Gynaecology Sample Database
From Ajexus
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Sample configurations
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To start the Gynaecology sample database from the START Menu, click Start, Ajexus 4, Samples, then Gynaecology Database.
Note: Ajexus is suitable for any healthcare provider. The sample databases provided show how Ajexus might be configured to meet specific needs. If you have different requirements, remember that in Ajexus you define the information that is to be recorded, therefore Ajexus can easily be tailored to your needs.
The Gynaecology sample database supplied with Ajexus covers the fictitious organisation 'Garden City Gynaecology Clinic'.
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Logins available
The following User Names are available in the sample database. For ease of use, use the administrator User Name.
- 'administrator' has full rights to all information as well as rights to the Data Dictionary
- 'GrantM' is a midwife and she has been given privileges to view and enter all elements regarding natal care.
- 'JacksonL' is a haematologist and has privileges to view the entire medical record, but only enter details regarding blood test results.
The Password for all the users in the sample database is 'password'.
For information on logging into Ajexus refer to Getting Started in the Operation section in the User Guide.
Patients Available
To view a list of available patients, select the 'All Patients' predefined report on the Select screen. The following fictictious patients have a fairly extended record of Gynaecological care:
- Marjorie Brindspot - Caesarian
- Gloria Jones - Normal birth
- Amy Stewart - Problematic birth
- Zena Lomax - Premature
- Amanda Crabtree - Hysterectomy
- Sonja Pesto - Infertility treatment
For information on selecting records, refer to Select a Patient Record in the Record section in the User Guide.
Episodes - Continuum of care
Garden City Gynaecology Clinic has identified the following continuum of care to provide their patients. They have set up episodes within Ajexus to cover this continuum of care.
The continuum of care covers the key stages described below. It should be noted that where an organisation provides a range of services (such as a large hospital), a patient may have more than one continuum of care active at any one time.
Garden City Gynaecology Clinic has deliberately created just a few key prime elements in order to present a feeling of simplicity to the user. Hence, the first list of elements the user sees consists of basic elements like referral, assessment, diagnosis and the scheduling of some activity.
Referral
This is when a patient is first referred to the service, and the referral is triaged to decide whether Garden City Gynaecology Clinic is able to assist. If so, the referral will be accepted, and the patient will pass to the assessment stage. If not, the referral will be declined, and the patient will possibly be referred on to a more appropriate service.
Assessment
This is when investigations, tests and assessments are carried out on the patient, with the objective being to arrive at a suitable diagnosis, and to create a care or treatment plan for the patient.
Assessment is linked to sub elements for the recording of Vital Signs and Symptoms.
For convenience, Garden City Gynaecology Clinic has subdivided the Assessment element as follows:
- Initial - an initial assessment made by the nurse
- Baby - specifically an assessment for newborns, and linked to the 'Observation' sub-element.
- Conditional - for conditions that cannot immediately be categorized
- Fertility/Contraception - for assessing patients with fertility problems or in need of contraceptive advice or application.
- Post Natal - for assessment of patient post natal
- Pre-natal Profile - for creating a pre-natal profile of the patient
Diagnosis
Garden City Gynaecology Clinic has a statistical requirement to record the specific diagnoses made by the physicians.
Schedule Activity
Provides the ability to record the scheduling of activities such as admissions, discharges, treatments and surgeries.
Schedule Medications
Provides the ability to record the scheduling of medications.
Schedule Tests
Provides the ability to record the scheduling of tests and is subdivided into the categories: Fertility, General, Gynaecology and Obstetrics.
Parturition Details
This element, subdivided into 'Normal' and 'Problematic' provides the Obstetrician or midwife with the means to record birth information.
Sub-Elements
The key stage elements mentioned above, have links to sub-elements that enable the user to record multiple occurrences, if necessary.
Medications
It is highly likely that more than one medication at a time is prescribed for a patient, and the multiple entry capability with sub-elements makes this easy for the user.
Tests
Tests return multiple results.
In the sub-elements the tests are linked from the 'Schedule Tests' key element and organised into the following categories:
- Blood
- Fertility
- General
- Gynaecology
- Obstetrics
Parturition Details
Those managing the labour room can record details of birth problems and emergency treatments using the appropriate sub-elements that are linked from the 'Parturition Details/Problematic' main element.
Symptoms, Vital Signs and Patient History
These sub-elements provide the user with the ability to make multiple entries regarding the current condition of the patient. These sub-elements are linked from the Assessment main element.
Note: this is only an example of the different elements and sub-elements that may be set up within Ajexus to record patient details. Practically any information can be stored in the patients record.
Element Lists
In 'Full Record - Group By Episode', the full medical record for the patient has been grouped by the episodes. This element list would be useful for someone wishing to fully acquaint themselves with the medical history, such as a new clinician taking over the case. Over time, this element list can become unwieldy, as a large amount of information accumulates. However, you can just as easily create element lists that produce subsets of your complete medical record. The first subset to come to mind would be listing the medical record pertaining to one episode only; for instance, Gynaecology.
As Garden City Gynaecology Clinic simply deals with Gynaecology cases, it only needs the full record and the only subset they have set up so far is a list all alerts and warnings.
Summary Reports
Various summary reports have been created in our Garden City Gynaecology Clinic sample. They cover things like 'All surgeries this year', 'All Prematures', 'All Labour Problematics' and 'All Medications'. The list could be endless and Ajexus users will find that this ad hoc reporting facility is so easy that many of these reports can be one-off and hence deleted as soon as they are run.
Attached Images
Several of the medical records set for Garden City Gynaecology Clinic have attached images. In particular, look at the medical record for the fictitious Amanda Crabtree (using the 'Full Record - Group By Episode' element list), as she has fairly extended Gynaecological treatment. She has images for ultrasound and mammogram tests.
If your imaging equipment and Ajexus have the same access to folders on your network server, then it is a simple matter to apply images to the patient record as soon as they are made available by the imaging departments.
Element Icons
Ajexus provides the medical record developers with the facility to apply meaningful icons that appear beside the element entries on the medical record. Ajexus provides a selectable set of icons for this purpose, but also provides the developers with the ability to include their own icons, which can be created in 16x14 pixel format. Garden City Gynaecology Clinic has applied a new icon the pink baby symbol which accompanies all elements connected with natal care.
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