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I have 10 types of encounters. What steps do I take to get started? Answer: To add a new encounter, please follow the following steps: Identify the encounters which you would like to add, and assign a logical name and a two-character code to each of them. Go to Settings > Configuration > Masters > Clinic > Enc Type and add an Encounter Type. Type – Encounter Type Code. Example: OV Name – Encounter Type Name. Example: Office Visit Duration – Duration for the visit corresponding to the Encounter Type. Example: 15 E & M – E & M type corresponding to the Encounter Type. This list of E&M types defines the requirements and corresponding CPTs for up to five levels of service. This list is hard-coded and cannot be changed by the user. (Contact Support if this list needs to be changed, extended, or deleted). Appointment Color – Select the color to be displayed for the Encounter Type. One more setting in Settings > Configuration > Properties is encounter.default_type. Set this to one of the defined encounter types (inclusive of already existing encounter types). There must be one encounter type with the code as RR and the name as Refill Request. What data is copied in a new encounter? Can I configure what is copied? How? Answer: A. Fields that get set automatically and cannot be customized. Encounter Date Encounter Type – If created from Appointments = Selected Visit Type. If from the Start Encounter link = encounter.default_type If from the Approve Refill menu = "RR" Reason for Visit – If created from Appointments = Reason for Visit If from the Start Encounter link = Reason Attending doctor conditionally (as explained in the next answer) Referring doctor Previous Encounter Referring Doctor, if present Else, Patient Referring Doctor, if present The billable flag – By default, all encounters are set to billable with the exception of RR or any other similar encounter type with a duration of 0. Visit date and time as the system clock date and time No Known Drug Allergies flag from the previous patient encounter PMH notes from the previous patient encounter Current Medication Notes from the previous patient encounter Personal Notes from the previous patient encounter Encounter Template ID from the previous patient encounter The Health Maintenance tests are scheduled based on Protocols, the patient's age, and sex. The first encounter ID field (PT_FENC_ID) is set if no previous encounter exists for that patient. The last encounter ID field (PT_LENC_ID) is updated with the current encounter ID. Update PT_LVISIT_DATE with the encounter date. B. Configurable Parameters The entire test execution can be configured in Settings > Configuration > Properties by setting the following options. The values seen below are those currently set but can be changed according to the clinic. applicable.test.copy.VT=N applicable.test.copy.HP=Y applicable.test.copy.RS=Y applicable.test.copy.PH=Y applicable.test.copy.SC=A applicable.test.copy.SH=A Here, VT - Vitals HP - History of Present Illness RS - Review of Systems PH - Physical Examination SC - Specialty SH - Social History PV - Portal Vitals The value assigned can be any one of the following three characters: N - Do not copy automatically, nor display the "Copy" button. Y - Display the "Copy" button in the Test Execution screen. A - Copy data automatically while creating a new encounter. As in the case of SH above, the test execution data entered from the previous encounter (if present) is copied internally to the new encounter at the time of creation. Note that here, the "Copy" button is not displayed. All of the above conditions for copying are also applicable to the test diagrams. Note: Currently, the term "previous encounter" ignores encounter types with a scheduling duration of 0, such as Refill. How do I change the Patient Band color, font, text, size, photo, or picture size? Answer: The Patient Band text is displayed in a particular format. It consists of two rows, four columns, and the patient's photo. The first row, first column is reserved for the patient's name and cannot be configured. The user can configure the remaining seven cells. The settings for each cell are specified in Settings > Configuration > Properties For example, the settings of the Patient Band are: patientband.tag.r1.c2= Last Visit :[ENC_LAST_VISIT__DATE] patientband.tag.r1.c3= Encounter Type :[ENC_TYPE] patientband.tag.r1.c4= ENC Date :[ENC_DATE] patientband.tag.r2.c1= <B>[ENC_AGE_MINORS] </B>old <B>[PT_SEX]</B> patientband.tag.r2.c2= Last FollowUp :[ENC_LAST_FOLLOWUP__DATE] patientband.tag.r2.c3= Attending Doc :[ENC_AD_NAME_SHORT__NAME] patientband.tag.r2.c4= Home :[PT_ADD_HOMETEL] Consider the section patientband.tag.r1.c2. Here, r1.c2 is read as the first row and second column. It