Hi Ticket plus,

this post will be copied to both the FAQ and forum sites due to the frequency 
of the question.

On Sunday 21 November 2004 11:13, Tickets Plus wrote:
> I'm new to this system and a little lost on how to add notes in the system
> for patients.  I search for a patient and on the right menu click "Notes
> and Reports"...apparently it has a lot of reporting and notes capabilities,
> but all the choices are for viewing and not adding/editing.  Where can I
> add or edit notes (procedure notes, misc notes, etc).

You only did the "admission" of the patient at the 
"administrative admission" level. This can be called pre-admission phase. In 
this phase, the patient is not yet truely admitted in the ward and can in 
fact be cancelled. To admit the patient truely, one needs to go inside the 
ward and click on the patient's name in the "waiting list" box on the upper 
right corner. A window will pop up prompting you which room and bed to 
assign. After the assignment, the patient will appear on the ward list. You 
can open the admission data again with the links to documentation functions 
by clicking on the patients name or the yellow card icon on the list. This 
time, the medical history, allergy, etc functions will show a text-input for 
writing a "novel".

Just try following the above procedure again.

You might wonder why this long and complicated path. Well, the reason lies on 
the current workflow of the software based on a multidepartment hospital (not 
a single department gp clinic). In our hospital, the administrative admission 
is done in a separate department by non-medical clerks and patients go there 
to be admitted (administratively) so long as they are mobile (if not, a nurse 
or aide just phones in the data to the clerks, in some cases bring the 
patient data to the clerks). After this phase, the patient reports to the 
ward with the proper papers, barcodes etc. (or is brought to the ward if he 
is not yet there in the first place). This time, the nurse admits the patient 
finally and all subsequent documentation can begin.  The care2x workflow just 
mimics this procedure.

The problem surfaces when we attempt to use care2x in a single department gp 
clinic. In this case, a single person (the doctor or nurse) attempts to do 
all the roles at the same time. One naturally wants all things be done at the 
same time and the current workflow of the software becomes a hindrance. This 
is the reason for starting the "PM/GP" version of care2x. It plans to 
redesign the workflow to fit the actual work procedures in a single clinic. 
Unfortunately, there is no release available yet. It is still in the planning 
phase.

Regards,
Elpidio
    



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