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SCI-Diabetes User Guide

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1. Detailed Clinical De TreatmentMedication Medical History Diagnostic Admin Form Hist Risk Factors Significant Structural enone iS Absent Previous Ulceration No Patient Contacts Laboratory Results iq Significant Callus Absent Able To or Has Help To Self Care No Lifestyle Active Ulcer No Other Risk Specify es test2 Glycaemic Control Vascular Screening Foot Care Right Left Foot Summary XY Peripheral Pulses Posterior Tibial or Dorsalis Pedis Both Absent Either Present S Foot Screening History Intermittent Claudication No No Foot Screening Tool Previous Vascular Intervention No No Dietetics Neurological Screening Risk Category 10 Gram Monofilament Sites ARenal Care to HIGH RISK Eye Care Absent o O Recommended Action Non foot Neuropathy Annual screening assessment by a specialist Sexual Health ty E Q7 podiatrist w a k 8l A I A E http sci diabetes tayside scot nhs uk SCIDiabetesTraining searchPatRecord PatientSearch GenericFormHistory aspx FormDataSourc ke Internet Q gt If you want to print the form you have just entered either foot screening or DSN form you can click print from the horizontal menu bar after you have clicked save Alternatively you can print any foot screening form via the foot care section from the detailed clinical record do not forget you can add this foot screening history page to your favour
2. 4 Detailed Clinical Record S TreatmentMedication Treatment Type Primary Care Prescribing Rec Drug Reactions Allergies Specialist Prescribing Advice Medical History m Olean Patient Contacts Laboratory Results Lifestyle Glycaemic Control 4 ACardiovascular System Foot Care ARenal Care Eye Care Non foot Neuropathy Sexual Health Acute Complications Inpatient Episodes Patient Support Data Quality To view medication items within SCl Diabetes you should navigate to the treatment medication section available within the detailed clinical record The primary care prescribing record screen will show all medication items prescribed in the last 12 months to the person with diabetes but you can easily see prescriptions more than 12 months old by simply ticking the box on the screen We would recommend that users in secondary care add this screen as one of their favourites 10 NHS Grampian Diabetes MCN Version 1 0 January 2013 x SCl Diabetes SCl Diabetes starter guide Data entry in specialist modules Entering Data Via A Foot Screening Or DSN Form To enter data for a foot screening assessment or DSN form you should select the appropriate patient record and then choose either the foot screening tool or DSN form from the horizontal menu bar or from your favourite shortcut menu if you have chosen this as a favourite SCl Diabetes Clinical Summary Windows Internet Explorer pr
3. SCl Diabetes Starter guide For NHS Grampian Users Developed by Robert O Donnell Dr Sam Philip NHSG SClI Diabetes Support Andrea Salvona Robert O Donnell Email andrea salvona nhs net Tel 01224 558606 SCI DC SCOTTISH CARE INFORMATION DIABETES COLLABORATION E SCl Diabetes SCl Diabetes starter guide Introduction o2nsisenccosdisiooentasesasncdntnonneshiadalantjenepearbieaicededanndedhtadebaiceungedioaninedas 3 Initial Set Up sacs en erecned edad ences enacts enslenee cnrele iecienss eed enededeeenssenedeucdbdcvensdenssemneae 5 Navigating SCl Diabetes An Overview ccccccceeeeeseseecceeeeeeeeeeeeteneeeeeeeeeees 6 Viewing individual patient FOCOKdS wisccssccsccsiecinecihevtscechevisexhatecnsdevipeedievieancdeeine 8 Setting Favourites using the favourites MENU seeeeeesseseseeseeeeeeeeeeees 9 Viewing medication items cccceceeeeeeeeeeeeceeeeeeeeeeeeesenaaeaeeeeeeeeeeeeesnaaeees 10 Data entry in specialist modules cceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeneeeeeeeeees 11 Excluding incorrect items from SCl Diabetes cccccccccccccceceeeeceeeeeeeeeees 13 Further Help isernia iae eia aiaiai aineid 14 Recommendations for Favourites liSt cccccccceeeeeeeeeeeeeeeeeeeeeneeeeeeeeeeeeeeees 15 2 NHS Grampian Diabetes MCN Version 1 0 January 2013 E SCl Diabetes NHS SCl Diabetes starter guide T Introduction SCl Diabetes is the new nation
