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Quick tourRoshtov Software Ind.
•Clicks® is a rapid application development environment.
•This is a quick tour of a simple “demo application”.
•You will be able to see some features of the physician’s working environment, tools and general design rules.
Clicks® Quick Tour
Quick tourRoshtov Software Ind.
Login
When logging into the system, Clicks reads the application schema and sets the working environment
of the specific user.
Quick tourRoshtov Software Ind.
Selecting a patient
Various ways to select a patient: searching the patient by name, ID or phone number, locating on last seen list, etc.Built-in interfaces for magnetic card, even for finger print reader.
Quick tourRoshtov Software Ind.
Loading the patient record
Once the patient record is loaded from the database, the “on patient load” event is triggered, evoking the relevant procedures. For example: A call to a SOAP server to check the patient’s eligibility and insurance type, so that service levels can be determined.
Quick tourRoshtov Software Ind.
Navigation and Summary
The navigation tree contains a list of note folders and shortcuts to
activities.
The patient summary is compiled automatically every time the user accesses the patient record. It can contain any type of information, guaranteeing a clear picture of the patient
status.
Quick tourRoshtov Software Ind.
Sticky notes
Like in paper records, sticky notes can be attached to the patient record both manually
and programmatically.
Quick tourRoshtov Software Ind.
Preventive Medicine Assistance
The PMA (preventive medicine assistant) sub system will check the patient’s markers and system rules and will alert the physician about the necessary actions to be taken. Markers
and rules can easily be configured.
Quick tourRoshtov Software Ind.
Visit summaries
The list of folder notes is customizable.
Clicking on the desired note folder in the navigation tree displays a short view of all the notes under that topic.
Quick tourRoshtov Software Ind.
Visit: Full view
Double clicking on the desired template record displays it in full view, showing all (and only) the existing
information.
Quick tourRoshtov Software Ind.
Chronic medications
Once a chronic medication is prescribed, it is automatically registered in a dedicated Chronic Medications template.
Double clicking that template lists the patient’s chronic drugs.
Quick tourRoshtov Software Ind.
Chronic medications chart
Various event timing mechanisms exist, for example Gantt charts of active chronic drugs.
Quick tourRoshtov Software Ind.
Viewing laboratory test results
The Labs button gives fast access to the patient’s lab test results
Quick tourRoshtov Software Ind.
Lab chart
Graph the patient’s test results across time, singularly or grouped together.
Quick tourRoshtov Software Ind.
Scheduling
Direct interface to built in appointment scheduling module enabled from within the patient record.
Quick tourRoshtov Software Ind.
Form archive
As part of our commitment to medico-legal regulations, a copy of any output can be kept directly within the system for immediate access any time.
Quick tourRoshtov Software Ind.
Open design
Being in core an application generator, Clicks® enables a variability of application designs, as reflected in the structure of the navigation
tree.
Quick tourRoshtov Software Ind.
Open design (a)
For example, dedicated Cardiology and Gynecology folder notes within the unified patient file. This is a true example of an existing application used full scale across major HMO’s.
Quick tourRoshtov Software Ind.
Writing assistance
• Free text writing is central to doctors’ documentation of the medical encounter.
• Organizational approach on the other hand strives to achieve as much structured input as possible.
• In Clicks® we have developed a writing assistance method that combines both:
Token tables
Quick tourRoshtov Software Ind.
Writing assistance
• This mostly token-selection driven documentation method ensures speed, accuracy, efficiency and universality across all points of care and throughout the patient population.
• The built in mechanism allows the doctor to “teach” the system his/her own vocabulary, style and preferences.
• It enables structured, coded input that can be retrieved for further reference. This is used for core medical data such as diagnoses, drugs, referrals, test orders, etc.
• At the same time it allows for free text writing, free of any writers’ constraints.
Quick tourRoshtov Software Ind.
Writing assistance
Result:
Detailed, complete documentation of the patient-physician encounter that satisfies both doctors’
and management needs.
Quick tourRoshtov Software Ind.
Writing visit notes
•Marked values branch off to other tables.•Various search and selection methods.•Tables can be sorted by frequency of selection.
Closed tables, typically for structured objects (e.g., referrals), and open tables (complaints).
Quick tourRoshtov Software Ind.
Writing visit notes (a)
Token tables can be designed to reflect organizational regulations and departmental work habits.And can be fine-tuned by the physician to suit personal preferences.
