Copyright: Emergency Room Program Online Help Version 1.0 - Frans of MEDSYS
Citation: Thank you for using online help!


Overview

The Emergency Room Program is a computerized processing of patient data, hospital supplies, exam requests and services. Like with other MEDSYS programs, this is connected to its receiving departments for faster processing of patient transactions.

Registered patients in the Admitting (inpatients) and OPD departments (outpatients) are accessible in here. It has its own E.R. registration and can oversee the status of its resources through generated reports provided by the program.

Password protects the program from unauthorized access. Only program users with registered employee number and password can access it.


Objectives

To communicate with other hospital departments via computer network in the least time required.

To automatically generate reports about the services requested, hospital supplies, etc.

To maintain the confidentiality of data entered in the computer.


Features

1	Data-entry restriction - Warning messages are flashed for possible invalid entries. This ensures all data inputted would be made useful for any transaction that may occur.

2	Auto-report generation - The program is capable of generating reports like daily census, monthly census and others.

3	User-friendly - The program user is guided by instructions in doing the next step providing an easy-use to process transactions. Toolbar buttons are also incorporated with tool tips so whenever a user positions the cursor just above the toolbar buttons; a tool tip will pop out.

4	Password-protected - The use of password is necessary to restrict unauthorized access. Thus the program only accepts passwords which are registered into it. This feature ensures the confidentiality and integrity of data entered into the program.

5	Online-help guide - By just pressing F1, the online help will be displayed containing topics about the program transactions. Users can easily learn the flow of a particular transaction because of the step-by-step procedure written into it.


How to Use this Online Help

This online-help serves as a guide to program users. It gives you the step-by-step and brief background of a particular transaction. This is triggered by just pressing <F1> function key from your keyboard and the list of topics will be readily available for user's query.

•	To display help topics, click me

Click the Contents tab to display list of topics. It is categorized into how the program is designed to easily follow a particular transaction's flow. Just double-click on the topic you want to view then its details will be displayed. Click the Help Topics button to go back to help topics main window.

Click the Index tab to display list of topic indexes. Index entry is best recommended when searching the step of a particular transaction because you will just type word(s) related with the topic.

•	To view pictures of program forms, click the broken underlined text colored with green. A pop-up window appears upon clicking.

•	To jump into another topic, click the solid underlined text colored with green. Upon clicking, it jumps you to the topic.


Changing of User's Password

It is advisable to change your password frequently for security reasons. To change you current password, follow these steps.

1	From the Login window, type your employee number and then press <Enter>.

2	Under the Password entry, press <F12>. Pressing this function key will invoke the Change Password window.

Change Password Window

3	Under the Change Password window, type the following data.

Old Password - Type your existing password.

New Password - Type your new password not exceeding to 15 characters.

Confirm Password - Retype your new password to confirm and then press <Enter> or you can click the Save button.

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See also

How to Start the Program


How to Start the Program

1	Click on ER Program executable file icon located in the desktop.

2	The Login window will be displayed asking the user to type his employee number and password for security purposes.

Login Window

3	If accepted, the user can now start a transaction. Otherwise, a message will be displayed prompting “Unauthorized User”.


How to End the Program

It is important for users to close the program when they are done to end-up their session. Other users might use the open program using the same password.

To close the program, click on [image] located at the upper right corner of the window or

Click on Exit Application toolbar button [image].


How to Register E. R. Patients

To register E.R. patients, click on ER Registration toolbar button [image] or click on Register Patient menu. The ER Registration window will be displayed.

ER Registration Window

1	Patient Name - Type the last name of the patient to be registered as ER patient and then click on "Search Patient” [image] button. This will check if he has record(s) in the Hospital Master File. A window with patient listing(s) will be displayed matching your query. Double-click on the patient name from the list to display his old record.

If there is no patient listing displayed, close the window to switch on the ER registration window. Continue completing the following data.

Type the first and middle names of the patient.

2	Sex - Choose one from the two options <Male, Female>.

3	Birth Date - Type the date of birth of the patient. The format is (<mm/dd/yyy> e.g. 10/14/1981).

4	Age - This will be automatically generated.

5	Hospital Information - The hospital, admission and ER numbers are program-generated numbers. The date and time of registration are also automatically displayed. Under type of patient, choose one from the two options <New, Old>.

6	Personal Information - Type the birthplace, barangay/municipality, nationality (press <Enter> when it is still blank to display nationality codes list), street/ house number, town/province (press <Enter> when it is still blank to display zip codes list), and civil status province (press <Enter> when it is still blank to civil status codes).

7	Service - You can type a maximum of 5 hospital services. Press <Enter> if it is still blank to display the service codes list.

8	Hospital Plan - Choose one from the two options <Company or Personal>. If a company supports the patient, type the account number (press <Enter> if it is still blank to display the service codes) then type the I.D. number of member.

9	Vital Signs - Type the weight, temperature and blood pressure of the patient.

10 Brought by - Choose one from the given options.

11 How Admitted - Choose one from the given options.

12 Chief Complaints - Type the complaint of the patient.

13 When completed, the following button options can be clicked from.

Click on Save [image] button to save the entry.

You can view the list of registered E.R. patients by clicking on Registered Patient [image] button.

Clicking on Ignore Entries [image] button will clear all the data typed.

Click on Exit [image] button to close the ER registration window.


How to Search a Patient (Inpatient, Outpatient)
How to Search Inpatient/Outpatient

After the patient had accepted the user's employee number and password, patient searching window be displayed. You can open patient searching window by clicking on [image] toolbar button or by clicking the Open menu.

1	Patient Type - Click on the option box  “In Patient” to search for inpatients or “Out Patient" to search for outpatients.

2	Search Category - Choose one search category from the list below. It is advisable to just enter the full last name of the patient when searching.

Enter Last Name: Type the full last name of the patient or type the first letters of the last name then press <Enter> or click on Search button or

Enter Hospital Number: Type the hospital number of the patient then press <Enter> or click on Search button or

Enter Admission Number: Type the admission number of the patient then press <Enter> or click on Search button.

Afterwards, patient listing(s) will be displayed at the right side of the window. Select a patient from the list to use for your transaction. The selected patient is highlighted with blue color when clicked. Here are the actions you can do after selecting a patient.

Patient List Window

Right-click -You can right-click on the patient name to display options such as personal information, request status or patient’s ledger.

Double-click - When double-clicked, the clinical procedure window will be displayed. Clinical procedures include:

Send Requests

Nurses Activity Request

View Results

Vital Signs

Nurses Notes

Patient Profile

Clinical Summary

3	Clinical Procedures - You can activate this after selecting a patient from the list. The most common clinical procedures are as follows:

Send Requests/ Post Charges

View Clinical Results

Clinical Summary


Patient Inquiry (Personal Information, Request Status, Patient's Ledger)

If the patient is right-clicked from the patient list, three options will be displayed to choose from which are listed below.

Personal Information

The personal information to be viewed includes patient name, hospital number, admission number, admission date, and room number. To view patient’s information:

1	Select a patient from the list then right-click. A pop-up window will be displayed. Click Personal Info or click Personal Info from the Inquiry pull down menu.

2	The Personal Information window will be displayed and the following data can be viewed.

Personal Information Window

Patient Name

Hospital Number

Admission Number

Admission Date

Room Number

Request Status

This will display the status of the requested exam for the patient. To know the request status of the patient,

1	Select a patient from the list then right-click. A pop-up window will be displayed. Click Request Status or click Request Status from the Inquiry pull down menu.

2	A generated report window will be displayed. The following data can be viewed.

Description - the name of the exam requested

Qty - the number of exam(s) requested for a particular exam

Reference No. - a program generated number (charge-slip number)

Status - e.g. Pending, With Result, Charged…

Request Date - the date when the exam was requested

Request By - the program user who requested the exam

3	To print, click

Patient's Ledger

This displays the total amount of E.R. charges to be paid by the patient.

1	Select a patient from the list then right-click. A pop-up window will be displayed. Click Patient’s Ledger or click Patient’s Ledger from the Inquiry pull down menu.

2	A generated report window will be displayed.

3	To print, click


How to Enter Result

Whoever outpatient is selected from the list will be the one to use in the result entry. Click on Result Entry [image] toolbar button or click Result Entry menu. The Result Entry window will then be displayed.

Result Entry Window

You can select the past consultation of the patient by clicking on Past Consultations button at the right side of the window.

Type the following data.

1	Service - Type the service code or you can press <Enter> if it’s still blank to display revenue codes.

2	Diagnosis - Type the code or you can press <Enter> if it’s still blank to display codes listing.

3	Doctor - Type the doctor’s code or you can press <Enter> to display doctor’s list.

4	Patient Category - Choose one from the list.

5	Diagnosis/Findings - Type the findings in the textbox area.

6	Medications - Type the medication in the textbox area.

After completing the needed data, the following button options can be clicked from.

Click on Save [image] button to save the result entry.

Clicking on Ignore Entries [image] button will clear all the data typed.

Click on [image] Exit button to close the Result Entry window.


Receivable Update

This option lets user to enter patient charges that were not entered before his discharge.

1	Click on Receivable Update menu. The Receivable Update window will be displayed afterwards.

Receivable Updates Window

2	Click on Search Patient button located at the right side of the window. The Search Patient window will be displayed. Type the following data.

Patient Type - Click on the option box  “In Patient” to search for inpatients or “Out Patient to search for outpatients.

Search Category - Choose one search category from the list below. It is advisable to just enter the full last name of the patient when searching.

Enter Last Name: Type the full last name of the patient or type the first letters of the last name then press <Enter> or click on Search button.

Enter Hospital Number: Type the hospital number of the patient then press <Enter> or click on Search button.

Enter Admission Number: Type the admission number of the patient then press <Enter> or click on Search button.

3	Afterwards, patient listing(s) will be displayed at the right side of the window. Select a patient from the list to use for your transaction by double-clicking on it. In the Receivable Update window, type the following data.

Department Code - Refer to the department code written just below the data entry.

Item Code - Type the service code or first letters of the service name and then press <Enter>. Or you can press <Enter> key if item code is still blank. When pressed, the Revenue Code window will be displayed showing the complete list of revenue codes.

Item Description - Automatically displayed by the program in relation with the selected item.

Quantity - Automatically displayed by the program in relation with the selected item but it can still be changed.

Unit Price - Automatically displayed by the program in relation with the selected.

Amount - Automatically displayed by the program in relation with the selected item and its quantity.

4	After completing the needed data, the following button options can be clicked from.

Click on Save button to save the items entered. When clicked, you have the option to print it.

To remove the selected item, click on the desired item then click on Delete button.

Clicking on Exit button will close the Receivable Update window.

An option is located below the window to view previous charges entered, Reprint charge-slip or cancel the charges entered.


Reports

Click the option you want (listed below) from the Reports pull-down menu. A window for date entry will be displayed. Select From and To dates by clicking the drop-down arrow then click on OK button.

Audit Report

This displays a report of all items requested, how many quantities are used in a particular item requested and its corresponding amount totaling the accumulated amount of all items. This is arranged alphabetically by the reference number of each item.

The following data can be viewed:

Reference No. - program - generated number (charge-slip number)

Amount - the amount of item requested

Department - the department code

Quantity - the number of item requested

Code - the code of the item requested

Description - the name of the item requested

By - the program user who requested the item

Date - the date when the item was requested

Name of Patient - the name of the patient who requested the item

To print, click [image].

Monthly Report

This displays a report of all items requested, the quantity and amount accumulated each and both in inpatient and outpatients for a particular item then totaling the quantity and amount accumulated each and both in inpatient and outpatients for all the items requested. This is arranged alphabetically by the name of the item requested.

The following data can be viewed.

Description - the name of the item requested

Number (Inpatient) - the total number of the particular item requested in inpatient

Amount (Inpatient) - the total amount accumulated for the particular item in inpatient

Number (Outpatients) - the total number of the particular item requested in outpatients

Amount (Outpatients) - the total amount accumulated for the particular item in outpatients

Number (Total) - the total number of the particular item requested in inpatient and outpatients.

Amount (Total) - the total amount accumulated for the particular item in inpatient and outpatients.

To print, click [image].

Daily Census

This displays a report of all registered ER patients and their requested service. This is arranged alphabetically by the name of registered ER patients.

The following data can be viewed.

OPD Time - the time when the patient was registered as ER patient

Hospital number - a program-generated number serving as the unique key of each patient.

Case number - a program-generated number

OPD # - a program-generated number

Patient Name - the name of the ER patient

Sex - the gender of the ER patient

Birth Date - the date of birth of the ER patient

Service - the requested service of the ER patient

Attending Doctor - then name of the doctor that was assigned to the ER patient.

To print, click [image].

Summary by Service

This displays a report of requested services, the total number of each and both old and new patients who have requested a particular service then totaling the number of all services requested, the total number of each and both in old and new who have requested the services.

The following data can be viewed.

Service - the name of the service requested

New - the number of new patients who have requested for a particular service

Old - the number of old patients who have requested for a particular service

Total - the total number of old and new patients who have requested for a particular service.

Grand Total - the total number of each column name in the report.

To print, click [image].


How to Request Laboratory Exam

This option lets user to request laboratory examinations in the Laboratory department.

1	Click on Send Requests menu option (default menu).

2	Under Laboratory column, select the exam(s) to be requested by clicking the small box beside it. When clicked, the Remarks Entry Window will be displayed. Enter the necessary data then click on “Enter” button. Follow the same procedure when adding exam(s).

The exam to be requested cannot be found in the list. Click on “Search Laboratory Exams” button. The Laboratory Request Entry Window will be displayed and the following data are needed to enter.

