Introduction: Doctors and nurses need to note many details in an Encounter by asking questions in a structured way, as well as by taking a number of objective readings like Pulse, BP, and weight. These Subjective/Objective Observations/Readings are loosely referred to as Tests in PrognoCIS. They should not be confused with Lab Tests.

These Tests have been grouped into
   Vitals
   HPI
   ROS
   Physical
   Specialty
   Social History
   Surgery Forms

The application provides the flexibility to define a set of tests in each of the above categories, so that the nomenclature, type of response expected, and grouping can be customized to the clinic's style of working. The fields used on this screen, namely Remarks, Abn Flag (Abnormal), and Notes, are optional. The user can select which of them should appear on the screen for each type of test by making the appropriate settings in the property, Applicable Test Fields > applicable.test.fields.VT/HP/RS/PH/SC/SH.

Template: The predefined list of doctors' personal templates and clinic-level templates is listed here. A Super Template is a union of all templates associated with the selected complaints. Clicking this label takes the user to the Template Configuration screen. This is available only if the property Applicable Test Dynamic Edit > edit.test.template.VT/HP... is set to Y. The modified template becomes effective after clicking Save or Reset.

"Copy" Button: Before entering any test results, it is possible to copy the test results from the patient's previous encounter by clicking on this button. Once the test results are saved, this button is hidden. This feature is available for all test types, depending on the settings in the property, Applicable Test Copy > applicable.test.copy.VT/HP/RS/PH/SC/SH. Some settings also provide the option to copy these details automatically upon the creation of the encounter and save them. This way, the doctor only needs to enter what has changed. By default, Social History and Specialty are set for automatic copying in the property, Applicable Test Copy > applicable.test.copy.SC/SH.

Systems: Upon selecting the template, all applicable organ/body systems are displayed on the left-hand side. Click on any one to see the applicable tests displayed on the right-hand side. The selected system has a different background color.

Test / Elements / Symptoms: Once a particular template is selected and the user clicks on a body system, the tests defined in that template under the selected body system and applicable to the sex of the patient are displayed. Whether all of the test checkboxes are checked by default is controlled by the property, Applicable Tests Checked > applicable.test.checked.VT/HP/RS/PH/SC/SH. Uncheck the box if the test is not important and should not be executed in the current Encounter. A test cannot be unchecked if it is marked as mandatory in the template. The user can double-click on the test name to invoke the Test Master editing screen. This feature is enabled only if the property Applicable Test Dynamic Edit > edit.test.master.VT/HP... is set to Y. The modified test becomes effective after clicking Save or Reset.

Results: The result for each test is entered against it. The system validates the values based on the definition of the test in the Test Master.
   Boolean A radio button to choose between two states: Denies / Reports, or Yes / No.
   Text The user can enter any text.
   Integer The user can enter a number without fractions.
   Fraction The user can enter a number with six digits before the decimal point and two digits after it.
   List Box Select an option from the list box.
   Multi-Selection Shown with a multi-selection icon to pop up a predefined set of values from which the user can select one or more. If values A, B, and C are selected, the result edit control will display them as A, B, and C. The program inserts the commas and "and" properly.
   Date Shown with an edit control and a calendar icon to select a date.
   Notes Shown with an edit control and a button to pop up a larger, multi-line edit control for easy editing and viewing.

Zoom: If the result type is Boolean or a list box, there is a provision to zoom to a set of questions depending on the result entered. (These branches are defined in the Test Master.) The system also supports nested zooming. While printing the progress notes, the details of the zoom level are printed in a nested fashion. If a zoom is applicable to an answer, this button will be displayed. If the user has navigated to a deeper level of questions, the path is shown in the first row. Each of the levels in the path is separated by a slash, and the paths are hyperlinked. Click on this path to backtrack to the starting screen.

Remarks: This field can be used to explain any test condition, especially an abnormal result.

Button: This button displays a pop-up search list to select one or more abnormal condition remarks, as applicable to the test on that row. The selected text will be concatenated to the Remarks column. It is possible for the user to add new text on the fly while in the search list.

N/Abn: This checkbox indicates whether the result is normal or abnormal. This flag helps to generate a short report of only tests with abnormal readings. This flag is automatically generated based on the following logic: