MS Excel or MS

Word, are able to access the database, for example: Documentation Center database tables can be linked to an MS Access database for data integration with other data sources.

• Data for the generation of a physician’s letter can be exported to an MS

B-2 Database Access

Word file.

• Data for the generation of statistics can be exported to an MS Excel file.

Cross Database Integration using Microsoft Access

For research and report purposes, integration of data from different sources is vital. This can easily be achieved using Microsoft Access. Tables of the

Documentation Center database can be attached to an Microsoft Access database (or any other data source supported by Microsoft Access, such as the radiology department database). For example, a physician can use his PC to create a single report that combines radiology data from the radiology database with the current daily health status and latest lab results from the

Documentation Center database.

Physicians Letter using Microsoft Word

Every patient discharge or transfer requires a physician’s letter. The letter may contain patient demographics, date of admission and discharge, diagnosis, lab values and other pertinent patient demographic information. There are two methods to create such a letter.

• The conventional way, without the Documentation Center, involves using a standard word processor to create the letter and manually inserting the relevant patient data.

• With the Documentation Center, the process is simplified and much quicker.

Database Access allows the word processor, utilizing MS Word and a macro for the database connection, to automatically import the pertinent patient data from the database. With just a few clicks of the mouse, the database data is transferred to the letter.

The physician letter is available from Philips HPS organization.

Database Access B-3

Data Export Utility

The Data Export Utility is used to export patient data into flat files. The default output is text format, however the desired data can also be translated to other formats. Possible data selection criteria are time intervals on one hand, and patient data, such as demographics, laboratory results, notes, trends, etc., on the other hand.

• Via the Data Administration Module, the Data Export Utility can be manually set for a specific patient or group of selected patients.

• Via the Scheduler, the Data Export Utility can be automatically started at specific times and do data export for specific time intervals on a group of patients.

Trend data will be stored only for a configurable time period in the

Documentation Center database. If there is a need, for example for research purposes, to keep the data for an extended period of time, it must be exported from the database into an Excel readable file format. This can be accomplished by setting up the Data Export Utility in the Scheduler to run every so many hours (as specified), generating a file per patient with all the relevant trend data, for example over the past so many hours (again, as specified). The Data Export Utility can be used within the Documentation

Center user interface or started directly at the command level. The latter as well as further details are described in the Documentation Center Tools User

Guide which is available upon request from via your Philips representative.

HL7 Query Interface

The HL7 Engine can be used to query patient data from the database. This is described in detail in HL7 Implementation Guide, available from your Philips representative.

B-4 Database Access

Table of Contents

Start of Chapter

Index

Database Access B-5

B-6 Database Access

C

Using Diagnosis and Procedure Lists

Table of Contents

Adding Diagnoses and Procedures............................................................... C-2

Entering a Diagnosis/Procedure Manually.................................. C-3

Using the Hierarchical Search to enter a Diagnosis/Procedure .. C-4

Using the Text Search Function.................................................. C-5

Selecting a Diagnosis/Procedure from the Hitlist ....................... C-6

Maintaining Keywords................................................................................. C-9

Adding a Keyword .................................................................... C-10

Index

Using Diagnosis and Procedure Lists C-1

Adding Diagnoses and Procedures

1. From the Admitted Patient list, select a patient and click on the icon

“Patient Folder”

2. In Patient Folder select “Diagnoses” or “Procedures”.

3. Click “Add”.

4. The “Add” window is displayed.

Add a diagnosis / procedure

Enter the date of the diagnosis/procedure. Default is the actual date.

Select whether this diagnosis is the main or a secondary diagnosis "Type of

Diagnosis" area. (You can also configure your system to have multiple main diagnoses.)

C-2 Using Diagnosis and Procedure Lists

Enter the diagnosis Diagnosis and code field. Starting from this screen there are five ways to enter the diagnosis:

• Manually type in the diagnose and the code.

• Use a hierarchical search.

• Use a text search function.

• Select a diagnosis from a hitlist.

• Use a search in the range.

Entering a Diagnosis/Procedure Manually

Enter the Diagnosis/Procedure and its code manually in the Diagnosis and code field and click on “Save”.

Using Diagnosis and Procedure Lists C-3

Using the Hierarchical Search to enter a Diagnosis/Procedure

1. Click on “Hierarchy” in the Diagnosis and code field.

2. The top level of the hierarchy is displayed:

Hierarchical Search, Top Level

3. Select an entry, open it by double-clicking on it and selecting the appropriate sub-hierarchy. Continue this until you have found the diagnosis/procedure that you want. Then click “Take over”.

