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PedInfoSys v.1.0 - User Manual

Date post: 13-Mar-2016
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Pediatric Information System User Manual
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2

About the developers

PedInfoSys was developed by a group of 4th Year BS Computer Science

students from the Web Science Group, Department of Computer Science,

University of the Philippines Diliman.

Ryan Steven D. Caro ([email protected]) Dinah Marie A. Maghuyop ([email protected]) Ingrid R. Silapan ([email protected])

Adviser: Rommel P. Feria ([email protected])

3

Table of Contents

Introduction 4

User Types 5

Log In/Out 6

Appointments 7

Patient Record 9

Add New Patient 9

Patient Search 10

Recent Medical Cases 11

Clinical Examinations 12

Immunization Records 13

Laboratory Examinations 13

Past Medical History 14

Developmental History 15

Prenatal/Neonatal History 16

Personal Social History 16

Personal Information 17

Parent/Guardian Information 17

Graphs 18

Reports 19

Prescriptions 19

Lab Requests 20

Medical Certificates and Doctor’s Referrals 20

Administration 22

Prescription Drugs 22

Immunization Drugs 22

Doctor/Clinic Profile 23

User Account Settings 23

User Management 24

4

Introduction Pediatric Information System, PedInfoSys, is an OpenMRS-based for pediatric

clinics. It is a web-based electronic medical records system designed to enable

clinicians to effectively manage appointments, patient medical records and generate

reports and charts.

5

User Types

There are 3 types of users in PedInfoSys, with different levels of access to the

system; DOCTOR, SECRETARY and ADMIN.

DOCTOR

The DOCTOR User has access to the following functions:

Appointments (create, update, delete appointments)

Patient Search

Patient Records (FULL ACCESS)

Graphs

User Account Settings

SECRETARY

The SECRETARY User has access to the following functions:

Appointments (create, update, delete appointments)

Patient Search

Patient Records (LIMITED ACCESS: Printing of Reports only)

User Account Settings

ADMIN

The ADMIN User has access to the following functions:

Appointments (create, update, delete appointments)

Patient Search (no link to Patient Records)

Administrative Functions (FULL ACCESS)

*a DOCTOR and SECRETARY may also be tagged as ‘ADMIN’, allowing these users

full access to all administrative functions.

6

Log In/Out

Enter your Username and Password.

Click on the Login button.

Fig.1 PedInfoSys Login Screen

* For your first login at PedInfoSys, use the SUPERDOCTOR Account, which will give you

full access to the system. ( Username: superdoctor | Password: password )

To Logout, click on the icon beside search bar in the header, and click on

Logout.

Fig.2 PedInfoSys Login Error Message

7

Appointments

After logging-in, you will be redirected to the Appointments Page (Day View) where the

schedule of appointments for the day is shown.

Fig.3 Appointments Page (Day View)

To set a new appointment, click on the button found in the

upper-left area of the page. You will be directed to the New Appointment page,

where you will be asked to enter the patient’s name, the time and date of the

appointment, location, status and notes.

Upon typing in on the patient’s name field, PedInfoSys will search the patient’s list and

return a list of suggestions as shown in Fig.4.

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Fig.4 New Appointment Page

To reschedule, cancel or edit details on an appointment, simply click on an

appointment, and you will be directed to the Update Appointment Page where

you can update the appointment details, or cancel the appointment.

You may also use the drag-and-drop feature of the Appointments page, where in

you can drag an appointment from its original timeslot, and drop it into a new

timeslot. The duration of the appointment can also be changed by simply dragging

the lower portion of an appointment.

The Appointments Page also features Monthly, Weekly and Agenda Views.

Fig.5 Monthly and Weekly Views of the Appointments Page

9

Patient Records

Add New Patient

To add a new patient, go to the Patients page by clicking on at the

header.

Click on .

Fig.6 Create New Patient Form

Enter the patient’s information.

Enter father’s, mother’s and guardian’s information. o Required fields are Patient ID, Given Name, Middle Name, Family Name, and Birthdate.

o All other fields should not be specified, but MUST NOT BE LEFT BLANK. Initial values for

fields which are not required are set to ‘Not specified’.