Laboratory Request Entry Window

CODE - Type the examination code or first letter(s) of the examination name then press <Enter>. Or you can press <Enter> key if CODE is still blank to display the list of examination codes. If <enter> key was pressed, a window will be displayed showing the list of examination codes.

Laboratory Exam Codes Window

To select from the list, click on the desired exam and click on Select button or simply double-click on the desired exam. The Remarks Entry Window will be displayed afterwards. Enter the following data.

Examination Type - Choose one from the list <Routine, Stat, or In Am Pick-up>

Specimen - e.g. blood, urine...

Transplant - Choose one from the drop-down list either Transplant or Non-transplant

Dialysis - Choose one from the drop-down list either None, Pre-Dialysis or Post- Dialysis.

Remarks - Type additional remarks.

When done, click on Enter button. Follow the same procedure when you want to add an examination.

DESCRIPTION - This will be automatically displayed in relation with the selected exam.

QTY - This will be automatically displayed in relation with the selected exam.

SECTION - This will be automatically displayed in relation with the selected exam.

STAT - The data that were entered in the examination type under the Remarks Entry window will be displayed here. To change it, type Y if the exam is STAT or N if it is Routine.

REMARKS - The data that were entered in the remarks data entry under the Remarks Entry window will be displayed here.

3	Under the Laboratory Request Entry Window, the user can do the following options.

To include the requested laboratory exam in the Order's list, click on Accept button.

To remove requested laboratory exams in the list, click on the desired exam and then click on Delete button.

To close the Laboratory Request Entry window, click on Exit button.

4	After clicking the Accept button, the user can do the following options.

The user can view all the requested exams in the Order's list.

To send the requests, click on Save button.

To remove requested exam from the list, double-click on the desired exam or click on the desired exam then click on Delete button.


How to Request X-ray Exam

This option lets user to request X-ray examinations in the Radiology department.

Under X-ray column, click the small box beside the exam. The same steps with requesting laboratory exam are followed. Please refer to How to Request Laboratory Exam to know the request procedure.


How to Request Ultrasound Exam

This option lets user to request Ultrasound examination in the Radiology department.

Under Ultrasound column, click the small box beside the exam. The same steps with requesting laboratory exam are followed. Please refer to How to Request Laboratory Exam to know the request procedure.


How to Request C.T. Scan Exam

This option lets user to request C.T. Scan examination in the Radiology department.

1	Click on Send Requests menu option.

2	Under Other Departments, click on the small box beside C. T. SCAN. The list of examinations will be displayed.

C. T. Scan Exam Window

To select from the list, click on the small box beside the desired exam. Upon clicking, the Remarks Entry Window will be displayed. Enter the following data:

Examination Type - Choose one from the list <Routine, Stat, or In Am Pick-up>

Specimen - example blood, urine...

Transplant - Choose one from the drop-down list either Transplant or Non-transplant

Dialysis - Choose one from the drop-down list either None, Pre-Dialysis or Post-Dialysis.

Remarks - Type additional remarks.

When done, click on Enter button. Follow the same procedure when you want to add an examination.

3	After selecting all the examinations for the patient, click on Exit button.

4	After clicking the Exit button, the user can do the following options.

The user can view all the requested exams in the Order's list.

To send the request, click on Save button.

To remove requested exams in the list, double-click on the desired exam or click on the desired exam then click on Delete button.


How to Request Cardiovascular (Heart Station) Exam

This option lets user to request cardiovascular examination in the Cardiovascular department.

Under Other Departments, click on the small box beside CARDIOVASCULAR. The list of examinations will be displayed. The same steps with requesting c. t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.


How to Request Nuclear Medicine Exam

This option lets user to request nuclear medicine examination for the patient in the Nuclear Med department.

Under Other Departments, click on the small box beside NUCLEAR MED. The list of examinations will be displayed. The same steps with requesting c. t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.


How to Request P.T. Exam (Physical Med. and Rehab.)
How to Request Physical Therapy and Rehabilitation Medicine Exam

This option lets user to request physical therapy and rehabilitation examination in the Physical Therapy and Rehabilitation Medicine department.

Under Other Departments, click on the small box beside PHYSICAL MED. AND REHAB.. The list of examinations will be displayed. The same steps with requesting c. t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.


How to Request RTS (Pulmonary Laboratory) Exam

This option lets user to request pulmonary examination in the Pulmonary department.

Under Other Departments, click on the small box beside PULMONARY LABORATORY (RTS). The list of examinations will be displayed. The same steps with requesting c. t. scan exam are followed. Please refer to How to Request C. T. Scan Exam to know the request procedure.


