PrognoCIS Help: Review of Systems

Search:

This is detailed information / an inquiry about the various body systems. Either the nurse or the doctor asks these. The doctor can perform a general multi-system exam or a single organ exam. These are important for determining the level of service and billing.

Template: Select the required template (doctor-specific or clinic-specific).

Systems List:

System Names: The list of all body systems applicable to the selected template is shown here. Click any row to make a system current.

Check Mark: A check mark appears before the system name if one or more tests are selected (all are selected by default).

Tests:

Click any system in the table to make it current. The background changes to a different color. To the right, a screen of elements appears corresponding to the selected template, system, and tests applicable to the sex of the patient. The user can enter all details for the elements listed.

When the result type is 'master search' and its value is 'ICD', the ICD-10 information is displayed in the tooltip.

Note: Notes can also be entered with more details about the system. Click the Phrases icon to select from the list of predefined phrases and add them to the notes. The different types of phrases used in PrognoCIS are displayed by category. The user can perform a search based on the category, phrase title, and/or textual search, or search based on keywords. The user can insert single or multiple phrases by selecting single or multiple checkboxes.

Having done this, click Save.

Copy Button: This button is available at all times, but will be enabled only if the encounter is live, the user has modify rights, or the Save button is disabled. Click this to invoke a relevant search.
It will display a list of encounters for the patient with similar data.
The tests and details are copied only if test details have not been entered in the current encounter.

Grid Tests:

When the template contains a grid-defined system, it enables the "Grid Tests..." button shown next to the template selection. Clicking the button opens a popup with a matrix of selected tests and occurrences.