Topics Test Execution Search:  

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

These Tests have been grouped in to
   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, grouping, can be customized to the Clinic style of working. The fields used in this screen namely Remarks, Abn flag (Abnormal) and Notes are optional. User can select which of them should appear on the screen for each type of test by making appropriate settings in the property, Applicable Test Fields > applicable.test.fields.VT/HP/RS/PH/SC/SH.

Template: The pre-defined list of doctors personal templates and clinic level templates are listed here. A super template is a union of all templates associated with selected complaints. A click on 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 Save / 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 the test types depending upon the settings in property, Applicable Test Copy > applicable.test.copy.VT/HP/RS/PH/SC/SH. Some settings also provide to copy these details automatically on creation of the encounter and save them. This way the Doctor needs to enter only that which has changed. By default Social History and Specialty are set for automatic copy in property, Applicable Test Copy > applicable.test.copy.SC/SH.

Systems: On selecting the template, all applicable organ / body systems are displayed on the Left Hand Side. Click on anyone and 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 the test checkboxes will be checked by default is controlled by property, Applicable Tests Checked > applicable.test.checked.VT/HP/RS/PH/SC/SH. Uncheck the box if the test is not important and not to be executed in the current Encounter. A test cannot be unchecked if it is marked as mandatory in the template. 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 Save / 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 Radio button to choose between two states Denies / Reports, Yes / No.
   Text User can enter any text
   Integer User can enter a number without fractions
   Fraction User can enter a number with 6 digits before 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, C are selected the result edit control will display them as A, B and C. The program inserts the comma and "and" properly.
   Date Shown with an edit control and a Calendar Icon to select date.
   Notes Shown with an edit control and a button to pop up a bigger multi line edit control for easy editing / viewing.

Zoom: If the Result type is boolean or 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 get printed in a nested fashion. If a zoom is appiclable for an answer, this button will be displayed. If the user has nested to a deeper level of questions, the path is shown on the first row. Each of the levels in the path are separated with a slash and the paths hyperlinked. Click on this path to backtrack to the starting screen.

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

Search Button: This button pops up a 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 if the result is normal / abnormal. This flag help to generate a Short report of Only Tests with Abnormal readings. This flag is Auto Generated based on the following logic:

Test Result Type Abnormal If
Numeric Reading Out of Range
Fraction Reading Out of Range
Boolean Second selection
Set of Values Option other than First in List Box
Text -
Date -
Notes -

The Doctor has an option to over ride this generated flag.

Notes: A place to enter notes in multiple lines. A button has been provided to view / edit notes in a larger area in a new pop up. Note that the phrases used will be popped up relevant to the complaint selected in HPI and relevant to the template selected in specialty.

Impact of Selecting another Template: Consider that a Template A has tests T1, T2, T3 and Template B has tests T2, T3, T4. First select Template A and enter results for T1, T2, T3 and save. Come back to this screen, the default template will be A. Now select Template B. Tests T2, T3, T4 will be displayed. Since T4 was not part of the saved data, Test T4 will be shown as unchecked (Not selected). Since T2 & T3 had some results saved (although under Template A), the saved results will be available by default. If this is saved, the results of Test T1, (which are no longer relevant in Template B) will be deleted and lost from the database.