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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.
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Quick tour
Login
When logging into
the system, Clicks
reads the application
schema and sets the
working environment
of the specific user.
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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.
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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.
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Navigation and Summary
The navigation
tree contains a list
of note folders and
shortcuts to
activities.
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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.
Quick tour
Sticky notes
Like in paper records, sticky
notes can be attached to the
patient record both manually
and programmatically.
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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.
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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.
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Visit: Full view
Double clicking
on the desired
template record
displays it in
full view,
showing all (and
only) the
existing
information.
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Chronic medications
Double clicking
that template lists
the patient’s
chronic drugs.
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Once a chronic
medication is
prescribed, it is
automatically
registered in a
dedicated Chronic
Medications
template.
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Chronic medications chart
Various event timing mechanisms
exist, for example Gantt charts of
active chronic drugs.
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Viewing laboratory test results
The Labs button
gives fast access
to the patient’s lab
test results
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Lab chart
Graph the patient’s test
results across time,
singularly or grouped
together.
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Scheduling
Direct interface to built in
appointment scheduling module
enabled from within the patient
record.
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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.
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Open design
Being in core an
application generator,
Clicks® enables a
variability of application
designs, as reflected in the
structure of the navigation
tree.
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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.
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Writing assistance
• 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
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Writing assistance
• 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.
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Writing assistance
Result:
Detailed, complete documentation of the patientphysician encounter that satisfies both doctors’
and management needs.
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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).
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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.
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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.
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Writing visit notes – Link pictures & documents
Different graphic
objects can be attached
to Clicks fields: imaging
pictures, archive
documents, scanned
documents, etc.
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Writing visit notes – Graphic interface
Built in graphic interface
enables marking of
predefined, structured
clinical findings directly
onto embedded charts.
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Writing visit notes –Special tools
Specific interfaces
designed to document
specialized events can be
implemented, for example
audiograms.
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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.
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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.
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Writing visit notes – Ordering Lab
A special built in interface
for laba test or routine
Selecting
test orders. Sorting supports
lab the latest results for the
displays
groups, predefined general
relevant tests, enabling the
routines and personal routines.
doctor to reconsider.
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Prescriptions
• 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.
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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.
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Writing visit notes – Formulary preferences
Once a drug is chosen,
preferred alternatives can be
suggested as derived from
organization policy.
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Writing visit notes – Prescription alerts
If drug
interaction is
detected, the
doctor is alerted
accordingly.
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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.
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Exporting XML Data
<?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>
Predefined background
</Diagnosis>
procedures enable to send
- <Referrals>
- <LReferrals line="1">
any information as XML
<Referrals>Lab tests</Referrals>
objects to designated targets
</LReferrals>
</Referrals>
using standard
- <Drug>
communication techniques.
- <LDrug line="1">
<Drug>ADAFERIN GEL 30G</Drug>
</LDrug>
- <LDrug line="2">
<Drug>ABROL NEW 500MG X 20</Drug>
</LDrug>
</Drug>
</MDC-visit>
</Patient>
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Quick tour
Application generator and design environment
• 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.
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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.
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Designing the application
Designing the layout and
workflow, another stage of
the application design.
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END
Roshtov Software Ind.
Quick tour