Clicks ® Quick Tour

1. Clicks® Quick Tour • Clicks® is a rapid application development environment. • This is a quick tour of a simple “demo application”. • You will be able to see some features of the physician’s working environment, tools and general design rules. Quick tour

2. Login When logging into the system, Clicks reads the application schema and sets the working environment of the specific user. Quick tour

3. Selecting a patient Various ways to select a patient: searching the patient by name, ID or phone number, locating on last seen list, etc. Built-in interfaces for magnetic card, even for finger print reader. Quick tour

4. Loading the patient record Once the patient record is loaded from the database, the “on patient load” event is triggered, evoking the relevant procedures. For example: A call to a SOAP server to check the patient’s eligibility and insurance type, so that service levels can be determined. Quick tour

5. Navigation and Summary The patient summary is compiled automatically every time the user accesses the patient record. It can contain any type of information, guaranteeing a clear picture of the patient status. The navigation tree contains a list of note folders and shortcuts to activities. Quick tour

6. Sticky notes Like in paper records, sticky notes can be attached to the patient record both manually and programmatically. Quick tour

7. Preventive Medicine Assistance The PMA (preventive medicine assistant) sub system will check the patient’s markers and system rules and will alert the physician about the necessary actions to be taken. Markers and rules can easily be configured. Quick tour

8. Visit summaries Clicking on the desired note folder in the navigation tree displays a short view of all the notes under that topic. The list of folder notes is customizable. Quick tour

9. Visit: Full view Double clicking on the desired template record displays it in full view, showing all (and only) the existing information. Quick tour

10. Chronic medications Once a chronic medication is prescribed, it is automatically registered in a dedicated Chronic Medications template. Double clicking that template lists the patient’s chronic drugs. Quick tour

11. Chronic medications chart Various event timing mechanisms exist, for example Gantt charts of active chronic drugs. Quick tour

12. Viewing laboratory test results The Labs button gives fast access to the patient’s lab test results Quick tour

13. Lab chart Graph the patient’s test results across time, singularly or grouped together. Quick tour

14. Scheduling Direct interface to built in appointment scheduling module enabled from within the patient record. Quick tour

15. Form archive As part of our commitment to medico-legal regulations, a copy of any output can be kept directly within the system for immediate access any time. Quick tour

16. Open design Being in core an application generator, Clicks® enables a variability of application designs, as reflected in the structure of the navigation tree. Quick tour

17. Open design (a) For example, dedicated Cardiology and Gynecology folder notes within the unified patient file. This is a true example of an existing application used full scale across major HMO’s. Quick tour

18. Free text writing is central to doctors’ documentation of the medical encounter. Organizational approach on the other hand strives to achieve as much structured input as possible. In Clicks®we have developed a writing assistance method that combines both: Token tables Writing assistance Quick tour

19. This mostly token-selection driven documentation method ensures speed, accuracy, efficiency and universality across all points of care and throughout the patient population. The built in mechanism allows the doctor to “teach” the system his/her own vocabulary, style and preferences. It enables structured, coded input that can be retrieved for further reference. This is used for core medical data such as diagnoses, drugs, referrals, test orders, etc. At the same time it allows for free text writing, free of any writers’ constraints. Writing assistance Quick tour

20. Result: Detailed, complete documentation of the patient-physician encounter that satisfies both doctors’ and management needs. Writing assistance Quick tour

21. Writing visit notes • Marked values branch off to other tables. • Various search and selection methods. • Tables can be sorted by frequency of selection. Closed tables, typically for structured objects (e.g., referrals), and open tables (complaints). Quick tour

22. Writing visit notes (a) Token tables can be designed to reflect organizational regulations and departmental work habits. And can be fine-tuned by the physician to suit personal preferences. Quick tour

23. Writing visit notes – Embedded Logic Underlying logic enables to embed different procedures into the application. Embedded procedures can be used to capture events so as to ensure standardized work flow and compliance with medical protocols. Quick tour

24. Writing visit notes – Link pictures & documents Different graphic objects can be attached to Clicks fields: imaging pictures, archive documents, scanned documents, etc. Quick tour

25. Writing visit notes – Graphic interface Built in graphic interface enables marking of predefined, structured clinical findings directly onto embedded charts. Quick tour

26. Writing visit notes –Special tools Specific interfaces designed to document specialized events can be implemented, for example audiograms. Quick tour

27. Writing visit notes – Working with codes Core data is structured in coded fields to enable systematic retrieval and further reference by decision support systems. For example: diagnoses, referrals, test orders, etc. Diagnoses are shown here under ICD-9 code but any other coding system can be supported. Quick tour

28. Writing visit notes – Creating referrals Referrals and any other orders are fully documented. The appropriate forms are filled out online as relevant data is collected automatically from across the patient file. Upon printing, a copy of the complete form is saved for further reference. Quick tour

29. Writing visit notes – Ordering Lab A special built in interface for lab test orders. Sorting supports lab groups, predefined general routines and personal routines. Selecting a test or routine displays the latest results for the relevant tests, enabling the doctor to reconsider. Quick tour

30. Writing out prescriptions is at the heart of doctors’ clinical work. The medications table (provider’s proprietary) is structured and all drug related fields can be coded. The Clicks® detailed medications window combines ease of use with a capacity to reflect organizational policy. This combination makes for a rich, powerful tool for doctors and management alike. Prescriptions Quick tour

31. Writing visit notes – Prescriptions Beside the purely medical info, drug related fields also include administrative data such as cost and the patient’s co-payment. Relevant patient info is automatically updated: age and weight, drug allergies, status of active drugs, liver and kidney functions. The drugs table can be toggle-sorted by commercial name, generic name and by pharmacological groups. A personalized list for everyday use can be created. Quick tour

32. Writing visit notes – Formulary preferences Once a drug is chosen, preferred alternatives can be suggested as derived from organization policy. Quick tour

33. Writing visit notes – Prescription alerts If drug interaction is detected, the doctor is alerted accordingly. Quick tour

34. Writing visit notes – Prescription dosage All the drug info is entered online in the respective fields. When confirmed, the prescription can be sent to any destination in various ways as defined. Quick tour

35. <?xml version="1.0" ?> - <Patient Id="285632"> - <MDC-visit DocName="Dr. Smith" DocLic="04" Status="3" Date="17/06/2001" Time="11:01" LastUpdate="2001/06/17 11:11" DocProfession="4565453"> <Finding>clean lungs</Finding> - <Diagnosis> - <LDiagnosis line="1"> <Diagnosis>ABDOMINAL PAIN</Diagnosis> </LDiagnosis> </Diagnosis> - <Referrals> - <LReferrals line="1"> <Referrals>Lab tests</Referrals> </LReferrals> </Referrals> - <Drug> - <LDrug line="1"> <Drug>ADAFERIN GEL 30G</Drug> </LDrug> - <LDrug line="2"> <Drug>ABROL NEW 500MG X 20</Drug> </LDrug> </Drug> </MDC-visit> </Patient> Exporting XML Data Predefined background procedures enable to send any information as XML objects to designated targets using standard communication techniques. Quick tour

36. Clicks is a 4th generation application generator software, specially designed for the creation and maintenance of medical information systems. As such it contains a host of editors and other design tools. Together they make a full range, wide scope authoring environment. Application generator and design environment Quick tour

37. Designing the application This is an example of one of the design stages. All the objects designed for the application can be easily maintained and changed without disrupting the integrity of existing data. Quick tour

38. Designing the application Designing the layout and workflow, another stage of the application design. Quick tour

39. END Quick tour