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

When logging into the system, Clicks reads the application schema and sets the working environment of the specific user .
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Login
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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
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The navigation tree contains a list of note folders and shortcuts to activities .
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 .
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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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Double clicking on the desired template record displays it in full view, showing all (and only) the existing information .
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Visit: Full view
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Chronic medications
Double clicking that template lists the patient’s chronic drugs.
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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The Labs button gives fast access to the patient’s lab test results
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Viewing laboratory test results
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Lab chart
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Graph the patient’s test results across time, singularly or grouped together.
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Scheduling
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Direct interface to built in appointment scheduling module enabled from within the patient record.
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Form archive
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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)
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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:
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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
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Writing visit notes
Closed tables, typically for structured objects
(e.g., referrals), and open tables (complaints).
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•Marked values branch off to other tables.
•Various search and selection methods.
•Tables can be sorted by frequency of selection.
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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
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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.
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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
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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>
</Diagnosis>
- <Referrals>
Predefined background procedures enable to send any information as XML - <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> objects to designated targets using standard communication techniques.
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Application generator and design environment
• Clicks is a 4 th 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
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Designing the layout and workflow, another stage of the application design.
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END
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