can be set to a string consisting of text with one or more tags in it. The tags are the same as those used in the Progress Notes. Although more than one tag can be used, there is not enough space to display long tags or more than one tag. The text font, size, and style are set in the files prognocis??.css, where ?? stands for 01, 02, 03, and so on. These are different style sheets which can be associated with each role, such as Doctor, Nurse, or Staff. The height of the Patient Band cannot be changed. Background and foreground colors are set in the style sheet (class ptbandlive, class ptbandold, and class ptbandname in the style sheet file prognocis.css under the directory tomcat > webapps > prognocis > stylesheets) and cannot be changed by the user. The photo size is also fixed. Can I change the TOC (Table of Contents) background, foreground, or visited link colors? Answer: The prognocis.css file defines a class for this. However, these are not painted as a background color, but are images. Hence, changing these is neither easy nor recommended. tocmenu consists of the following classes: td.tocmenunor td.tocmenutxtnor td.tocmenusel td.tocmenutxtsel td.tocmenudis td.tocmenuvisited Each class has a background attribute, which associates a URL with the corresponding image. Which classes are configured according to the user type (Doctor, Nurse, Staff, etc.) in style sheets? Answer: These classes are defined in prognocis??.css, where ?? is a serial number 01, 02, 03, etc. Any one of them can be associated with a user type. Class Name Description BODY Background color and font for all screens, except the Modal Dialog apptschscroll Tabs, Doctors' list box, etc., background color, height, and text color blueband Submenu background, screen title background, About screen background, a 10px wide background color to the left of the top-left and to the right of the top-right dialog box corners in all screens, and the call list heading background in the Scheduler screen bluebandsmall Used in the calendar calllistsort Call list headings with an underline coltitleman Column title with an underline and a mandatory asterisk in red coltitleman1 Column title without an underline and a mandatory asterisk in red dbxbg Dialog box background color dbxL Dialog box left vertical border, currently in a light gray color; an image of 2px width and 1px height is included in the class definition, which is repeated in the 'y' direction. dbxLT Dialog box top-left corner, with an image of fixed width and height, with the currently displayed color and a background color that is the same as that defined in the blue band. dbxR Dialog box right vertical border, currently in a light gray color; an image of 2px width and 1px height is included in the class definition, which is repeated in the 'y' direction dbxRT Dialog box top-right corner, with an image of fixed width and height, with the currently displayed color and a background color same as that defined in the blue band popupbg Background color of the pop-up screens popupdbxLT Pop-up screen's dialog box top-left corner, with an image of fixed width and height, with the currently displayed color and a background color that is the same as that defined in popuptitleband popupdbxRT Pop-up screen's dialog box top-right corner, with an image of fixed width and height, with the currently displayed color and a background color that is the same as that defined in popuptitleband popuptitleband Background color and text for the pop-up screen title band scrollstart Scrollbar background color and arrowhead color sort Face sheet headings with an underline submenu2 Used for links in the Master Menu, Preferences, and Processes screens. submenu2dis Used to disable links in the Master Menu, Preferences, and Processes screens. submenu3 Background color for face sheet information, test tables in pop-ups in HPI, ROS, Physical Exam, and Specialty, toolbar background in the Letters screens, and the PMH and allergy info table on the Prescription screen. tblcoltitle1 Column headings with an underline; background color, text, and line height. tblcoltitle2 Column headings without an underline; background color, text, and line height. tblname Table headings; background color and text. In the Patient Search box, can you add sex and age? Does it list only active patients? Answer: Yes. The Sex and Age fields can be part of the Patient Search. Note that the age of a patient is recomputed on the start of a new encounter. The Patient Search might not show the exact age. How is a chart number generated? Is it editable, importable, and mandatory? Answer: Auto-Number Generation is a common method used for the Chart Number, Lab Order Number, and Rad Order Number. The method consists of three parameters defined in Settings > Configuration > Properties. Type of Prefix     0 > No prefix     1 > Doctor's Initials (one character each from the First, Middle, and Last Name)     2 > Specified Prefix String Specified Prefix String. This is applicable only if Type = 2. Length of the Serial Number (excluding the prefix) The system finds the maximum number with the applicable prefix, increments the serial number, and creates a new number. It ensures the generated number is unique; otherwise, it increments the serial further until the generated number is unique. A typical entry for Chart No. in Settings > Configuration > Properties will be: patient.chartno.type=1 patient.chartno.prefix=SCL patient.chartno.length=5 A typical entry for Lab Order in Settings > Configuration > Properties will be: lab.orderno.type=2 lab.orderno.prefix=SCL lab.orderno.length=5 A typical entry for Rad Order No. in Settings > Configuration > Properties will be: rad.orderno.type=2 rad.orderno.prefix=SCL rad.orderno.length=5 The Chart Number is editable. If specified, it will be imported. If not specified, it will be auto-generated. When are PHS tests rescheduled? Answer: The PHS tests are scheduled from three options. Settings > Processes > Calc PHS Tests: This option schedules the tests for all patients. Patient > Encounter > Health Maintenance: When the doctor explicitly schedules a test. Patient > Encounter > Start Encounter: When a new encounter is created for a patient, the PHS tests are also scheduled. Can I select drugs in Current Medication? How do I see the dosage and frequency? Answer: Yes. The Comments field is used to display Sig + Freq Code + Comments in the Prescription. If the details were directly entered, the user is expected to enter the details in the Comments field. Can I print a certificate of inoculations taken this year for each student? How? Answer: Yes. For the Encounter Report, set a new SQL query in Settings > Configuration > Properties: encrep.sql.5= SELECT DISTINCT ENC_ID FROM TRN_ENCOUNTERS, TRN_VACCINATION WHERE ENC_ID = VAC_ENC_ID AND VAC_ENC2_ID = 0 AND ENC_DATE >= [DATE_FROM] AND ENC_DATE <= [DATE_UPTO] AND ENC_ATT_DOC_ID =[THIS_DOC] AND VAC_DATE IS NOT NULL AND VAC_DATE >= [DATE_FROM] AND VAC_DATE <= [DATE_UPTO] (Actually without a line feed) encrep.name.5=Inoculations This SQL query ensures that only those patients who have received a vaccination within the specified date range will be selected. Design an Encounter Report template in the format of a letter. At the end, put a page break so that the letters for each patient are printed on a separate page. How do I define vitals, especially Height and Weight? Answer: Vitals can be defined in two steps: Go to "Settings > Configuration > Vitals > Systems" and define the group or system for the vitals which you want to add. If the system is already present, then this step should be skipped. Go to Settings > Configuration > Vitals > Vital Signs and add the vitals with the appropriate system. It is a good idea to keep the unit as part of the name (e.g., Weight Kg). If the unit is not part of the name, define it explicitly. The result type must be Fraction. To be able to print Body Mass Index (BMI) and Body Surface Area (BSA), we need to make some settings in Settings > Configuration > Properties. vital.weight.testname=Weight lbs (exactly as the name defined in the test) vital.height.testname=Height cms (exactly as the name defined in the test) vital.weight.kg=N (If the weight is in kg, set Y; if in pounds, set N) vital.height.cms=Y (If the height is in cm, set Y; if in inches, set N) Only if all four of these settings are correct will the BMI/BSA be computed and printed in the Progress Notes. In Test Execution, which template is used? Which is the default? Is it logged in the doctor's template or the attending doctor's template? What if the attending doctor changes midway? What happens to the copy if the previous doctor was different? Answer: The template list shows all the templates of the attending doctor, followed by all the clinic-level templates. For a new record, the first template in the list is selected by default. If test execution has been done with a doctor's preferred template and another doctor opens the screen, they see the test details as per the template used, but the template name is not shown (because that template is not part of the dropdown); instead, it incorrectly shows the first template. When is the Copy button shown or enabled? What does it do? Answer: The Copy button is used to copy the results from the previous encounter. This button appears if the following conditions are satisfied: Settings > Configuration > Properties settings are set to Y for (applicable.test.copy.XX=Y, where XX could be VT, PH, HP, RS, SC, SH) There is a previous encounter, and data exists in the previous encounter for this test