After all fields are complete, click on ‘Save’.

10

Patient Search

In order to access a patient’s records, you must first search for the patient using the

search bar located at the header.

Fig.7 Patients Search Bar

The system will then search the entire patient database, and return results which match

your search.

Fig.8 Patients Search Results for Search Key: ‘dela’

* PedInfoSys only limits the search key to one name, any succeeding names after the first

space will be ignored.

To access the patient’s records, click on a patient on the search results table, and

you will be directed to the patient’s records view. (Fig. 9)

11

Recent Medical Cases

The Recent Medical Cases page is the default page of the patient’s records view. The

patient’s list of Recent Medical Cases (otherwise known as History of Present Illnesses) is

shown in the table.

Fig.9 Recent Medical Cases Page (List)

To view a specific medical case, click on a row in the table.

Fig.10 Recent Medical Case Page

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To add a new medical case, click on .

To update the notes on a medical case, click on the button beside the ‘Medical

Case’ header.

To add a Clinical Exam, Prescription or Lab Request to this medical case, click on the

corresponding buttons, and fill out all necessary data. These examinations will then

be found in the ‘Administered Tests’ table below the medical case details. Clicking

on the rows in the Administered Tests table will also redirect you to their

corresponding pages.

Clinical Examinations

The list of clinical examinations administered on the patient is listed in the Clinical

Examinations table. A clinical examination includes the patient’s recorded Vital Signs,

Physical Exam and Anthropometric Exam.

To administer a new clinical examination, click on . o Under the Anthropometric Exam, the BMI is automatically computed from the weight and

length entered.

To view a specific clinical examination, click on a row in the table.

To update notes on a clinical examination, click on .

If the clinical examination is associated with a medical case, the link to the medical

case is found beside the ‘Clinical Exam’ header.

Fig.11 Clinical Examination Record

13

Immunizations

The Immunizations page shows the list of immunizations administered to the patient.

To administer immunizations, type on the Immunization Vaccine field. The system

will search the existing Immunizations database and provide a list of suggestions.

You may administer more than one immunization at a time. Click on the

button to add new fields. To delete a field, click on the beside the

corresponding field.

Once done, click on ‘Set as administered’, and the set of immunizations will be

found in the ‘Immunizations Administered’ table below.

Fig.12 Immunizations Page

Laboratory Examinations

The Laboratory Examinations page shows the list of the patient’s laboratory exams and

requests. The exams with a ‘DONE’ status indicate that the results of the laboratory exams

are already in the system. Otherwise, exams with a ‘PENDING’ status are laboratory exam

requests with no results.

To add a new Laboratory Examination record, click on .

You may also add more than one lab exam at a time, click on to add more

fields, and to delete fields. This record will be marked with a ‘DONE’ status.

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To view a specific laboratory examination, click on a row in the table.

To update notes on a laboratory examination, click on .

Fig.13 Laboratory Examinations

Fig.14 Add New Laboratory Examination Record

Past Medical History

The Past Medical History Records of a patient includes Past Illnesses, Allergies, and Family Illnesses.

Fig.15 Past Medical Records List (views for Past Illnesses, Allergies and Family Illnesses are similar)

15

To add a new past medical record, click on .

To view a specific past medical record, click on a row in the table.

To update notes on past medical record, click on .

Developmental History

The Developmental History page shows the list of Developmental Milestones of the patient. Two tables are shown, one for pending milestones, and one for accomplished milestones.

Fig.15 Developmental Milestones Table (upper: DONE, lower: UNDONE)

To set milestones as DONE, click on a milestone from the UNDONE table, and drag

the milestone to the DONE table.

Once done, click on the button found below the UNDONE

table. The newly set milestones will now be marked with the timestamp of the day

the milestones were set as accomplished.

*The UNDONE table calculates the patient’s current age and displays all undone

milestones for the patient’s age, as well as the milestones for the next 6 months.

16

Prenatal/Neonatal History

The patient’s Prenatal and Neonatal History is displayed on this page.

To update this record, simply type in the corresponding values and click on .

Fig.16 Patient’s Prenatal/Neonatal Record

Personal Social Record

The patient’s Personal Social Record is displayed on this page.