4. Pre Diabetic Conditions Patient ID CHI is PS Diabetes Type Unknown Surname begins with Patient List Management Dakota fasod Date Born is I I Format dd mmiyyyy AMAR Foot S Postcode begins with Type of Diabetes Diagnosis is v User Account Management Eye Screening Search Gartnavel Diabetes Biochemistry Clinic Search All Patient s available to Cardiovascular Screening ce O tts Results 3 patient Overview ter search conditions to enable Search No Diagnosis Made Deceased Patients v 1 Patient Search Screen To view a patient record in SCl Diabetes you can search for a patient via the patient search screen you can search by patient CHI surname date of birth postcode or type of diabetes 2 Patient Population List Alternatively you can search one of the patient population overview lists to find a patient for instance all people with type 1 diabetes registered at your practice or all people with type 2 diabetes registered at your clinic A list of records will be displayed in the main viewing area and you select the individual record you wish to view 8 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide a Grampian Setting Favourites using the favourites menu In SCl Diabetes you have the option to select favourite pages This will allow you to quickly and easily navigate the system gt When you select a patient record all screens selected as a favourite wi
5. Summary Paediatrics Specialist Clinic Support A Detailed Clinical Record Search For A Patient Record Patient Search Search Results Patient Record Clinical Summary Clinical Summary Diabetic Diagnosis status Diabetes Type Type 2 Diabetes Mellitus gt Date of Diagnosis 15 Mar 2007 Patient Support Biochemistry Data Quality HbAtc 20 Nov 2012 50 mmol mol fih Total Cholesterol JOS0ct2012 30 mmol fh 4 Renal Function Creatinine 20Nov2012 i50 umoW_ fh PCR 05 Oct 2012 43 mgimmo fhi estimated GFR 05 Oct 2012 fo mimin fh inary poea SS Microalbumin Concentration mgl fih e Urinary Protein Status Sufficient Data x internet 100 1 Horizontal Menu Options Includes main menu option that lets you navigate around the main sections of SCl Diabetes the favourites icon which lets you choose and access your favourite screens in one click and the option to quickly access data entry forms such as the foot screening or DSN form The option to save and print is also accessible via the horizontal menu bar 2 Patient Status Bar The patient status bar only appears when you have selected an individual record and it is minimised by default but it can be expanded to reveal additional information such as patient contact details type of diabetes treatment and allergies 6 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starte
6. ORTANT POINTS TO NOTE e SCl Diabetes is optimised for use with Microsoft Internet Explorer 8 and a high screen resolution e You should set your user options when you first login to the system e You should set pages as favourites to help you navigate the system see page 9 for how to do this and page 15 for recommendations on pages to include on your favourite list e Visit the SCl Diabetes section on the NHS Grampian Diabetes MCN website www diabetes nhsgrampian org for further user guides information and video demonstrations 4 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide a Grampian Initial Set up SETTING USER OPTIONS AND RECOMMENDED SETTINGS SCl Diabetes allows you to configure a number of options and to personalise the system based on your individual needs and preferences In order to change your user options select change user options from the user options menu on the horizontal menu bar You can choose your default population and main menu screen we recommend search for a patient record or population overview You can choose whether to always pre populate a form e g DSN or Foot Screening form or to never pre populate a form we recommend always pre populate You can choose to extend the login timeout feature we recommend 90 minutes the number of rows to display by default on patient search screens we recommend 60 and the skin configuration for SCl Diabe
