Difference between revisions of "DocuLive EPR Norwegian version"

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(BOF / Documentflow and Messaging)
(BOS / Order & Result)
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"Bestilling og Svar"
 
"Bestilling og Svar"
 
"Order and result"
 
"Order and result"
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”Order and findings” enables requisitioning of medical services from radiological departments, clinical chemical, microbiology and pathological departments.
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DocuLive is able to handle a twoway communication with radiological departments and clinical chemical, regarding requests and findings. From microbiological and pathological departments the module only receives the findings. The design and the content of the referrals can be set up by the hospital as a XML script, providing individually configurable forms.
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X-ray, clinical and chemical requisitions can also be configured to suit the client’s needs. The hospitals can then determine which tests to include.
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All incoming results are displayed in a common worklist with clinical replies. The results are available for the requisitioning physician, the requisitioning department, and the ward the patient is admitted to.
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Radiological results are presented clearly together with the requisition, which gives the user an exellent overview with everything on one screen. The user can easily follow the attached link to view the images taken. A cross communication
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with the PACS-system will be activated by clicking the link, and the relevant examination will be displayed.
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A close-up view is simply exe-cuted by double-clicking the image displayed on screen. The image is then presented in high resolution and in a larger format for a more detailed study.
  
 
=== BOF / Documentflow and Messaging ===
 
=== BOF / Documentflow and Messaging ===

Revision as of 15:56, 1 February 2007

A hospital Electronic health record system developed by Siemens Medical Systems Norway first version from 1988 and from 1996 as part of the the MEDAKIS project. "EPR" = "Electronic Patient Record". From 2003 as a independent EPR system. 1 of 2 major EPR sollutions in Norway.


Overview & History DocuLive

==Main Functionality== see ... Currently a mix between Norwegian and English documentation

BOS / Order & Result

"Bestilling og Svar" "Order and result"

”Order and findings” enables requisitioning of medical services from radiological departments, clinical chemical, microbiology and pathological departments.

DocuLive is able to handle a twoway communication with radiological departments and clinical chemical, regarding requests and findings. From microbiological and pathological departments the module only receives the findings. The design and the content of the referrals can be set up by the hospital as a XML script, providing individually configurable forms.

X-ray, clinical and chemical requisitions can also be configured to suit the client’s needs. The hospitals can then determine which tests to include.

All incoming results are displayed in a common worklist with clinical replies. The results are available for the requisitioning physician, the requisitioning department, and the ward the patient is admitted to.

Radiological results are presented clearly together with the requisition, which gives the user an exellent overview with everything on one screen. The user can easily follow the attached link to view the images taken. A cross communication with the PACS-system will be activated by clicking the link, and the relevant examination will be displayed.

A close-up view is simply exe-cuted by double-clicking the image displayed on screen. The image is then presented in high resolution and in a larger format for a more detailed study.

BOF / Documentflow and Messaging

"Beskjed og Følgeskriv" "Documentflow and Messaging"

This module contains a useful tool for addressing and calling attention to other users regarding new entries in the patient records. Certain entries must often be evaluated by another clinician or therapist, who must be made aware of the fact that new information is available.

By tying an attachment to a document in the patient record, the user can add comments, information and messages that will become a permanent part of the patient’s record. The response and feedback from other users will be presented chronologically in the same attachment, enabling the clinicians to keep track of the dialog and discussion regarding a specific document in a patient’s record.

The user may respond to attachmentsby signing, adding comments or entering a reply. When browsing through a health record, documents with attachments are clearly marked. The state of an attachment can be “draft”, “to be signed” and “signed” as for all other DocuLive EPR documents.

The module also makes it possible to communicate more informal messages between users without adding the notifications as a permanent attachment in the patient’s record. These messages are still retrievable in the system and can be retrieved at a later stage as “sent” or “deleted” elements in the users DocuLive mailbox. Informal messages can be relevant both for patients and documentation, and the module therefore provide a possibility to add links to the relevant DocuLive documents in a message. One

Multimedia

Nursing

Scanning

The scanning module is an important tool to make a patient’s health record complete. With the scanning module, health care providers can scan paper-based documents and attach them digitally to the patient’s record. A smart workflow makes getting rid of old paper archives simple.

The scanning module is developed to sort and store the document being scanned, in the correct order in the electronic patient record. Scanning works in interaction with the module “Mail and Messages”. The physicians and nurses receive a useful supplement of scanned documents in a fast and efficient manner to support the treatmentprocess.

Scanned documents are embedded in an empty DocuLive document. In this way important functions as classification, access control, audit and prints are safeguarded. A predefined user access must be set to enable the user to scan documents.

The attributes of the document are handed down from DocuLive classes. Input of document type determines where the document will be stored in the record.

The scanning module also offers batch scanning, which means that the user can put several documents at a time in the scanner’s feeder. Batch scanning may be performed centrally for the discharge of large old paper records. The classification of where to store the documents can be done by predetermined separation-sheets. At the end of the process the documents are stored in the patient record and in a separate database. The document title contains the document date, document type, organization unit and/or registered free text.

The storage is often in a separate database server. A pointer will be established from the DocuLive database to the digitalized, scanned documents.

The decentralised scanning of consecutive documents is mainly performed in a ward or a department. The user simply opens the patient record in DocuLive, starts the “scanning module” and places document in the feeder of the scanner. The scanned document is sketched out in a special designed dialogue box where it can be grouped, rotated and sorted and given several parameters. All parameters may be changed at a later time.

With the scanning module you can merge the past with the future.

Clinical Pathways

Medication

Charting

Digital Dictation w/Speech Recognition

Digital Archive

Web Services

Doogle (DocuLive Google)

Document Designer

Document Controller

Security

== Technical Platform== see ...

.NET

Currently the only EPR system in Norway on this or similar platform.

C#, C++, TSQL,

SQL Server

SQL Server 2000 SQL Server 2005

Windows XP

Windows Word

Word 2000 Word 2003


==Installations== see ...

Health Region Mid Norway

Ullevål University Hospital

Rikshospitalet

Radiumhospitalet

Haukeland University Hospital / Health Bergen

Also several installations in Denmark through CSC Scandihealth Denmark and the products OPUS and VITAE. Where DocuLive kernel are the kernel foundation for theese products.

==Support & Maintenance== see ...


==Integration== see ...

WEB Services

Eventmanager

ContextManager

Performance