Neurology Sample Database

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Sample configurations

  • Neurology
To start the Neurology sample database from the START Menu, click Start, Ajexus 4, Samples, then Neurology 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 Neurology sample database supplied with Ajexus covers the fictitious organisation 'Mayville Department of Neurology'.

Contents

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
  • 'GormanN' is a nurse and she has been given privileges to view the entire medical record, but she can only enter referral, assessment and observation details.
  • 'McKinleyG' is a paediatrician and has privileges to view the entire medical record, but only enter details pertaining to child patients.

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 fictitious patients have a fairly extended record of Neurological care:

  • Simon Barlow - Parkinson's disease
  • Sarah Bunting - Autism
  • Vera Cabott - Alzheimer's
  • Julie Cartwright - Stroke
  • Darryl Osborne - Viral Meningitis
  • Mark Underwood - Epilepsy
  • Hannibal Burrows - Cerebral Palsy

For information on selecting records, refer to Select a Patient Record in the Record section in the User Guide.

Episodes - Continuum of care

Mayville Department of Neurology 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.

Elements

Mayville Department of Neurology has deliberately created just a few key prime elements in order to present a feeling of simplicity to the user.

Referral

This is when a patient is first referred to the service, and the referral is triaged to decide whether Mayville Department of Neurology 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, Patient History and Symptoms.

For convenience, Mayville Department of Neurology has subdivided the Assessment element as follows:

  • Initial - Initial assessment made by the nurse
  • Subsequent - Assessment by the Physician

Tests

Mayville Department of Neurology has decided to maintain all available tests; physical, medical or scans, under this one element. They are listed alphabetically for convenience; from Angiogram to Ultrasound, and Blood to Spinal Tap.

Symptoms

The decision here was to record symptoms under various categories for statistical purposes. The categories are: 'Infant/Child Specific', 'Medical', 'Mental Faculty', 'Motor Response' and 'Social Behaviour'.

Each category has a link to sub-elements from which the user can select multiple symptoms if necessary.

Diagnosis

Mayville Department of Neurology has a statistical requirement to record the specific diagnoses made by the physicians.

Admissions and Discharges

These are recorded with separate elements, but each can specify one of the wards: 'Inpatients', 'Intensive' or 'Isolation'.

In 'Admissions' the user assigns a bed in one of the selected wards, utilising the equipment scheduling capabilities of Ajexus. When 'Discharge from Inpatients' is applied, the bed is automatically made available in the Inpatients ward.

Treatments

Mayville Department of Neurology has decided to record treatments under various categories, as follows:

  • Chiropractic
  • Medication
  • Palliative
  • Surgery
  • Therapy

All these have links to sub-elements from which multiple treatment selections can be made.

Staff

Mayville Department of Neurology has made the decision to record all Staff hires. This provides the opportunity to create ad hoc reports to see what staff are available. See Summary Reports below.

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 Medical Record', 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, Neurology.

As Mayville Department of Neurology simply deals with Neurology cases, it only needs the full record and the only subset they have set up so far provides a list of all paediatric interventions for a young patient.

Summary Reports

Various summary reports have been created in our Mayville Department of Neurology sample. They cover things like 'Infant/Child Cases', 'All Emergency Referrals', and 'All Staff by Job Title'. 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.

Summary reports are instantly refinable. For example, the report 'All Staff by Job Title' lists all staff, as its title suggests, but on running the report you are able to select one of the job titles from the Detail drop-down box on the same screen, producing a list of all staff with that job title.

Attached Images

Several of the medical records set for Mayville Department of Neurology have attached images. In particular, look at the medical record for the fictitious Vera Cabott and Julie Cartwright. The elements with images are marked with a paper-clipped document icon at left.

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.