type. This is a new record (no results are saved yet for this encounter for this test type). The Copy button copies the results from the previous encounter to this encounter. It displays the results so that the user can make necessary modifications. Note that clicking Copy saves the previous encounter's results as this encounter's results. Therefore, even if the user clicks Cancel, the results are already copied. In test execution, how do we get the system and test labels? Are the same labels used in the transcript? Are they the same in the menus? Answer: System and test labels are taken from the properties files: applicable.system.label.XX and applicable.test.label.XX (where XX are VT, PH, HP, RS, SC, SH). The same labels are used in the menus and search screen titles. In test execution, are the systems and tests checked or unchecked by default? What if the settings are set to unchecked and Auto-Copy is also enabled? Answer: By default, for a new record, the tests and systems are checked or unchecked depending on the property Settings > Configuration > Properties > Applicable Tests Checked. If Auto-Copy is on, the tests that were performed in the previous encounter will be checked. If there was any test completed within a system, then that system will be checked. In test execution, which fields can be configured, and how? Answer: There is a setting in Settings > Configuration > Properties as follows: applicable.test.fields.XX= uRaNsDQCt where uppercase indicates a field is applicable and lowercase means it is not applicable. Caution: Do not change the sequence. U – Unit R – Remarks A – Abnormal N – Notes S – Systems list on the left D – Diagrams P – Add to PMH Q – Result-Based Questions.       If this property 'Q' is applicable, this enables a mode where a set of questions belonging to a Group Number is asked. Depending on the response to each question, it is possible to zoom to another set of questions. C – Consolidated System List       Based on this property, a consolidated system list is displayed with the category as a header, followed by the tests in that category. T – Multiple Templates       Based on this property, multiple template selection is possible for the test execution option. What are the test result types? What is the alignment (right/left) for each? Where are they shown? What is considered abnormal for each? What goes into the result text field? How many decimal places are used? What is the rule for converting a string to a number? Is there any rounding? Answer: Result Type Description Alignment D. P. Round Abnormal Result text Text Text Left NA NA Manual Text Numeric Integer (6-digit) Right 0 Yes Out of Range #####0 Fraction Decimal (6 digits before decimal, 2 after decimal) Right 2 Yes Out of Range #####0.00 Boolean 2 values 2 radio buttons 0 NA Second Option Strings defined for 0 and 1 Set Of Values From a given list of values Dropdown NA NA Other than the first option Strings defined in the set of values Date Date Calendar NA NA Manual MM/DD/YYYY Note: D.P. stands for decimal places. Result Numeric is not set for 'set of values'. This can create a problem if the set of values is changed. List of topics with associated images and their corresponding file types. Answer: Images included in PrognoCIS and their file types. Patient Registration – The patient's photo is stored in: \prognocis\prognocis2\datafiles\patientphoto (Allowed file types: JPG, GIF, BMP) Patient Insurance – The insurance card images are stored in: The front image of the card is stored in: \prognocis\prognocis2\datafiles\inscardfront The back image of the card is stored in: \prognocis\prognocis2\datafiles\inscardback (Allowed file types: JPG, GIF, BMP) Encounter Test Diagrams The pins needed for the test diagrams are stored in: \prognocis\prognocis2\datafiles\testpins The diagrams used for the test diagrams are stored in: \prognocis\prognocis2\datafiles\testdiagrams (Allowed file types: GIF) Encounter Illustrations \prognocis\prognocis2\datafiles\diagrams (Allowed file types: GIF) Encounter Pictures \prognocis\prognocis2\datafiles\pictures (Allowed file types: GIF, JPEG, BMP) The Clinic Logo Tag \prognocis\prognocis2\datafiles\cliniclogo (Allowed file types: GIF) Lab Results Attachment (in case a document is scanned and then attached) \prognocis\prognocis2\datafiles\labresult (Allowed image file types: JPG, GIF, BMP, TIFF) Rad Result Images for individual tests \prognocis\prognocis2\datafiles\radresult\detail (Allowed image file types: JPG, GIF, BMP, TIFF) Rad Results Attachment (in case a document is scanned and then attached) \prognocis\prognocis2\datafiles\radresult (Allowed image file types: JPG, GIF, BMP, TIFF) Letters In/Out (in case of an attachment) \prognocis\prognocis2\datafiles\letters (Allowed image file types: JPG, GIF, BMP, TIFF)