HEALTH one’s functionality includes
- Drug prescription
- Automatic integration of laboratory and radiology protocols
- Integration of text and medical images;
- Quick search and retrieval of healthcare records;
- Analysis of one healthcare record or a set of records;
- Writing and printing of documents, reports and certificates;
- Displaying numeric data in a chart or pictorial format;
- Exporting and importing healthcare records;
- Agenda creation/Appointment Scheduling;
- Billing Recording;
- Problem orientation medical records (POMR).top
HEALTH one - Assets
- Its high standard of functionality;
- It is user friendly;
- Its configuration possibilities without writing a single line of code;
- A set of customization tools to help those who are not familiar with computers. top
HEALTH one - Information structure
HEALTH one essentially consists of three basic levels of information:
- The healthcare record: Every patient has a record to which medical data is written.
- The transaction: A healthcare record consists of a series of transactions, i.e. interactions between a patient and one or several doctors, specialists, other healthcare professionals, or technical examinations.
- The item: A transaction contains a set of items, which detail the encounter.
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The Healthcare Record
Creating new records quickly
HEALTH one makes creating a new patient record simple and fast. All you need to do is enter contents for the administrative items selected, during a preliminary configuration step, to uniquely identify your patients. It is essential that HEALTH one is able to separately identify each one of your healthcare records. You may select information combinations that uniquely identify each patient. This can include (but is not limited to) social security number, national insurance number, or a combination of criteria such as first name, last name, sex, and date of birth, as required by local regulations. Once you set this, HEALTH one will automatically prompt for these criteria when creating a record.
Viewing your information
A healthcare record viewer displays all of your updates in a patient’s record. These updates could include: home care, consultation, protocol integration, external healthcare professional’s opinion, etc. These updates establish HEALTH one’s transactions. They appear in outline form by chapter (administrative and medical) and in chronological order. As soon as you start manipulating an important number of transactions for a patient, you can ask the system, on the basis of criteria such as author, medical speciality, institution or department, to display only part of them (a specific subset). This function offers an excellent and powerful way to quickly have an overall view and to access data even in huge patient files.
Managing the information that matters most
Besides HEALTH one’s administrative functions such as simplified letter writing, printing of prescriptions and archiving of records, it is designed first and foremost to enable and ensure optimal medical follow-up of your patients: focus is on clinical management, as opposed to administrative management only. In order to reach this goal HEALTH one assists you in achieving a rigorous writing of both your observations and conclusions on the one hand, and guarantees the integration of external data such as laboratory protocols on the other hand. In short, HEALTH one helps you control medical information critical to your practice. Thanks to its analysis functions you can have a clear, accurate and comprehensive view on a record, whenever needed.
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The Item - Capturing Data
Item and term
It is important to distinguish between an item and a term: an item refers to any medical phrase that can be found in the HEALTH one item dictionary and likely to receive contents. These may either be free text, a multimedia object, or a phrase - term - from the HEALTH one term dictionary.
Item and term:
69, 15-03-97 and normal are the contents of the following items: weight, date and reflex(es). The content of the item reflexes, normal, can be drawn from the term dictionary via a Term selector.
Collecting the information you require
The item is a basic unit of information, i.e. the unit of information resulting from an observation, a question or some other investigation procedure. Every item should receive content. Thus 69 would be a possible content for the item weight and 240 a possible content for the item cholesterol. In order to meet all GPs’ basic needs, HEALTH one offers more than 3,600 items and more than 10,000 terms that can be used to represent their content. Access to both dictionaries, the item dictionary and the term dictionary, is possible by means of selectors: the item selector and the term selector.
Collecting the information via sequences
The same series of items is frequently needed for clinical documentation. This would be the case, for example, each time a patient comes to your surgery to have a check-up. You would then have to enter the items weight, height, blood pressure, for each patient and for each check-up visit. This would also apply when creating a new healthcare record: HEALTH one makes it compulsory to - and prompts you to - identify your patient with four administrative items - first name, surname, age and sex. Undertaking this each time can soon become tedious and a waste of precious time. However HEALTH one negates this issue by allowing you to group such items into customisable sequences. This way, you only have to set up lists of commonly required items once, and have them available for subsequent patient visits.