To update this record, simply type in the corresponding values and click on .

Fig.17 Patient’s Personal Social Record

17

Personal Information

The patient’s personal may be seen in this page.

To update the patient’s information click on .

Fig.18 Patient’s Personal Information

Parent/Guardian Information

To update the parent’s or guardian’s information click on .

Fig.19 Update Father’s Information Page

18

Graphs

Based on the patient’s recorded weight, length and BMI as recorded in the clinical examinations administered. PedInfoSys automatically plots these values in the corresponding graphs with the standard values according to the patient’s age and sex. *The values were taken from the World Health Organization Website.

Fig.20 Weight Graph

The patient’s weight/length/BMI is the red line, as represented in the graph.

All other values corresponding to the 3, 15, 50, 85 and 97 percentile.

To zoom-in to a section in the graph, simply select an area in the graph. Click on

to return to the normal view.

Clicking on the items in the legend will hide/unhide the corresponding lines on the

graph

Fig.21 Zooming-in a graph

19

Reports

PedInfoSys features a Reports Generation module which enables you to generate Prescriptions, Lab Requests, Medical Certificates and Doctor’s Referral documents.

Prescription

To add a new prescription, click on .

Fig. 22 Create a new prescription

To add prescription drugs, type on the Drug/s field. The system will search the

existing Prescription drugs database and provide a list of suggestions.

You may add more than one prescription at a time. Click on the button to

add new fields. To delete a field, click on the beside the corresponding field.

Once done, click on ‘Save’, and the generated prescription will be shown.

Fig.23 Sample Prescription

20

To generate the PDF file of the prescription, click on the button

found below the report.

Fig.24 Sample Prescription PDF file

You may now print the file using a printer, or save the PDF file.

If the prescription is associated with a medical case, the link to the medical case is

found beside the ‘Prescription’ header.

Lab Request

To add a new prescription, click on .

Select the lab exams you want to request, or fill in the ‘Other Lab Exam’ field if the lab exam you wish to request is not in the list.

Once done, click on ‘Save’, and the generated Lab Request will be shown.

To generate the PDF file of the prescription, click on the button

found below the report.

You may now print the file using a printer, or save the PDF file.

21

If the prescription is associated with a medical case, the link to the medical case is

found beside the ‘Lab Request’ header.

Fig.25 Create new Lab Request

Medical Certificates and Doctor’s Referral To add a new Medical Certificate or Doctor’s Referral, click on

or .

Fill in the information needed.

Once done, click on ‘Save’, and the generated report will be shown.

To generate the PDF file of the report, click on the button

found below the report.

You may now print the file using a printer, or save the PDF file.

22

Administration

PedInfoSys provides you with administrative functions for drug database management, profile settings and user management.

Prescription and Immunization Drugs To add new drugs to the Prescriptions and Immunizations database simply type in

the new drug in the specified field.

You may add more than one drug at a time. Click on the button to add

new fields. To delete a field, click on the beside the corresponding field.

Once done, click on ‘Add Drug’, and the new drugs will be shown in the Drugs List

table below the form.

Fig.26 Drug Database Management

To check for existing drugs, you may search the database by typing in the Search Drug field. The system will return results which match to your search key.

To delete existing drugs, click on the beside the corresponding drug. A dialog box will appear to confirm deletion.

23

Doctor/Clinic Profile To update the Doctor and Clinic information found in the generated reports,

change the values on the corresponding fields and click on Save. * The changes will automatically be reflected on the generated reports.

Fig.27 Doctor and Clinic Profile Page

User Account Settings To change your username or password, change the values on the corresponding

fields and click on Save. * The changes will be reflected on your next login.

Fig.28 User Account Settings Page

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User Management To add a new user to the system, fill in the necessary information.

Choose a User Role (DOCTOR, SECRETARY and ADMIN).

To allow full admin rights to a DOCTOR or SECRETARY User, check the ‘Allow full Admin Rights’ box. (ADMIN users are automatically given full Admin rights)

Click on ‘Save’.

Fig.29 User Management Page

To edit a user’s name, role, or username, click on .

To delete a user, click on .


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