Add a diagnosis: Result

C-4 Using Diagnosis and Procedure Lists

N o t e

4. You can now change the date and add a comment.

5. Click “Save” to save the diagnosis/procedure to the patient folder.

This diagnosis / procedure is now stored in the “Hitlist”.

6. Click “Exit” to close the window, or search another diagnose /procedure as described above.

Using the Text Search Function

1. Click the “search” button in the

Add a diagnosis / procedure

window. The following window is displayed:

Search for a Keyword

2. Enter the item you are looking for in the “Search keyword” field.

3. Select whether you want to perform a search for diagnoses / procedures where the entered item matches by

• Sound

Your keyword has to have a similar spelling to a word in the text or description of existing diagnoses or procedures. ('Tuberculosis' =

Using Diagnosis and Procedure Lists C-5

N o t e

N o t e

or

'Tuperkolos'). Only the first entered keyword is significant!

• Randomly

Your keyword has to match more the 75% of the characters in the text or description of a diagnosis or procedure. ('Tuberculosis' =

'Tuerfuloses'). Only the first entered keyword is significant!

• Exact

Your keyword has to match all characters of a word in the text or description of a diagnosis or procedure. Missing characters to the right of the word you enter are ignored. ('Tuberculosis' = 'Tubercul'). If two keywords are entered, the search is for a combination of both words.

Upper and lower cases of the characters are ignored for all searching methods.

4. Click on the “Search” button.

The result of the search is displayed in the area below the “Search” button.

5. Click on one of the diagnoses or procedures and click “Take over” to add the diagnosis/procedure to the patient folder.

This diagnosis/procedure is now stored in the “Hitlist”.

Click “Cancel” Button if the result does not fit to the desired result.

Selecting a Diagnosis/Procedure from the Hitlist

Normally only a few diagnoses/procedures are used frequently in a ward. A list of the 50 most used ICD codes of the Documentation Center installation can be shown.

C-6 Using Diagnosis and Procedure Lists

Every diagnosis/procedure entered in the patient folder is also stored in the hitlist. To access the hitlist click on “Hitlist” in the

Add a diagnosis / procedure

window.

Hitlist

Select the desired diagnosis/procedure by clicking on it and the click on “Take over”.

If none of the listed diagnoses/procedures fits, then you may select additional diagnoses/procedures by clicking on one of the buttons

• “Text search” see Using the Text Search Function

• “Hierarchical Search” Using the Hierarchical search to enter a Diagnosis or

• “Range Search” Using the “Range Search” Function to find a diagnosis / procedure

Using the “Range Search” Function to find a Diagnosis/Procedure

Starting from the Hitlist window you can use the “Range Search” functionality to find a diagnosis/procedure in a range of codes.

1. In the Hitlist click on the “Range Search” button, the following window is

Using Diagnosis and Procedure Lists C-7

displayed:

N o t e

Range search (available from Hitlist)

2. Enter the lower limit of the range in the “from” field, enter the higher limit in the “to” field.

3. Click “Search” button.

All the diagnoses / procedures between in this range are displayed.

4. Click on the diagnosis or the procedure.

5. Click on “Take over” to add the diagnosis/procedure to the patient folder.

This diagnosis / procedure is now stored in the “Hitlist”.

Click “Cancel” Button if the result does not fit to the desired result.

C-8 Using Diagnosis and Procedure Lists

Maintaining Keywords

By default the Documentation Center is shipped with a predetermined list of keywords which are used to search for a specific diagnosis. However as this list is automatically generated from the list of diagnoses, it may not contain all the abbreviations or synonyms used in your hospital. Therefore you can update this list to suit your needs.

The keyword configuration allows you to:

• Add a keyword

• Change list of diagnoses assigned to a keyword

• Delete keyword

• Add a synonym to a keyword

To access the keyword maintenance go to “configuration”, then “view”

“Patient Folder” and select the sub page “ICD” from the “diagnoses” page.

Maintenance of Diagnosis Keywords

The main screen shows the list of available keywords sorted alphabetically.

The list only shows those keywords which start with the character selected in the “First Character of Key” selection box.

By default the Documentation Center provides a set of keywords created from the code reference received from the responsible national institute.

Using Diagnosis and Procedure Lists C-9

Adding a Keyword

When you add a new keyword, you introduce a new word to the search list.

