This screen displays the medical records of a patient in the large grid
which makes up most of the screen. To see earlier or later records
requires only to scroll or page up or down using the keyboard, or to use
the vertical slide bar. Each line item in the grid displays the
PROVIDER, DATE of the record, SERVICE or ITEM, and a column headed by
the letter A (for ATTACHMENT). If this cell is colored red or
black there is an attachment (x-ray, photo, ultrasound, scanned
document, etc.) related to that line. At the bottom of the screen
in several edit boxes are other values for the record selected. At
the top of the screen is a one line grid listing the patient for the
records being viewed, and just below in another one line grid is it's
client.
The buttons in the cluster on the right side of the screen function as
follows:
● If the F2 - PATIENT button is enabled and
if the client has multiple patients, this button will toggle through
those patients so that the records of any patient owned by that client
can be viewed without exiting the screen.
● The F3 - EDIT PATIENT
button opens a window displaying the patients recorded information and
allows it to be edited.
● The F4 - PRINT
RECORDS button prints the medical records. Before printing a small
options window opens for specifying the date range for the records to be
printed, and for specifying whether to print the attachments or not.
● The F5 - ADD SERVICE button provides the
capability to manually add a service into medical records.
● The F6 - ADD PRODUCT button provides the capability to manually
add the sale of a product into medical records.
● The F7 - ADD DIAGNOSIS button provides the capability to
manually add a diagnosis into medical records.
● The F8 - ADD OTHER button provides the capability to manually
add an unlisted item or service into medical records.
● The F9 - ADD FREEFORM button provides the capability to manually
insert freeform text into medical records.
● The F10 - ATTACH
XRAY/PHOTO button opens a pick list of stored x-rays and photos.
One can be selected and it will be attached to the medical line item
selected.
● The F11 - ATTACH DOCUMENT
button opens a pick list of scanned documents. On can be selected
and it will be attached to the medical line item selected.
● The F12 - ATTACH AVI button provides a pick list of stored AVI
movie clips and allows for one to be selected for attachment to the
selected medical line item.
● The VIEW ATTACHMENT button views the attachment, if any, for the
selected medical line item. The same thing can be accomplished by
double clicking on the colored cell in the A (attachment) column.
● The VIEW ARCHIVES button permits viewing any archived medical
records. It is possible to archive records older than an operator
specified date if the clinic chooses to do so. This option permits
these old records to be viewed.
● The SCOPE group of radio buttons in the bottom right corner of
the screen provides the capability to filter types of medical records to
be viewed. The COMPLETE button is the default position and
displays everything. The SERVICES button displays only
services in the medical records, but filters out products, etc.
The PRODUCTS button displays only products. The LAB button
displays only laboratory entries and the DIAGNOSIS button displays only
diagnoses entries. The INACTIVE button has a special capability
associated with "edited" records. While this system permits
records to be edited, it does not actually remove the edited or deleted
records. It merely makes them inactive. When the INACTIVE
button is selected, all of these inactive records are displayed, but
with a silver background, along with all active records. This
satisfies the legal requirement that medical records not be altered
after entry in such a manner that their original content is lost.
There will be more information about "editing" medial records in the
context menu discussion to follow:
● A CONTEXT MENU
of additional options is opened when any record entry in the grid is
right clicked.