Nurses Activity Request

From the requests posted in the Send Requests menu option, the user can view here the status of each request.

Nurses Activity Request is where users can view list of processed requests, list of pending requests, list of exam with results, and reports such as diet list, census report by station, discharges for the day, list of requests/orders, list of medicine posted and list of supplies posted.

1	Click on Nurses Activity Request menu option.

2	Its window will be displayed showing the following data:

List of Processed Requests - These are the lists of requests that were already processed by the department in response to the requests done in the Send Requests menu option.

List of Processed Requests

List of Pending Requests - These are the lists of requests posted in the Send Requests menu option which are not yet acknowledged by the receiving department.

List of Pending Requests

To cancel a request, double-click on the desired item.

List of Exams with Results - These are the list of exams posted in the Send Request menu option that already have results and its details can be viewed in the View Results menu option.

List of Exams With Result

3	The following button options can be clicked from.

Click on Refresh button to view the latest update from the database.

Click on Exit button to close the program.


How to View Exam Result

This option allows the user to view exam result from the following departments.

X-ray

Ultrasound

C. T. Scan

Nuclear Medicine

Pulmonary Laboratory (RTS)

Laboratory

Heart Station (Cardiovascular)

Rehabilitation Medicine (P.T.)


How to Enter Vital Signs

In here, it is where you can enter the vital signs of the patient. Vital signs data entry includes blood pressure, body temperature, respiratory rate, and pulse rate.

1	Click on Vital Signs menu option.

2	On the left side, you can see the previous vital signs of the patient. The following data can be viewed:

Vital Signs Data Entry Window

Date/Time - the date and time when vital sign was entered.

Blood pressure

Respiratory rate

Pulse rate

And on the other side is the vital sign data entry. The following data needed to enter.

Blood pressure

Body temperature

Respiratory rate

Pulse rate

3	The following button options can be clicked from.

Click on Save button to save entry.

Click on Refresh button to view the latest update from the database.

Click on Exit button to close the program.


How to Enter Nurses Notes

Nurses Notes window is where nurses can type down their notes or remarks about the condition of the patient. It works like an electronic notebook because nurses can retrieve the saved data of a particular date and shift of the day.

1	Click on Nurses Notes menu option.

2	To view past patient's chart, click on Past Notes written vertically. The following data can be viewed.

Nurses Notes Window

Date/Time - the date and time when the remarks were entered

Day shift - the shift of the day

Entered by - the program user who entered the remarks

Notes - the content of the remarks

To enter patient's chart, click on Notes entry written vertically. Enter the following data.

Date/Time - current date and time is used

Day shift - select from the following choices listed (6am-2pm, 2pm- 10pm, 10pm-6am)

Notes - Type remarks on the multi-line textbox.

3	The following button options can be clicked from.

Click on Save button to save the notes entered.

Click on Exit button to close the program.


How to View Patient Profile
How to View Patient's Profile

Patient Profile is where you can view the latest patient’s information throughout his current confinement. It includes admitting diagnosis, chief complaints, manner of admission, past medical history, allergies, personal and social history and family history.

1	Click on Patient Profile menu option.

2	The Patient's Profile Window will be displayed.

Patient's Profile Window

3	The following button options can be clicked from.

To edit the patient’s profile, click on Edit button. The user can now make necessary modifications on the patient’s profile.

When completed, click on Save button to save the changes.

Click on Refresh button to undo the changes done.

Click on Exit button to close the program.


How to View Clinical Summary

Clinical summary is where you can view for a particular clinical summary of a patient's confinement.

1	Click on Clinical Summary menu option.

2	The Clinical Summary Window will be displayed. The following data can be viewed:

Clinical Summary Window

Admission number - a program-generated number during patient’s admission

Admission date/time - the date and time when the patient was admitted

Discharge date/time - the date and time when the patient was discharged

Room number - the room number of the patient during his confinement

3	To view for a particular clinical summary of patient, click on the desired exam then click on View button. The following data can be viewed.

Date admitted - the date when the patient was admitted

Date discharged - the date when the patient was discharged

Attending physician - the name of the attending physician

Admitting doctor - the name of the admitting doctor

Admitting diagnosis - the admitting diagnosis of the patient

Chief complaints - the complaint of the patient

Final Diagnosis - the final diagnosis of the patient

4	Click on Exit button to close the program.


How to Request Medicine

1	Click on Send Requests menu option

2	Click on Pharmacy button at the right side of the window. The items to be entered here will be charged into the patient's bill. Enter the following data.