Sequences:
Sequences present the items as a simple data set. They may contain up to 100 different items. HEALTH one allows up to 15 different administrative sequences and up to 60 different medical sequences to be created.
Reaching the terms
Permanent lists and associated lists are features of HEALTH one. They help the ease and speed of data entry and to increase consistency of the documentation within healthcare teams. Permanent lists are lists of contents that are always available for any item whereas associated lists are lists of terms that can be linked with items of your choice. Moreover HEALTH one supports the creation of links between specific items and databases (e.g. international diseases, diagnosis, or procedure classifications).
Incorporating multimedia objects
Alongside what we qualify as common data types such as coded data, string data, numerical data or dates, HEALTH one allows you to integrate, as part of the item, a variety of multimedia information types. This includes text, video, digitised or scanned images (picture of a skin lesion, ECG or EEG recording, angiography, radiography…), electronic drawings and sound recordings (dictation). This data may come from a database (CD-ROM, Internet), your own input devices (scanner, camera) or simply from an application enabling you to sketch lesions. Any object, once integrated, is an integral part of the healthcare record, and may be displayed at any time.
Multimedia object.
Capture Images: The angiography to the right can be stored within a patient record for later viewing by other physicians, by means of the export function.
Capturing clinical detail
You can further qualify an item by resorting to a number of attributes. You may link each item to an entry style comprising some attributes and excluding others. Thus the entry style for the item weight will comprise, for instance, of the following attributes: content (e.g., 69) and unit (e.g., kg), that for cholesterol will have, for instance, the attributes content (e.g., 240), unit (e.g., mg/dl) and comment (e.g., within acceptable bounds). Each attribute is associated with an input mask that specifies a data type as well as a display format so that, for instance, in the area meant to receive the content "69" of the item weight, the system imposes you to enter a numerical value. This increases the detail and precision of data recording and reduces the risk of errors.
Integrating external electronic information
External electronic information such as laboratory reports can be integrated into a patient’s record. This allows you to collect and store valuable patient information originating from numerous outside sources, and all in a single location.
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Drug Prescription
Recording the finest detail of prescription history
HEALTH one offers a prescription module specifically designed for combining speed and ease of use with the ability to record the finest details of the prescription history. This is a fundamental pre-requisite for future developments integrating HEALTH one with decision support and expert systems. The HEALTH one Prescription Module offers the following components and facilities:
- Extensive user-defined drug database;
- South African drug database;
- Fast search function in the data bases, using, for example, the following criteria: therapeutic class, generic names, ingredients, administration mode or laboratory);
- Automatic display of drug details (ingredients, dosage, contra-indications) for selected drugs;
- Automatic issuing of prescription forms;
- Patient drug history;
- List of active drugs.
Combining predefinied drug formularies with your own unique drug information
Additionally, HEALTH one offers a highly structured set of drug files that can be populated with data from various sources, such as user-defined data, or national or institutional drug formulary (e.g. at hospital level). Even when using data from an external source, users can add their specific details (e.g. various usual dosages, schedules or comments) in the drug files. This contributes greatly to making complex prescriptions a fast and easy process.
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Analyses
Understanding patient health evolution through thorough analysis
The real power of HEALTH one lies in its ability to provide you with quick and accurate analysis of clinical data. Carrying out an analysis consists in resorting to data extraction formulae - using the items as well as their attributes as filters - in order to get a broader picture of the patient’s health progression. HEALTH one puts at your disposal a set of ready to use analyses on the one hand, and the necessary tools for you to create the analyses that best meet your needs on the other hand. The general format for all analyses can be saved for later use. As an example the scanning of every occurrence of the following items glucose [fasting], glucose [post-prandial], HbA1c, creatinine, urine examination, fundi [optic], electromyography, insulin, C-peptide, blood sugar, weight, together with their content, will guarantee an optimal diabetic patient follow-up. This means that once you create a particular set of criteria for analysing a set of patients, you can use it a week, a month, or a year later with a simple click of a button. The result of an analysis will always be a set of items to which you can add information specific to the transactions they originate from (author, responsible professional, date of creation).
