Screen shots of Internet Access to Medical Records - ICMCC

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Screen shots of Internet Access to Medical Records - ICMCC

Screen shots of Internet

Access to Medical Records

10 th July 2006

1


Real-time Access to GP held

Electronic Health Records

This is the front screen showing a summary of the record including allergies,

current medication…

2


Active clinical problems in date order, active clinical problems by body system,

Family history, most recent entry ad most recent results

3


Clincking on consultations gives you the consultation screen showing

consultations that have taken place by whom, when and where (telephone,

medical centre, visit)

4


Here is a worked example. Imagine this patient presents to you with access to

their record. You can see that he saw me (Dr Hannan) on 1 st may 2006 with a

history of “chest pain”. But you can also see the history I elicited, the examination

findings and my plan of action – blood tests and possible referral to the “chest

pain clinic” and that I want to REVIEW the patient in 2 days time. Notice how I

used medical terminaology which may not mean much to the patient – something

we will all have to learn in this new world

5


The patient did in fact come back 2 days later on 3 rd may and I referred him to

the chest pain clinic. For those of you that do not know, this means he will be

seen by a cardiologist in the hospital within the next 2 weeks. Note how he has

not been seen until 1 st June when he should have been seen 2 weeks later and

there is no record of the encounter with the hospital. If he is still getting chest

pains then that would be useful for an out of hours doctor, a pharmacist or an

A&E attendant to know (or the spouse of the patient!) but there are ethical issues

here

6


This is how the actual health record on our computer system looks just for

comparison. I think the patient front-end looks much nicer!

7


Here is the other screen

8


Clicking on results gives how lab results look. Some of the “normal ranges” are

highly inappropriate eg BPs. But notice how it indicates that the person is

drinking too much or that his blood glucose is “abnormal”. This could be a very

powerful feedback tool for the patient

9


Clicking on “letters” shows all scanned documents. From the letters screen you

can see any document (up to a certain size) that has been scanned in

10


You can seen Here is an example questionnaire that was scanned in. The writing

is a difficult to read but at least you can start to see it

11


Here is a picture of a mole taken on 7/3/05 – why don’t you have a go and have a

look too!

12


Here is a letter we sent…

13


to the alcohol counsellor! Confirms to the patient that we have done it! Reinforces

the message that he has an alcohol problem!

14


Here is his repeat medication and underneath his PAST medication that has

been prescribed by the GP. Out of hours, A&E attendants, outpatient doctors,

pharmacists, health visitors, district nurses would love to see this sort of info.

Imagine if you saw my aptient in the Netherlands and wondered what antibiotics I

had already given!!!!!

15

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