7. al diabetes system which brings together all the SCI DC diabetes applications SCI DC Network and SCI DC Clinical into one modern integrated system SCl Diabetes will allow for a greater range of information to be held within a fully integrated diabetes patient record and will serve as a useful tool that will help all healthcare professionals deliver the best level of care possible to people with diabetes What Is New In SCl Diabetes Real time data update data entered in SCl Diabetes can be viewed by other users immediately Possible to exclude individual erroneous data items Expanded clinical dataset more items are available to view and it is possible to input more detailed clinical comments There are new dedicated modules for Paediatrics Dietetics foot ulcer management Option to add specific screens to favourite menu list so that users can customise SCl Diabetes according to their own needs Automatic password reset no need to contact helpdesk National system patient information can be transferred between different regions as required 3 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide a Grampian ACCESSING SCI DIABETES In order to access SCl Diabetes users should access the GP Portal from the intranet homepage and within the results section click on the link for SCI Diabetes The URL for the live site is https sci diabetes mhs scot nhs uk sci diabetes IMP
8. ata items for instance an incorrect type of diabetes or an incorrect blood pressure recording To exclude an erroneous item you should select the history or graph icon next to the item you wish to exclude A pop up screen will show listing all results for the element you have selected and at the end of each row there will be a cross In order to exclude the item you simply need to click on the cross choose a reason for the exclusion and then click exclude entry BSI IAE Eile gdt view Favorites Tools Help w amp scr Diabetes ciinical Summary m BG mb peace Gtoos G HbA1c History for 1405766425 Stevens Spencer You have elected to exclude the following from SCI Diabetes HbA1c mmol mol Date of Exclusion 15 01 2013 Excluded by ODONNELL Robert Reason For Exclusion fast text entry fast text entry Please enter data into this field Data entered in erro Cancel Update Exclude Entry Other Records 1 to 1 of 1 4d gt bh Not Known internet 13 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide a Grampian Further Help If you need any further help with any aspect of SCl Diabetes then please consult the following options e NHSG SCI Diabetes Support Team If you have any problems queries or wish to report a fault with SCl Diabetes please contact either Robert O Donnell or Andrea Salvona in th
9. e MCN Office for further help Andrea Salvona Account creation log in issues Email andrea salvona nhs net Tel 01224 558606 Robert O Donnell Email rodonnell nhs net Tel 01224 555861 e SCl Diabetes section on Diabetes MCN website Visit the NHS Grampian Diabetes MCN website www diabetes nhsgrampian org and choose the SCI Diabetes section from the left hand menu this area will feature more detailed user guides and additional help materials e SCl Diabetes FAQ page www sci diabetes scot nhs uk page _id 10 training 14 NHS Grampian Diabetes MCN Version 1 0 January 2013 x SCl Diabetes NHS SCl Diabetes starter guide T Recommendations for Favourites list The following are pages we would recommend you store as favourites but you are free naturally to choose your own We have listed the name of the individual page and the section it is found within below and we recommend using your favourite page list to navigate SCl Diabetes Doctor DSN Practice Nurse VVVV VVVVV Vv Patient Search Search For Patient Record Clinical Summary Patient Record Treatment Type Detailed Clinical Record Treatment Medication Primary Care Prescribing Record Detailed Clinical Record Treatment Medication Medical History Detailed Clinical Record DSN Form History Specialist Clinic Record Foot Screening History Detailed Clinical Record Foot Care Patient Diary Detailed Clinical Record Patient Con