Quick tourRoshtov Software Ind.
Writing visit notes – Embedded Logic
Underlying logic enables to embed different procedures into the application.
Embedded procedures can be used to capture events so as to ensure standardized work flow and compliance with medical protocols.
Quick tourRoshtov Software Ind.
Writing visit notes – Link pictures & documents
Different graphic objects can be attached to Clicks fields: imaging pictures, archive documents, scanned documents, etc.
Quick tourRoshtov Software Ind.
Writing visit notes – Graphic interface
Built in graphic interface enables marking of predefined, structured clinical findings directly
onto embedded charts.
Quick tourRoshtov Software Ind.
Writing visit notes –Special tools
Specific interfaces designed to document specialized events can be implemented, for example
audiograms.
Quick tourRoshtov Software Ind.
Writing visit notes – Working with codes
Diagnoses are shown here under ICD-9 code but any other coding system can be supported.
Core data is structured in coded fields to enable systematic retrieval and further reference by decision support systems. For example: diagnoses, referrals, test orders, etc.
Quick tourRoshtov Software Ind.
Writing visit notes – Creating referrals
The appropriate forms are filled out online as relevant data is collected automatically from across the patient file. Upon printing, a copy of the complete form is saved for
further reference.
Referrals and any other orders are fully
documented.
Quick tourRoshtov Software Ind.
Writing visit notes – Ordering Lab
A special built in interface for lab test orders. Sorting supports lab groups, predefined general routines and personal routines.
Selecting a test or routine displays the latest results for the relevant tests, enabling the doctor to reconsider.
Quick tourRoshtov Software Ind.
Prescriptions
• Writing out prescriptions is at the heart of doctors’ clinical work.
• The medications table (provider’s proprietary) is structured and all drug related fields can be coded.
• The Clicks® detailed medications window combines ease of use with a capacity to reflect organizational policy.
This combination makes for a rich, powerful tool for doctors and management alike.
Quick tourRoshtov Software Ind.
Writing visit notes – Prescriptions
The drugs table can be toggle-sorted by commercial name, generic name and by pharmacological groups. A personalized list for everyday use can be created.
Beside the purely medical info, drug related fields also include administrative data such as cost and the patient’s co-payment.
Relevant patient info is automatically updated: age and weight, drug allergies, status of active drugs, liver and kidney functions.
Quick tourRoshtov Software Ind.
Writing visit notes – Formulary preferences
Once a drug is chosen, preferred alternatives can be suggested as derived from organization policy.
Quick tourRoshtov Software Ind.
Writing visit notes – Prescription alerts
If drug interaction is detected, the doctor is alerted accordingly.
Quick tourRoshtov Software Ind.
Writing visit notes – Prescription dosage
All the drug info is entered online in the respective fields. When confirmed, the prescription can be sent to any destination in various ways as defined.
Quick tourRoshtov Software Ind.
Exporting XML Data
<?xml version="1.0" ?> - <Patient Id="285632"> - <MDC-visit DocName="Dr. Smith" DocLic="04" Status="3" Date="17/06/2001"
Time="11:01" LastUpdate="2001/06/17 11:11" DocProfession="4565453"> <Finding>clean lungs</Finding> - <Diagnosis>
- <LDiagnosis line="1"> <Diagnosis>ABDOMINAL PAIN</Diagnosis> </LDiagnosis>
</Diagnosis> - <Referrals> - <LReferrals line="1">
<Referrals>Lab tests</Referrals> </LReferrals>
</Referrals> - <Drug> - <LDrug line="1"> <Drug>ADAFERIN GEL 30G</Drug> </LDrug> - <LDrug line="2">
<Drug>ABROL NEW 500MG X 20</Drug> </LDrug> </Drug> </MDC-visit></Patient>
Predefined background procedures enable to send any information as XML objects to designated targets using standard communication techniques.
Quick tourRoshtov Software Ind.
Application generator and design environment
• Clicks is a 4th generation application generator software, specially designed for the creation and maintenance of medical information systems.
• As such it contains a host of editors and other design tools.
• Together they make a full range, wide scope authoring environment.
Quick tourRoshtov Software Ind.
Designing the application
This is an example of one of the design stages. All the objects designed for the application can be easily maintained and changed without disrupting the integrity of existing data.
Quick tourRoshtov Software Ind.
Designing the application
Designing the layout and workflow, another stage of the application design.
Quick tourRoshtov Software Ind.
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