All diagnoses assigned to this keyword can then be found when you type in this keyword into the diagnosis module and search for it.

Add a keyword

Table of Contents

Configuring references for a keyword

Once you add a keyword, you need to configure the associated diagnoses. The top list box shows the diagnoses assigned to this keyword. In the bottom part of the window you can search the existing list of diagnoses for additional diagnoses which can be assigned to this new keyword.

Start of Chapter

Index

C-10 Using Diagnosis and Procedure Lists

Glossary

Table of Contents

Index

This glossary lists terms used in the Operating and Reference Guide that may be unfamiliar to users of the Documentation Center. Terms used in the definitions that have their own entry in the glossary are shown in bold type, for example data groups.

Term

Patient Trend

Patient Trend

Interval

Check Box

Client

Context Menu

CMS

Data Group

Definition

Any window that can be displayed in the Patient

Trends module. Used to display data received from various sources, for example the laboratory, the

CareNet, etc. Some patient trends are further divided into data groups of similar parameters.

The time period represented by a column of data in the

Patient Trends module.

A square field in a dialog box that enables you to select or deselect an option for a particular command. In a group of check boxes, several or all options can be selected. When an option is selected, an X or a checkmark is displayed in the check box.

In a local area network (LAN), a PC that is managed by a server. The client includes parts of the application software, the Windows operating system, and part of the network software. The system database is located on the server.

A list of options displayed by clicking the right mouse button. See Pop-up Menu.

CMS Patient Monitoring System.

Similar physiological parameters grouped together for ease of viewing within certain types of patient trend, for example in the laboratory data chart.

Glossary Glossary-1

Dialog Box

Laboratory Station

A window that is opened in the foreground of the screen when certain menu options are selected. The dialog box enables you to provide additional information for a command to be started.

A Documentation Center at which you can enter, change, and review lab data. This station includes only the Laboratory module from the application software, and the client part of the network software. If manual data validation is active, data entered at a laboratory station must be validated again at another Documentation Center.

LAN

Local Area Network

See Local Area Network.

A group of computers and other devices (printers, mass storage, etc.) that are connected so that users can share facilities.

Case number.

CN

Option Button

A circular field in a dialog box that enables you to select an option for a particular command. In a group of option buttons, only one option at a time can be selected.

Patient In Focus

Patient whose name and summarized details are listed in the status lines at the top and bottom of all screens.

This patient remains in focus even when you activate a different module.

Pop-up Menu

A list of options displayed by clicking the right mouse button over a part of the Documentation Center screen.

The active options available in the menu depend on the context of the task you are performing at that time.

Pull-down Menu

List of commands displayed when you select one of the options in the menu bar. Active commands are shown in black and can be selected; inactive options are shown in light-gray and cannot be selected.

PN

Patient Number.

Glossary-2 Glossary

Table of Contents

CareNet

Server

Softkeys

(Formally known as SDN, Serial distribution network).

The link between the Documentation Center and any connected patient monitors, arrhythmia computers, and central stations.

In a local area network (LAN), a PC that manages the sharing of devices and resources with several clients.

The server includes the database software, the Documentation Center application software, the operating system, and the network software.

Seven multi-function keys displayed at the bottom of a

CMS Task Window. The action written in the softkey is performed by pressing one of the corresponding seven keys on the front panel of the CMS. As you press the keys to perform an action, the softkey labels change accordingly.

Task Window

Part of the screen of a CMS patient monitor used to make some of the functions available at the bedside.

Tasks are performed using a set of seven softkeys.

Temporary Beds

Used to add a patient to the current patient list when the patient is not physically in the unit or being monitored.

You can use a temporary bed to pre-admit a patient to the unit when their arrival is expected.

Vital Statistics

Patient's vital statistics data generated by a CMS

Patient Monitoring System (CMS) connected to the

CareNet.

Ward Station

A Documentation Center at which you can enter, change, and review all data. This station includes the complete application software, and the client part of the network software.