10. ites shortcut menu You can also print any DSN form via the DSN Form History section of the specialist clinical record You will also have the option to edit or exclude a saved form via the edit and exclude options available on the horizontal menu bar 12 NHS Grampian Diabetes MCN Version 1 0 January 2013 SCl Diabetes starter guide Excluding incorrect items from SCI Diabetes X SCl Diabetes Diabetes Clinic Main Menu User Help 1 Contact i Forms Save Print Reset Undo Reset Default Logout Born 14 May 1976 36y Gender Male Patient ID CHI STEVENS Spencer 1405766425 amp Patient Record Search For A Patient Record Patient Search Search Results Patient Record Clinical Summary B Demographics in LJ Clinical Summary c eas asa Clinical Summary 7 Help al cepa ra prea a Wee f Gestational Di ZaD Date of Diagnosis 26 May 2010 7 A Detailed Clinical Record ape History of Gestiona Dig cloves amp Patient Support Biochemistry J Data Quality HbA1c 19 Dec 2012 67 mmol mol ih Total Cholesterol mmoll ih i Renal Function Creatinine 17 Jun 2010 3 mol fih PCR 17 Jun 2010 5 mgimmol fh estimated GFR 17 Jun 2010 2 ml min fih Urinary Protein Status Microalbumin jirJun 2010 Concentration 17 Jun 2010 4 ACR 47 Jun 2010 6 Urinary Protein Status Unclassifiable M4 Done Internet A100 SCl Diabetes allows users to easily exclude erroneous d
11. ll be available gt When you access the Favourites menu out with a patient record the only favourite options available will be those that are of an administrative nature How to Set A Page As A Favourite Page You need to navigate to the required screen click on the Favourites Menu from the horizontal toolbar and select Add to Favourites The system will acknowledge your request and display a message as shown below When you access a screen that forms part of your Favourites Menu the menu will not have a selectable option to Add to Favourites it will be replaced with an option to Remove from Favourites as shown below We would recommend that you take a little time when you first access the system to setup some favourite pages We have made some suggestions for favourite page configurations at the end of this guide 9 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide Viewing medication items Diabetes Clinic B Forms M Save iprint Reset Undo Reset Default Logout Born 14 May 1976 36y 2 pPatient Record Demographics Clinical Summary Paediatrics Please use the filter options to show more prescriptions you y clicking on the appropriate column title Filter options Type of Medication All i Show prescriptions more than one year old
12. o 09 Jan 2013 Present 09 Jan 2013 Absent Sensation to Monofilament 09 Jan 2013 Present 09 Jan 2013 Absent Neurothesiometer Assessment Foot Vibration Please use the Foot Screening Tool Risk Stratification for entry of foot data Foot Screening Tool Risk Stratification is the optimal method for foot data entry as it pre populates most data fields and automatically internet R10 Once you have entered all of the required information you should save the form via the save option on the horizontal menu bar If you have entered information or made changes and try to leave the screen without saving then a warning message will appear 11 NHS Grampian Diabetes MCN Version 1 0 January 2013 E scree SCI Diabetes starter guide Diabetes Clinic 14 Contact B Forms B Edt Prit 3 Exclude ogout Born 14 May 1910 90y Gender Male Patient ID CHI 1405766425 APatient Record Demographics Clinical Summary a F Search For A Patient Record Patient Search Search Results Patient Record Detailed Clinical Record Foot Care Foot Screening History Foo Foot Screening Tool Risk Stratification Paediatrics amp Specialist Clinic Support Screening Event Manage Contacts Screening Date 15 Jan 2013 Attendance Attended Amputation Right Left Amputation Type and Date 09 Jan 2013 None 09 Jan 2013 Forefoot
13. ovided by NHS Grampian 6 E http sci diabetes tayside scot nhs uk SCIDiabetesTraining searchPatRecord PatientSearchiGms aspx Eile Edit Yiew Favorites Tools Help Ve fe G sct diabetes Clinical Summary Undo Reset Default Logout Gender Male Patient ID CHI amp Patient Record Demographics Clinical Summary Paediatrics Specialist Clinic Support B ADetailed Clinical Record Treatment Medication Medical History Diagnostic Admin Form Hisi Eye Care Patient Contacts DRS Status Reason BD Laboratory Results EE praean Lifestyle Glycaemic Control l Search For A Patient Record Patient Search Search Results Patient Record Clinical Summary A T o hh Influenza B Reason Not Given Given ONo OYes _ a Influenza j HADS Score Anieyg 09an2013 fih Depression 4 Immunisation Last Successful Eye Screening diovascular Syste Screening Date Screening Outcome amp Foot Care Foot Summary B Foot Screening History Foot Screening Tool pot Care Please note that the Foot Screening Tool Risk Stratification should be used for the entry of foot data FootRisk Category 09 Jan 2013 High Risk B Left Ulcer Management Mamietctics Renal Care Eye Care Non foot Neuropathy Sexual Health Acute Complications Inpatient Episodes Patient Support Data Quality Peripheral Pulses 09 Jan 2013 Both Absent 09 Jan 2013 Either Present Protective Sensation
