Maintain Patient Diagnosis {HOPS-2}

This five-block option is used to record the patient’s diagnosis, ailments, referrals and prescriptions.

Fields in the option:

Block 1: Appointment Detail

Field	Type & Length	Description
Appointment Number	N10	On entering the appointment number, the system will display the appointment details.
The following information is displayed:
Date	DD-MON-YYYY	The date of the appointment.
Time	HHMM	The time of the appointment.
Patient Type, Number and Name	A1+N9+A30	The patient's details are displayed.
Debtor Code and Name	N9+A30	The debtor account code and name will be displayed.
Patient Status and Description	A2+A30	The status of the patient, as linked to the patient in {HOPS-1} and as defined in {HCS-10} is displayed.
Medical Aid Code and Description	N9+A30	The patient’s Medical Aid Code and Fund Name are displayed.
Clinic Code and Description	A4+A30	The code for the clinic where the appointment has been scheduled and its description is displayed.
Consultation Code and Description	A6+A30	The consultation for which the appointment for whom the appointment was made and description is displayed.
Dependant Number and Name	N2+A40	The number and name of the dependant for whom the appointment was made is displayed.
Account Type and Description	A4+A30	The account type will be displayed.
Practitioner Type, Number and Name	A1+N9+A30	The practitioner’s detail are displayed.
Profession Code and Description	A4+A30	The code and description of the profession of the practitioner are displayed.
Assistant Type, Number and Name	A1+N9+A30	The detail's of the assistant to the practitioner are displayed.
Profession Type and Description	A4+A30	The code and description of the profession of the assistant to the practitioner are displayed.
File number		As allocated when an appointment was made.

Example:

Block 2: Maintain Diagnosis

Field	Type & Length	Description
Appointment Number	N10	The appointment number defaults from Block 1.
Return Date and Time	DD-MON-YYYY	Enter the patient’s next appointment date and time, if so required. If the <LIST> function is used at the time field, the user will be able to see all the times already used. The system will automatically make an appointment and upon <COMMIT> in Block 5 the system will issue the user with the next appointment number.
Debtor Number and Name	N9+A30	This is a display field only.
Dependant Number and Name	N2+A30	This is a display field only
Diagnosis Line 1,2 and 3	A80x3	Enter the detail of the patient’s diagnosis.
Referrals Line 1,2 and 3	A80x3	Enter details of referrals to outside specialists, if any.
Remarks	A200	Any remarks that can be made during the consultation.
Date Completed	DD-MON-YYYY	Enter the Date completed
Completed	A1	Select Yes or No
<COMMIT OR SAVE OF RECORDS NOT ALLOWED IN THIS BLOCK>

Example:

Block 3: Maintain Ailments

This block records details of ailments for which the patient is treated. Multiple records can be entered.

Field	Type & Length	Description
Appointment Number	N10	The appointment number defaults from Block 1.
Debtor Code	N9	The debtor code defaults from Block 1.
Dependant Number	N2	The number of the dependant will default from Block 1.
Ailment Code and Description	A4	Enter a valid ailment code as defined in {HCS-7}. A <LIST> command will display valid ailments. The description will be displayed.
Confidentiality Block	A260	This field can be used to record confidential information regarding the treatment of a patient. The detail recorded will only be visible to users who are linked to the access restriction “CLNC” in option {HCS-24}.
<COMMIT OR SAVE OF RECORDS NOT ALLOWED IN THIS BLOCK>

Example:

Block 4: Maintain Prescriptions Charged

The System will Display the following:

Field	Type & Length	Description
Appointment Number	A10	The appointment number defaults from Block 3.
Debtor Code and Name	N9+A30	The Debtor Code and name will default from Block 3.
Dependant Number and Name	N2+A40	The dependant number and name of the person for whom the appointment was made will default from block 3.
Consultation Code and Description	A6+A30	The consultation code and description will be displayed.
Clinic Code and Description	A4+A30	The clinic code and description will be displayed.
Income Cost Centre	A4	The clinic cost centre will be displayed.
VAT Code	A2	The VAT rate code applicable for the cost centre above will be displayed. The VAT Code will default to block 5.
VAT Rate	N5.3	The VAT rate linked to the above VAT Code and which is pplicable to the cost centre above will be displayed.
Value	N15.2	The Value before VAT as calculated from block 5 below will be displayed.
VAT	N15.2	The VAT calculated from block 5 below will be displayed.
Total Value	N15.2	The Value including VAT is displayed.

Example:

Block 5: Maintain Prescriptions Issued

Field	Type & Length	Description
Prescription Code and Description	A8	Enter a valid prescription code as maintained in {HCS-7}. The Description will be displayed. The <LIST> command will display the valid codes. After entering the code, the following will be displayed:
Internal/External	A1	This will default from {HCS-7}: it indicates whether the prescription must be issued Internally or Externally.
Issue Unit and Quantity	A2+N6	These fields will default from {HCS-7}.
Dosage	A8	This indicates the quantity to be taken by the patient and defaults from {HCS-7}.
Internal/External/Parental Code and Description	A7+A30	This will default from {HCS-7}. This indicates how the patient should apply the prescribed medication.
Frequency Code and Description	A7+A30	This indicates the frequency at which the patient must take the dosage: it will default from {HCS-7} .
Required	N5	Enter the quantity of the Issue Unit required.
VAT Code	A2	The VAT Code will default from block 4 above, but it can be updated by the user.
VAT Rate	N5.2	The VAT rate of the above code will be displayed.
Unit Price	N17.2	The unit price of the prescribed item.
Value	N17.2	The Value before VAT will be displayed.
VAT	N17.2	The VAT calculated is displayed.
When a record is committed or saved in this block the system automatically prints a prescription. Re-prints of Prescriptions can be done on {HOPSR1-2}

Example:

Processing Rules
	No special processing rules

Date	System Version	By Whom	Job	Description
14-Dec-2006	v01.0.0.0	Charlene van der Schyff	t134261	New manual format.
16-Oct-2007	v01.0.0.0	Magda van der Westhuizen	t134261	Insert new image.
17-Aug-2009	v01.0.0.1	Charlene van der Schyff	t161102	Edit language obtained from proof read language Juliet Gillies.