Charge Request Entry Window

Code - Type item code or first letter(s) of item name then press <Enter>. Or you can press <Enter> key if code is still blank to display the list of supplies. If <enter> key was pressed, the list of supplies window will be displayed. To select from the list, click “All Items” to display all supplies or you can categorize by clicking “Suppliers” or “Classification” then double-click on the desired item.

Item Description - This will be automatically displayed in relation with the selected item.

Dosage - Press <Enter> key if dosage is still blank to display the list of dosage codes. If <enter> key was pressed, a window will be displayed showing the list of dosage codes. To select from the list, double-click on the desired code or click on the desired code and click on Select button. To abort the selection, click on Cancel button.

Quantity - This will be automatically displayed in relation with the selected dosage. Note that quantity should be greater than zero.

Remarks - An optional entry.

Just follow the same procedure when adding transcription requests.

After completing the desired items to request, the user can do the following options.

Click on Save button to send the request into the Pharmacy department.

To remove requested items in the list, click on the desired item then click on Delete button.

Click on Cancel button to close the Charge Request Entry Window.


How to Request Supplies

This allows you to request for supplies in the Central Supply Department. Charging will be done by the CSR department after processing the request.

1	Click on Send Requests menu option.

2	Click on Central Supply button at the right side of the window. When clicked, the Central Supply Request Entry Window will be displayed and the following data are needed to enter:

Central Supply Request Entry Window

Code - Type item code or first letter(s) of item name then press <Enter>. Or you can press <Enter> key if code is still blank to display the list of supplies. If <Enter> key is pressed, a window will be displayed showing list of supplies.

To select from the list, click “All Items” to display all supplies or you can categorize by clicking “Suppliers” or “Classification” then double-click on the desired item.

Item Description - This will be automatically displayed in relation with the selected item.

Quantity - Type the number of the item to request. Note that quantity should be greater than zero.

Remarks - An optional entry.

Follow the same procedure when adding items to request.

3	After completing the items to request, the user can do the following options.

To send the request in the Central Supply department, click on Save button.

To remove an item in the list, click the row of the desired item then click on Delete button.

Click on Cancel button to abort the entered items.


How to Request Patient's Diet

This is where you can request and change the patient's diet for the next meal.

1	Click on Send Requests menu option.

2	Click on Change Diet button at the right side of the window. When clicked, the Post New Diet Window will be displayed asking you to enter the following data:

Post New Diet

Old Diet - This will be automatically filled-up by the program.

New Diet - Type a new diet of the patient. To do it, press <Enter> key if New Diet textbox is still blank or click on [image]. When clicked, a window will be displayed showing the Diet Code listing.

Diet Codes Listing Window

To select from the list, just double-click on the desired diet or click on the desired diet then click on Select button. Clicking on Cancel button will abort all your selected diets.

Remarks - Automatically filled-up in relation with the selected diet.

3	After completing the data to be entered, the user can do the following options.

Click the check box to have an extra meal for the patient.

Click on Save New Diet button to send the request.

To abort the request entered, click on Cancel button.


How to Discharge a Patient

This option allows you to remove the patient physically from the list in order to monitor the availability of rooms.

Note: Before discharging a patient, a discharge notice should be sent first to the Billing department. Please refer to “Discharge Order" to know the request procedure.

1	Click on Send Requests menu option.

2	Click on Discharge/Room Transfer button at the right side of the window. When clicked, the Discharge Patient Window (default) will be displayed asking you to complete the following data:

Discharge Patient Window

Admission Date - Automatically filled-up by the program in relation with the patient’s day of admission.

Admission Time - Automatically filled-up by the program in relation with patient’s time of admission.

Discharge Date - You can set the discharge date by clicking on the drop-down combo box. Note that discharge date should not go beyond the current date.

Discharge Time - You can set the discharge time by clicking on the up and down arrows.

Disposition - Click one from the list.

Result - Click one from the list.

3	After completing the data, the user can do the following options.

Click on Save Discharge to remove the patient physically from the list.

Click on Cancel button to abort discharging the patient.


How to Post Charges of E.R. Services & Supplies (for charge patient)
How to Enter Inpatient Charges

In this option is where you can enter charges of E.R. services and supplies.

1	Click on Send Requests menu option.

2	Click on Post Charges button at the right side of the window. When clicked, the Post Charges Window will be displayed. Complete the following data:

Post Charges Window

Department Code - Refer to the list of department codes written at the bottom of the window.

Item Code - Type the service code or first letters of the service name then press <Enter> key. Or you can press <Enter> key if item code is still blank. When pressed, the Revenue Code window will be displayed showing all revenue codes.

Other Revenue Codes Window

To select from the list, double-click on the desired item or click on the desired item then click on Select button. Clicking on Cancel button will abort the selection.