Analyses
For example, HEALTH one will display the development of an information item, in this case the liver Having noted the patient's liver palpation, one may wish to see how it has been in the past. This function will show such a history instantly. This applies to any blood test, clinical finding, or any other item.
Displaying numerical data in grids
An advanced form of analysis is the grid analysis. It allows you to present the chronological evolution of a set of values. You can resort to the standard ready to use analyses, create your own or make use of existing sequences. HEALTH one enables you to create up to 64 different grid analyses of relevance to your speciality or work practice.
Grid analysis.
Items suitable for inclusion would be for instance: haematological results, pulmonary function tests, physical measurements, and ECG parameters
Graph Analysis to Better Explain Healthcare Patterns to Patients Your numerical data will ideally lend themselves to a graphical display. Table data can be further displayed as graphs, using a variety of presentation styles: dots, lines, bars.
Graphs.
Each graph can simultaneously display up to 6 item values with their own adaptable scale and display style
Population analysis
HEALTH one is equipped with powerful functions dedicated to handling the data of groups of patients. For example, you can make a list of all the patients who are receiving one particular medication, you can write to all the patients who need their influenza vaccine the following month, you can calculate the number of times a particular procedure was carried out in the preceding month, or you can send an insurance company a bill for outstanding fees.
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Agenda/Appointments
Agenda creation/appointment scheduling
HEALTH one facilitates the creation of an Agenda for a Practice. The Agenda consists of the booking and mangement of Appointments. This relates to a specific doctor/patient for a specific day. There are two different types of tasks involved in using the Agenda:
Agenda Management:
- declaring the time availability of the doctor over a 7 day period;
- declaring the room/s used by the doctor;
- declaring the type of visit managed by the doctor, ie.consultation, chiropody, psychiatric care etc.
Appointment Management:
- making/deleting appointments
- changing appointment status using the Agenda to open patient files
Agenda.
The Agenda list can be created for setting up appointments within a Practice.
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Billing
Billing recording
The Billing feature of HEALTH one allows charges for services/products in a practice to be levied against patients and payments recorded. Patient Invoices and receipts can be printed along with reports which reflect the current state of the practice accounts.
Billing.
Billing in HEALTH one can be used to record the charges and payments for patients.
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Problem Orientation
Problem orientation
HEALTH one has a feature called Problem Orientated Medical Records (POMR) which provides the ability to link transactions to a problem. Once linked in this way the physician can firstly, see at a glance what the patient's primary problems are, and additionally elect to view only those transactions which relate to a particular problem. The Problem Orientated Medical Records feature is an addition to the conventional method recording and viewing patient transactions by type - for example viewing all Lab Results, Drug Prescription, Expert Reports etc. in the conventional way.
Problem Panel.
Problems appear in the Problem Panel in the HEALTH one screen. This panel has two tabs - one to display the active problems and the other to display the inactive problems.
Medical Transaction with patient problems.
Whenever you insert a new medical transaction into a patient's file HEALTH one displays its properites window. Problem is one of the attributes in the transaction properties window and all the declared problems for the current patient are declared there...
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Dictionaries: Optimising Analysis Possibilities
HEALTH one offers as a standard feature two types of dictionaries, an item dictionary and a term dictionary. The items dictionary of items lists the names of all the available information items (i.e.,such as weight, sex, cholesterol, etc.) In all, more than 3,600 items are listed in the dictionary. The dictionary lists over 3,600 items. This allows you to use any of these entry names in your patient record, maintaining continuity in the terminology of each record. The terms dictionary of terms lists over 10,000 medical terms and expressions you can use to give an item a content. In addition to these two main dictionaries, a separate user dictionary can be created and edited by you to meet the unique needs of your practice.
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Word Processing: Automate Recurring, everyday Tasks
HEALTH one can create, store, and execute document templates, completing them with patient data. Text produced can be submitted for final editing using popular word processors such as Microsoft Word® and can then be archived in the patient record.