Start of Chapter

Index

Glossary Glossary-3

Glossary-4 Glossary

Index

A

access rights

1-8

task window

8-4

Actions menu

Data Administration module

7-4

Patient Administration module

2-4

Patient Trends Module

4-4

admission emergency

2-14

stat

2-14

task window

8-6

Admission section (Patient Folder)

3-7

Admissions section (Patient Folder) configuration

6-48

architecture

1-4

automatic data acknowledgement

4-15

automatic start

1-7

B

bed configuration

6-18

grouping

6-18

box combo

1-21

dialog

1-20

list

1-21

BSA (body surface area) formula

6-44

C

CareNet

1-2

case closing

2-26

history

2-27

number

2-2

closing patient case

2-26

CMS

4-19

,

8-2

CN

2-2

combo box

1-21

configuration hiding and deleting

6-4

system

6-8

Configuration module

6-1

context menu

1-19

cost reviewing

2-28

task window

8-16

Cost Capture section (Patient Folder)

3-20

configuration

6-63

Cost Summary

2-28

CPT

3-14

Current Patient List

2-8

current patients

2-6

D

data long term

6-14

saving

3-4

Data Administration module

7-2

database querying

9-6

date setting

1-22

date and time

2-15

delete patient data

7-7

Diagnoses section (Patient Folder)

3-11

configuration

6-54

dialog box

1-20

Discharge section (Patient Folder)

3-23

configuration

6-68

Discharged Patient List

2-8

discharged patients

2-6

display data in graphical or tabular form, Patient

Trends module

4-7

displayed patients list

2-6

E

exiting

1-10

export characteristics

7-8

Index-1

external coding configuration

6-25

external key

6-7

F

free an occupied bed task window

8-9

G

glossary

Glossary-1

graphical data display

4-7

grayed-out icon

1-15

group hierarchical

6-6

non-hierarchical

6-5

H

Health State section (Patient Folder)

3-16

configuration

6-57

hierarchical group

6-6

HL7 configuration

6-31

I

ICD9/10

3-11

icon grayed out

1-15

ICPM

3-14

input data manually

4-15

K

keyboard actions

1-14

L

laboratory data

4-13

automatic acknowledgement

4-15

configuring acknowledgement

6-29

grouping

6-24

manual acknowledgement

4-14

manual input

4-15

parameter configuration

6-20

task window

8-11

Index-2 laboratory system

6-13

list box

1-21

list of displayed patients

2-6

lists configuration

6-4

logoff automatic

6-12

long term data

6-14

M

manual data acknowledgment

4-14

manual start

1-7

Medical History section (Patient Folder)

3-9

configuration

6-53

medical record number

2-2

menu

1-18

context

1-19

pop-up

1-19

merge patient data

2-17

mouse actions

1-14

move patient

2-20

N

name patient

2-12

non-hierarchical group

6-5

notebooks

3-2

Nursing section (Patient Folder)

3-18

configuration

6-61

O

overview

1-2

P

password changing

1-8

Patient Administration module

2-2

patient case closing

2-26

patient data

deleting

7-7

editing

2-22

export characteristics

7-8

merge

2-17

reviewing

2-22

Patient Folder module

3-2

configuration

6-39

patient ID

6-11

take over

2-17

patient in focus

1-14

patient name

2-12

patient number

2-2

Patient Trends module

4-2

patient trendt selecting

4-5

patients current

2-6

discharged

2-6

discharged list

2-12

discharging

2-24

displayed

2-6

moving

2-20

selecting

4-9

Personal Data section (Patient Folder)

3-5

configuration

6-42

pop-up menu

1-19

Procedures section (Patient Folder)

3-13

configuration

6-55

Q

Query module

9-2

R

readmission

2-11

task window

8-8

report adding

6-35

interval

5-5

printing

5-4

time period

5-4

updating

6-35

Reports module

5-2

review cost of therapy

2-28

review patient case history

2-27

rights access

1-8

S

SAPS II

1-3

SAPS scoring tables

3-27

SAPS section (Patient Folder)

3-25

save data

3-4

SCC (System Communications Controller)

1-5

scheduling

6-32

screen layout

1-11

SDN

1-2

setting time and date

1-22

start automatic

1-7

manual

1-7

stat admission

2-14

status

1-13

system hardware

1-4

T

tabular data display

4-7

task window

8-2

time setting

1-22

time period report

5-4

toolbar

1-15

U

units

6-21

,

6-22

user configuration

6-9

user definable fields

6-40

user interface

1-11

user rights

1-8

Index-3

V

V26/V24

4-19

,

8-2

View menu

Data Administration module

7-4

Patient Administration module

2-4

Patient Trends Module

4-3

vital data parameter configuration

6-20

vital parameter grouping

6-25

vital trend resolution configuration

6-30

W

ward system

6-13

warranty

1-3

Index-4

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