(Patient Profile) How to Navigate

National Level Patient Summary

Once the physician correctly completes the information for a specific patient, if a patient summary exists for the specific patient, the system will retrieve all patient summary versions as in figure below.

Figure 3.8: Patient summary versioning and all other options displayed in the menu.

Figure 3.9: Select DoB.

National Page / Add Allergies

Mandatory fields with autocomplete options for Allergy description, Agent Description, Reaction and Severity. The onset date of the allergy is also required to be provider as indicated in figure 3.10.

Figure 3.10: Add Allergy options, to be incorporated at the patient summary.

Figure 3.11: Add Allergy Description. Similar options are provided for Agent Description, Reaction and Severity.

National Page / Preview and add surgical procedures

Figure 3.12: Preview of Surgical procedures.

To add a new surgical procedure the healthcare provider must complete the surgical procedure date and the description from the dropdown menus of figure 2.17.

Figure 2.17: First you must complete the section “"Has known procedures" and then Dropdown menus required to be completed in order to add a new “surgical procedure”.

Figure 2.18: Add data for “surgical procedure”.

Figure 2.19: Dropdown menus required to be completed in order to add a new “surgical procedure”.

National Page / Preview and add of current problems / diagnosis

In the following figure the information that is displayed in the preview option of the “current Problems/Diagnosis” page is presented. The healthcare provider has the option to add a new “current Problems/Diagnosis”

Figure 2.20: Preview of the “current Problems/Diagnosis” page.

Figure 2.21: Section "Has medical problems" must be filled in to add new “current Problems/Diagnosis”.

When the add a new “current Problems/Diagnosis” button is pressed the healthcare provider must complete the onset date and time from the dropdown menu and the problem/diagnosis description with a free text option.

Figure 2.22: Add new “current Problems/Diagnosis” using dropdown menu.

Figure 2.23: Example of Add new “current Problems/Diagnosis” using dropdown menu.

National Page / Preview and add of medical devices and implants

In the following figure the information that is displayed in the preview option of the “medical devices and implants” page is presented. The healthcare provider has the option to add a new “medical devices and implants”

When the add a new “medical devices and implants” button is pressed the healthcare provider must complete the onset date from the dropdown menu and the device description from the dropdown in SNOMED coding.

Figure 2.24: Preview of the “medical devices and implants” page.

Figure 2.25: First you must select "Has medical device" and then add new “medical devices and implants”.

National Page / Preview and add of treatment recommendations

In the following figure the information that is displayed in the preview option of the “treatment recommendations” page is presented. The healthcare provider has the option to add a new “treatment recommendation”

Figure 2.26: Preview of the “treatment recommendations” page.

Figure 2.27: Preview the options to be completed for the new “treatment recommendation”.

Figure 2.28: Add Free text for the new “treatment recommendation”.

National Page / Preview and add of Autonomy / invalidity options

In the following figure the information that is displayed in the preview option of the “Autonomy/invalidity” page is presented. The healthcare provider has the option to add a new “Autonomy/invalidity options”

Figure 2.29: Preview of the “Autonomy/invalidity options” page”.

For the healthcare provider to add a new “Autonomy/invalidity options”, the description from the free text menu of figure 2.30 must be completed.

Figure 2.30: Add free text to complete the new “Autonomy/invalidity options”.

National Page / Preview and add of medication summary options

In the following figure the information that is displayed in the preview option of the “medication summary” page is presented. The healthcare provider has the option to add a new “medication summary”.

Figure 2.31: Preview of the “medication summary” page.

For the healthcare provider to add a new “medication summary”, the description from the menu of the following figure must be completed.

Figure 2.32: First must select the option "Has medication info" and then to complete the form "new medication summary”.

Figure 2.33: Complete the form "Add medication summary”.

Figure 2.34: Fill all the Fields / Product Name or Active substance or ATC code. Add Description based on the ATC code. Fill all Posology data

Figure 2.35: Example of a medication form.

Figure 2.36: Active Medication summary.

National Page / Preview and add of social history options

In the following figure the information that is displayed in the preview option of the “social history” page is presented. The healthcare provider has the option to add a new “social history”.

Figure 2.37: Preview of the “social history” page.

For the healthcare provider to add a new “social history”, the description from the menu of the following figure must be completed.

Figure 2.38: Add options to be completed for the new “social history”.

Figure 2.39: Drop Down menu for fill the new “social history”.

Figure 2.40: Active “social history” / Start and End time.

National Page / Preview and add of pregnancy history options

In the following figure the information that is displayed in the preview option of the “pregnancy history” page is presented. The healthcare provider has the option to add a new “pregnancy history”.

Figure 2.41: Preview of the “pregnancy history” page.

For the healthcare provider to add a new “pregnancy history”, the description from the menu of the following figure must be completed.

Figure 2.42: Add Date and pregnancy information.

Figure 2.43: Add options to be completed for the new “pregnancy history”.

National Page / Preview and add of Physical Findings

In the following figure the information that is displayed in the preview option of the “Physical Findings” page is presented. The healthcare provider has the option to add a new “Physical Findings”.

Figure 2.44: Preview of the “Physical Findings” page.

For the healthcare provider to add a new “Physical Findings”, the description from the menu of the following figure must be completed

Figure 2.45: Add Systolic and Diastolic blood pressure to be completed for the new “Physical Findings”.

Figure 2.46: Active “Physical Findings”.

National Page/ Preview and add of Diagnosis tests

In the following figure the information that is displayed in the preview option of the “Diagnosis tests” page is presented. The healthcare provider has the option to add a new “Diagnosis tests”.

Figure 2.47: Preview of the “Diagnosis tests” page.

For the healthcare provider to add a new “Diagnosis tests”, the description from the menu of the following figure must be completed.

Figure 2.48: Add options to be completed for the new “Diagnosis tests”.

Figure 2.49: Drop Down menu for the new “Diagnosis tests”.

Figure 2.50: Active “Diagnosis tests”.

• Save the Patient Summary!