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Configuration
HEALTH one is designed for all healthcare environments and all languages. This means that it can be used equally by general practitioners, specialists, nurses, and other healthcare providers. HEALTH one is applicable in all sizes and types of healthcare environments. HEALTH one meets the needs of a single physician working out of a single office, or the needs of hundreds of healthcare professionals working together in a large hospital setting.
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Confidentiality and Data Security
HEALTH one supports a variety of security measures that require unique identification codes to be input before information can be accessed or entered. Different levels of security can be provided to different healthcare professionals (doctors, nursing ward or secretaries) within your practice setting, depending on the information they are allowed to view. (cf. Configuration).
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Validation and audits
HEALTH one requires each transaction to be validated by the clinician, the author of the information or someone he/she delegates the responsibility to (sets of privileges can be implemented). Different people can have varying levels of validation authorisation. Once a transaction is validated, HEALTH one will not allow its content to be deleted or overwritten under any condition. It does allow, however, authorised users (e.g. the author) to produce amendments to existing information; these will be stored as new, amended versions of the original transaction, while retaining the previous version(s). Every single version shall be kept and signed: in addition to the author of the modification the system also documents the institution, department, date, etc. so that audits can be conducted as necessary to track who contributed to which files, and when.
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Work remotely and with other healthcare providers
Healthcare records created in HEALTH one are easily transferred to any other HEALTH one installation. This means you can visit patients down the hall, across the street, or across town in their own homes. Information collected on a portable computer can then be easily transferred to a main computer at a later time. All patient information collected remotely will automatically update into the patient’s main file with a click of a button. This flexibility allows you to meet patients at their level, and it helps you work with other physicians.
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Storage Capacity : a System that Grows with You
HEALTH one imposes no limit on the amount of information maintained in the system. This enables lifelong longitudinal healthcare records. Because the actual limit of storage space is based on the computer hardware used, you can increase or decrease capacity as your needs require.
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Technical Details
In short
HEALTH one is a 32-bit program that runs on workstations equipped with Windows® 95, 98, NT, XP or 2000 where it can be integrated with other applications.
International standards
HEALTH one is designed so that whatever the level of individualisation by one user, it will always remain compatible with that of other HEALTH one users. This is because the software is designed around international standards that promote four main areas: flexibility, portability, clinical detail, and security. The architecture of HEALTH one is based on the first European Standard on Electronic Healthcare Record Architecture (CEN TC251 ENV 12265, 1995). The architecture further incorporates concepts proposed by the "Good European Health Record" (GEHR).
Trademark
HEALTH one is registered as a trademark in Europe.
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Product Applications
HEALTH one is available for healthcare professionals or organisations in three main options.
HEALTH one for Individual Practice
HEALTH one for Individual Practice can be installed on a stand-alone personal computer (PC) or on a local PC network. It offers all HEALTH one functions and can directly access a large number of healthcare records since the capacity of the hard disk is the sole limitation. Installed on a desktop computer, it can support practice environments. Installed on a portable PC, it can support home visits.
HEALTH one for Clinical Department
HEALTH one for Clinical Department supports teamwork such as in group practices and hospital departments. It must be installed on PC networks and can directly access a large number of healthcare records limited only by the capacity of the network server. It offers all HEALTH one functions, and allows the customization of several working environments (configurations) matching the various functions of the team, e.g. secretarial, nursing ward, outpatient and in-patient facilities.
HEALTH one for Organisation
HEALTH one for Organisation supports the use of HEALTH one in situations where more than one clinical department is federated within one single organisation. This can for instance be corporate users in mining or manufacturing environments, hospitals or healthcare networks. Supports a range of medical services: Primary Healthcare, Occupational Health (Medical surveillance), Trauma, Inpatient records and for HIV: both VCT (Voluntary Counselling and Testing) and ART (Anti-Retroviral Treatment). Common patient records can be accessed from different sites through a client/server. This offers all HEALTH one functions on the workstations, and allows the customization of several working environments (configurations) matching the various functions of the team, e.g. secretarial, nursing ward, outpatient and in-patient facilities. The server can be adapted to particular circumstances regarding terms of access and capacity.
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