HEALTHone User Manual Version 7.1

Health One



Version 7.1 User Manual. Copyright



2011Helix Health Ltd

Problem Orientated Medical Records

HEALTH

one

™

has a feature called

Problem Orientated Medical

Records

(POMR) which provides the ability to link transactions to a problem. Once linked in this way the physician can firstly, see at a glance what the patient‟s primary problems are, and additionally elect to view only those transactions that relate to a particular problem.

Problems appear in the

Problems Tab

of the

Patient Information Panel

.

This tab has two buttons

– one to display the active problems and the other to display the historical ones.

POMR

is an extension to the transaction filtering method mentioned in the

Getting Started

section. There it was described how to filter the

Transaction Panel

to view just lab results, experts reports etc. Once

POMR is implemented, it is possible to view lab results that just relate to a particular problem.

The process of using the POMR feature is as follows:



Declare a problem



Link transactions to a problem



View transactions relating to a specific problem



Change the status of a problem between active and inactive

Displaying / Hiding the Problem Tab

The Problem Tab is displayed or hidden in the

Patient Information Panel

by selecting the menu option

View

/

Problem

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

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2011Helix Health Ltd

Declaring a Problem

Problems are declared by inserting the item

problem:

into the patient‟s file. This could be inserted into any transaction, however; we suggest that it be inserted into the Basic Medical Information page

– i.e. the first page in the medical chapter. The reason for this is that it provides a consistent method/location for recording problems and will make them easier to locate when updating is required.

The standard process of creating a new patients file is to create a Basic

Medical Information transaction as the first transaction in the Medical

Chapter

– this is done using the Sequence

Basic medical information

– this sequence includes the item

problem:

.

Technique

1) Open the patient‟s file and select the

Basic Medical Information

transaction

– first one in the medical chapter.

2) If the item

problem:

exists already select it and press

Return

. Go to step 6)

Create the item

problem:

3) Select the last item (do not open it)

– this is done to ensure that the

problem:

item that is about to be inserted appears underneath the current items.

4) Click on the

Insert Item

button on the Item Panel Toolbar

– illustrated

 opposite.



The Item Selector opens

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5) Type:

prob

into the Find box and select the item

problem

in the list.

Click

OK



 he problem item is inserted into the Basic Medical Information page and automatically opens; displaying it‟s associated list.

6) Select the problem required in the associated list, or alternatively close the list and type the problem yourself

– we would recommend that the terms dictionary (blue book button) is used to ensure that the problem is correctly entered

– rather than just type it.

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7) If you are declaring a new problem enter the problem

Start date

no need to type the // marks. Do not confuse the

Date of event

date with the

Start date

. The

Date of event

date is the date on which the

problem:

item was inserted into the file (usually today‟s date) and the

Start date

is the date the problem started

– this could be some years earlier.



9) Press Ok, Save and validate the Basic Medical Information transaction.



The problem now appears in the active problem window of the

Problem Panel.

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Version 7.1 User Manual. Copyright

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Linking a Transaction to a Problem

A problem must first be declared as described above before it can be linked to a transaction.

Linking a New Transaction

Whenever you insert a new medical transaction into a patient‟s file

HEALTH

one

™

displays its properties window.

Problem

is one of the attributes in the transaction properties window and all the declared problems for the current patient are displayed there.

1) Click on the box opposite the problem to be linked to place a tick inside it.

2) Complete the rest of the transaction properties and click

OK

.

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Version 7.1 User Manual. Copyright

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Linking an Existing Transaction

To link a previously created transaction to a problem you need to view its attributes by opening its properties window.

To do that:

1) Open the patient‟s file and click once on the transaction in the

Transaction Panel to select it.

2) Click on the attributes button on the Transaction Panel Toolbar.



The properties window now appears

3) Click on the box opposite the problem to be linked to place a tick inside it.

4) Close the properties window and save and validate the transaction.

Viewing a Transaction Related to a Problem

1) Click once on the required problem in the Problem Tab.

2) Click once on the

Transaction Panel

to make it active. Hold down the

Ctrl

key and press

E.



The Transaction Panel now only displays the transaction related to the selected problem.

3) You can switch problems while you are in problem view by clicking on a different one in the Problem Tab.



The Transaction Panel now only displays the transaction related to the newly selected problem.

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4) To return to normal view Hold down the

Ctrl

key and press

E

again.

There is an alternative way to switch between problem view and normal view:

1) Click once on the required problem in the Problem Tab.

2)

Right

click the mouse anywhere in the Transaction Panel and select

Filtered on problems

in the pop up menu that appears.



The Transaction Panel now only displays the transaction related to the selected problem.

3) To return to normal view repeat step 2) above.

Changing the Status of a Problem

A problem can have one of two states: Active or Inactive. This is controlled by the

End date

check box in the

problem:

items attributes.

To Make a Problem Inactive

1) Open the patient‟s file and click once on the transaction that contains the

problem:

item. If you took our advice this will be the

Basic Medical Information transaction.

2) Click once to select the

problem:

item. Press

Return

to open the item.

3) Now check the

End date

check box and complete the end date.

4) Click

OK

to close the item window. Save and validate the transaction.



Problem now appears in the History view of the

Problem Tab.

To Make an Inactive Problem Active

1) Follow steps 1) and 2) above, now uncheck the

End date

, follow step 4)

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2011Helix Health Ltd

Own Notes

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