14. r guide ee Grampian 3 Vertical Menu Options The left hand menu is patient focused and will allow you to navigate through the detailed clinical record for the patient You can also access specialist areas such as paediatric dietetic ophthalmology and podiatry screens Of course you can use the favourites option to provide a quick shortcut to these screens 4 Main Viewing Area The main viewing area will display the information and from here you can access a range of additional options such as viewing historical and graphical information of elements like blood pressure or enter foot screening result information 5 Breadcrumb Trail As you navigate through SCl Diabetes a breadcrumb trail will appear under the patient status bar and at the top of the main viewing area You can click on any earlier link within the breadcrumb trail to go directly to that particular section 7 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide Viewing individual patient records Selecting a Patient Record To View In SCI Diabetes Username Diabetes Clinic Designation Main Menu Default Logout Search For A Patient Record Hi i prd Search For A Patient Record Patient Search Type 1 Diabetes Population Overview Population Overview Regional Comparison Search For A Patient Patient Audit Other Types of Diabetes for patients where Data Quality Review
15. tacts Clinical Comment Record Detailed Clinical Record Patient Contacts Eye Summary Detailed Clinical Record Eye Care Retinal Screener VVVV WV Patient Search Search For Patient Record Clinical Summary Patient Record Medical History Detailed Clinical Record Foot Screening History Detailed Clinical Record Foot Care Eye Summary Detailed Clinical Record Eye Care Podiatrist VVVV VV V Patient Search Search For Patient Record Clinical Summary Patient Record Treatment Type Detailed Clinical Record Treatment Medication Primary Care Prescribing Record Detailed Clinical Record Treatment Medication Medical History Detailed Clinical Record Foot Screening History Detailed Clinical Record Foot Care Clinical Comment Record Detailed Clinical Record Patient Contacts Practice Administrators gt gt gt gt Current Retinal Screening Patients Diabetes Retinal Screening Suspended Retinal Screening Patients Diabetes Retinal Screening Eye Screening Population Overview Foot Screening Population Overview 15 NHS Grampian Diabetes MCN Version 1 0 January 2013
16. tes we recommend original NHS blue You can also choose whether to be prompted about contact management we recommend choosing contact prompt not required if you regularly enter data for example foot screening forms and you can pre select your default speciality SClI Diabetes is optimised for use with Microsoft Internet Explorer 8 and we suggest using a high screen resolution 1280 x 1024 or 1024 x 768 If you use an older internet browser or a lower screen resolution you may experience an impact in terms of system performance with regards to speed and icon appearance when accessing SCl Diabetes 5 NHS Grampian Diabetes MCN Version 1 0 January 2013 NHS SCl Diabetes starter guide Navigating SCI Diabetes An Overview NAVIGATING SCI DIABETES SCl Diabetes might look slightly different from SCI DC Network but many of the same features are still available within the new system and the favourites menu will allow you to quickly and easily navigate around the system We strongly recommend when you first login to SCl Diabetes to take a little time to familiarise yourself with the system and set your favourite pages you can change these at anytime but this will greatly help you navigate the system Diabetes Clinic BB Forms M Save W Print Reset Undo Reset Default Logout Born 19 Jan 1966 46y Gender Male Patient ID CHI 1901660013 Address An Address An Address In A Town APatient Record Demographics Clinical

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