|
|
The "iHealth program" is a database
designed using 4th Dimension.
Email me at julio@postigo.com and I will mail you the CD,
or
you can Download
it here.
The program and its support are
free.
To see the following pages use
the links bellow, read the information and come back to the top by
using the "Back" button of your browser.
The "Startup" screen is
the first screen that you see when you start
iHealth.
The Image shows three main columns, "NEW", "LIST", and "FIND".
In each
row there are icons for entering a new record, for showing the list of
records and for searching for a record.
For example:
"New Encounter", "Encounter List" and "Find Encounter".
The program
shows the name of the icon when you put the mouse cursor over the icon.
The Windows version of iHealth is a
Double-clickable application made with 4th Dimension version 2003.7
For Macintosh users, we can convert the program to play with the
Macintosh version of 4D, 2003.7
iHealth runs without the need for any other 4 D
program. It is the real, unrestricted program, not a demo.
When we send you a CD you can see a compiled version of
the program. You can recognize
the program file as iHealth.exe
iHealth allows the medical office to do
the
following:
1- Make appointments
2- Make patients' charts
3- Enter encounters
4- Enter
reports
of patient's tests
5- Enter messages and reminders
6- Score and Code an encounter
7- List the charts of the patients coming today (or any particular day).
8- Ftp ready for sending and receiving data
9- Allows you to make and/or edit your own systems lists.
(you can use systems lists to help you enter information in an
encounter)
When
entering
a record, you have the choice of canceling or accepting the data
entered
up to that moment. To help you understand this, we have dimmed the
menus or they are not operational
from inside a record entry form.
The File
menu
is where you go to Quit. (You can quit from the "Start" screen
too).
The Password
menu item let you change the passwords.
The
Edit menu is always available for copy, Cut, Clear and Paste
The Help
menu
contains the "Help for iHealth" (This pages) menu item.
It is always available.
Make
an appointmentAn
appointment
is made by choosing the "New Appointment " menu item, from the
"Appointments"
menu.
"Appointments" --->"New
Appointment ".
or
by clicking
on the Calendar icon in the "Startup screen".
The 5 day
week form will appear. Enter the name and patient's Id number in the
cells that intersect the day of the week and the time desired.
When finished,
click the OK button to save your entries.
An
appointment
is found by choosing the "Find Appointment" menu item, from the
"Appointments" menu,
"Appointments" --->Find Appointment"
or
by clicking
on the Find Appointment icon in the "Startup screen". The program
will
find the date and time of the appointment, when you enter either the
first and/or the last name of the patient.
The Patient's
Chart menu let you create a new chart, see the list of charts or search
for one or more charts. You can do these things also by clicking the
corresponding buttons in the "Start" page.
An
encounter
record is to be entered each time the patient meets the health care
professional.
You access
the encounter form by selecting "Encounter"
menu--->"New Encounter" menuitem.
or
by clicking
on the Encounter icon in the Startup screen. 
The
Encounter
form contains several pages. These pages are:
"Demographics"
"Present
Illness"
"ROS"
"Past,
Family
and Social history"
"P. Ex"
"DG &
R" (Data gathering and Review)
"Med List"
(Medical List)
"Diagnosis"
"Plan"
"Counseling"
"Report"
"Score"
You move through these pages by clicking on the corresponding tab.
To save any data entered in any of these pages you must click the "OK" button. The OK button appears in each of these pages for convenience, clicking any one of these OK buttons will save the data entered up to that moment. Conversely, clicking a cancel button will discard any data entered in that record up to that moment.
These are additional movie files that show the encounter features:
The
following examles show, how you can enter a large part of the present
illness by clicking on a pre made clinical picture.
Look
at the popup menu name “illness” to the right side of the screen. It
contains several already made clinical pictures. You select one of
them, to insert it in the present illness field.
Before inserting it you can delete unwanted lines, merely by clicking
on them.
| A patient visit for high blood pressure
follow up. |
A
patient with Anxiety |
A
patient with an URI |
A
patient with an UTI |
|
22
|
The Reports
menu contains:
"Enter New
report" 
"Reports'
List"
"Get
Report-ftp"
(available when the sender puts your reports in a server)
"Send
Reports-ftp"
(available when the receiver accepts your data in their server)
---------------------
It also
contains
"Lab tests", which is the list of lab tests you have entered. Those
tests
will appear in a list to choose from when you will be entering
individual
patients tests.
"Add a New
Test to the List" let you add tests to the list.
Gather
the charts is used to get all scheduled patients' charts ready for use
today.
The
Special
menu contains "Modify Lists" which allows you to modify the various
lists
used by the program to enter data in the "encounter".
*
The "List
Encounter Items" shows the list of those items.
The "List
Systems" menu item shows those menu items grouped by entire systems.
Messages 
The Messages
menu lets the user enter a new message, see the list of messages or
find today's messages. These functions can also be used from the
"Start" page
|
|
PI |
ROS |
PFSH
|
| Problem
Focused (PF) |
Brief: ≥ 1•-3• |
|
|
| Expanded
Problem Focused (EF) |
Brief: ≥ 1•-3• |
Problem pertinent
ROS1: 1• |
|
|
Detailed (D) |
Extended: ≥ 4• |
Extended: 2•-9• (1•/Problem pertinent
ROS + 1• -
8•/additional systems) |
Problem pertinent PFSH2: 1•3 |
|
Comprehensive |
Extended: ≥ 4• |
Complete: ≥ 10• (All
Problem pertinent ROS systems +
additional systems) |
Complete PFSH: 2•
Or 3•4 |
| 1 ROS directly pertinent
to PI. 2 PFSH
directly pertinent to PI. 3 1 specific
item from any of the 3 history areas (but pertinent to PI), total of 1• 4 For established patients ≥1 specific item from two of the 3 history areas, total of 2• and for new patients ≥ 1 specific item from each of the 3 history areas. Total of 3• |
|
2.
PE
(Physical Exam) |
||
|
Level of Exam |
Perform
and Document |
|
| Problem
Focused (PF) |
1 area/system |
|
| Expanded Problem
Focused (EF) |
2-7 areas/systems |
|
| Detailed (D) |
2-7 areas/systems one in detail) |
|
| Comprehensive
(C) |
≥ 8 systems or
a complete exam of a single system |
|
|
3. MDM
(Medical
Decision Making) COMPLEXITY 2 of 3
|
|||
| Complexity of Decision Making |
Number
of Dx or Management Options |
Data Gathering and
|
Risk of Complication,
|
|
Strait
Forward (S) |
≤1 |
≤ 1
|
Minimal
|
|
Low
Complexity (L) |
2
|
2
|
Low |
|
Moderate
Complexity (M) |
3 |
3 |
Moderate
|
|
High
Complexity (H) |
≥4 |
≥ 4 |
High |
iHealth can score encounters with the
history, physical, review of systems and data gathering & review
entered directly into the program.
It may also score and code encounters that have not been entered into
the program provided that the scoring
of the Hx, the PE and the DG & R are entered manually.
then see the following movie
file
This file is available at all times from inside the iHealth program.
Continue
Date of last update: 11/21/2005; 12/2/05; 12/15/05, 1/2/06, 1/18/06
Forms. (They have been modified to be use in the
browser(IE, only))
This forms were designed by a highly competent physician in private
practice, he uses them for new patients.
They help him code the Hx, PEx and DGR and are part of the patient's
chart.
You can use them in conjunction with the score/code function of the
iHealth program.