Item Description - Automatically filled-up by the program in relation with the selected item.

Quantity - Automatically filled up by the program in relation with the selected item but this can still be edited.

Unit Price - Automatically filled up by the program in relation with the selected item.

Amount - Automatically filled up by the program in relation with the selected item and its quantity.

3	After entering the items to be charged, the user can do the following options.

Click on Save button to save entered items. When clicked, a printable form will be displayed.  Click on [image] to print.  Entered items will be automatically charged to the patient's bill.

To remove the selected item, click on the desired item then click on Delete button.

Clicking on Exit button will close the Post Charge window.

4	At the bottom of the window, the user can also do the following options.

To view list of charges entered, click on List of Charges Entered button.

To cancel requested charges, double-click on the requested item or click on   the desired item then click on Cancel Charges button.

To have a copy of Charge-slip of the requested item, click on Reprint Charge-slip button.


How to Post Charges of E.R. Services & Supplies (for cash patient)
How to Enter Cash-basis Patient Charges

This option lets user to enter charges of E.R. services and supplies to a selected cash-basis patient.

1	Click on Send Requests menu option.

2	Click on Cash Assessment Entry button at the right side of the window. When clicked, the Cash Assessment Entry Window will be displayed. Complete the following data.

Cash Assessment Entry Window

Department Code - Refer to the list of department codes written at the bottom of the window.

Item Code - Type the service code or first letters of the service name then press <Enter> key. Or you can press <Enter> key if item code is still blank. When pressed, the Revenue Code window will be displayed showing all revenue codes.

To select from the list, double-click on the desired item or click on the desired item then click on Select button. Clicking on Cancel button will abort the selection.

Item Description - Automatically filled-up by the program in relation with the selected item.

Quantity - Automatically filled up by the program in relation with the selected item but this can still be edited.

Unit Price - Automatically filled up by the program in relation with the selected item.

Amount - Automatically filled up by the program in relation with the selected item and its quantity.

3	After entering the items to be charged, the user can do the following options.

Click on Save button to save entered items. When clicked, a printable form will be displayed. Click on [image] to print.

To remove the selected item, click on the desired item then click on Delete button.

Clicking on Exit button will close the Post Charge window.

4	At the bottom of the window, the user can also do the following options.

To view list of charges entered, click on List of Charges Entered button.

To cancel requested charges, double-click on the requested item or click on the desired item then click on Cancel Charges button.

To have a copy of Charge-slip of the requested item, click on Reprint Charge-slip button.


How to Reprint Request Form of Laboratory Exam

This option allows the user to Reprint the request form of posted laboratory exam.

1	Click on Send Requests menu option.

2	Click on Reprint Request Form button located at the right side of the window.

3	Its window will be displayed. Click on the exam you want to Reprint.

List of Posted Laboratory Exams Window

4	The following button options can be clicked from.

Reprint Request Form - This will Reprint the selected exam.

Exit - This will close the window.


How to View X-ray Exam Result

This option allows the user to view result of x-ray exams.

1	Click on View Results menu option.

2	Its window will be displayed.

3	Click X-ray tab to view x-ray exam result. (X-ray window is the default window).

X-ray Exam View Result Window

The list of examinations is displayed at the right side of the window. Just click the desired exam to view its result.  The exam result can be viewed at the left side of the window.

4	The following buttons can be clicked from.

Refresh - This will view latest updates of exams with result from the database.

Exit - This will close the program.


How to View Ultrasound Exam Result

This option allows the user to view result of Ultrasound exams.

Click Ultrasound tab to view exams with result. The same steps with viewing of x-ray exam are followed.  Please refer to Viewing of X-ray Exam Result to know the procedure.


How to View C.T. Scan Exam Result

This option allows the user to view result of C. T. Scan exams.

Click C.T.-Scan tab to view exams with result. The same steps with viewing of x-ray exam are followed. Please refer to Viewing of X-ray Exam Result to know the procedure.


How to View Laboratory Exam Result

This option allows the user to view result of laboratory tests and exams.

1	Click on View Result menu option.

2	Its window will be displayed.

3	Click the Laboratory tab to view Laboratory exams with result.

Laboratory Exams with Result Window

To view, click the exam and then click on View button. The Refresh button is used to view the latest updates of Laboratory exams with results from the database. While the Exit button is used to close the program.


How to View Heart Station Exam Result

This option allows the user to view result of Cardiovascular exams.

1	Click on View Result menu option.

2	Its window will be displayed.

3	Click Heart Station tab to view exams with result.

Heart Station Exams with Result Window

To view, click the exam and then click on View button. The Refresh button is used to view the latest updates of Laboratory exams with results from the database. While the Exit button is used to close the program.


view nuclear med. exam resultl; nuclear med. view exam result
How to View Nuclear Med. Exam Result

This option allows the user to view result of Nuclear Medicine exams.

Click Nuclear tab to view exams with result. The same steps with viewing of x-ray exam are followed. Please refer to Viewing of X-ray Exam Result to know the procedure.


How to View Pulmonary Laboratory (RTS) Exam Result

This option allows the user to view result of Pulmonary Laboratory exams.

Click Pulmonary tab to view exams with result. The same steps with viewing of x-ray exam are followed. Please refer to Viewing of X-ray Exam Result to know the procedure.


How to View Rehab. Med. (PT) Exam Result

This option allows the user to view result of Rehabilitation Medicine Exams.

1	Click on View Result menu option.

2	Its window will be displayed.

3	Click Rehab. Medicine tab to view exams with result.

Rehabilitation Medicine View Exam Result Window

The list of examinations with result is displayed at the left side of the window. To view result, click the exam and then its result, initial evaluation and endorsement can be seen at the right side of the window.

4	Clicking on Refresh button will display the latest updates of exams with result from the database.


Clinical Procedures

1	Send Request

How to Request Laboratory Exam

How to Request X-ray Exam

How to Request Ultrasound Exam

How to Request C.T. Scan Exam

How to Request Cardiovascular (Heart Station) Exam

How to Request Nuclear Medicine Exam

How to Request Physical Therapy and Rehabilitation Medicine Exam

How to Request Pulmonary Laboratory (RTS) Exam

How to Request Medicine

How to Request Supplies

How to Request Patient's Diet

How to Discharge a Patient

How to Enter Inpatient Charges

How to Cash-basis Patient Charges

How to Reprint Request Form of Laboratory Exam

2	Nurses Activity Request

3	Viewing of Exam Result

4	Vital Signs Data Entry

5	Nurses Notes Data Entry

6	Viewing of Patient's Profile

7	Viewing of Clinical Summary


How to Send Discharge Order

This option allows you to send discharge order/processing sheet to Billing Department to inform that the patient is already cleared from charges into your department.

1	Click on Send Requests menu option.

2	Click on Discharge Order at the right side of the window. When clicked, the Discharge Order Window will be displayed. Complete the following information:

Discharge Order Window

Discharge Information

Ordered Date - Use the drop-down combo box to select the ordered date

Ordered Time - Use the up and down arrows to select the ordered time

Bill up to - Sets the deadline for the payment of the patient’s bill. To do it, use the drop-down combo box to select a date.

Operation Information - Click the "Yes" option if the patient has undertaken an operation.

Operation Date - Use the drop-down combo box to select an operation date.

Operation Time - Use the up and down arrows to select an operation time.

Operation Procedure - Type the operation procedure of the patient.

Medical Fees

Doctor’s Name - the name of the doctor

Amount - the medical fee of the doctor

Medical Diagnosis - Type medical diagnosis of the patient

Remarks - An optional entry

3	After completing the data, the user can do the following options.

Click on Save as Preliminary Data button to send the discharge order.

Click on Save & Send Final Discharge Notice to Billing button to print. You must click this button to signal the Billing Department that the patient is already cleared from your department.

Click on Cancel button to abort discharge order.


How to Request Cytology and Surgical Pathology Exam

This option allows you to request cytology/surgical pathology exam.

To request cytology exam:

1	Click on Send Requests menu option.

2	Click on Cytology & Surg. Pathology Exam button. The Cytology Exam Window (default window) will be displayed.

Cytology Examination Request Window

The following data are needed to enter.

Specimen (Note: Click the checkbox under "Previous Cytology" to enable date entry)

Brief Clinical History

X-ray Findings

Clinical Impression

Remarks

The following button can be clicked from.

Save and Print - This will save and print the cytology exam request.

Close - This will close the window.

To request surgical pathology exam:

1	From the Cytology Exam Request window, click the drop-arrow to select "Surgical Pathology Consultation Request" as shown below.

2	Its window will be displayed.

Surgical Pathology Consultation Request Window

The following data are needed to enter.

Source of Tissue

Type of Operation

Findings of Operation

Previous Operation/s

Previous Radiation therapy and dates

Menstrual History

Pertinent Clinical Data (Past diseases, Present illness, and duration)

Clinical Diagnosis

Any question desired to be answered by pathological examination

The following buttons can be clicked from.

Save and Print - This will save and print the surgical pathology consultation request.

Close - This will close the window.


A sample pop-up window


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