0.3 Medical Secretary Manual OpenEyes
Contents
1. 2013 Allan Bruce Cataract Left Aphakia Coes celain os Allan Bruce External pA oes No diagnosis Telephone 04130 4541610 22 Oct Aylward Bill Vitreoretinal Both Macular hole 2013 Email Unknown General Practitioner you to last event Name Unknown Latest Event in Glaucoma Prescription 17 Apr2013 Other ophthalmic diagnoses Practice Address Unknown Practice Telephone Unknown 6 Date Diagnosis Actions Associated contacts 14 Apr 2013 Right Age related macular degeneration Remove Name Location Type 14 Apr 2013 Right Low tension glaucoma Remove Add contact earch for contact Staff 14 Apr 2013 Right Pigment dispersion syndrome Remove 14 Apr 2013 Right Acute angle closure glaucoma Remove 14 Apr 2013 Right Secondary glaucoma Remove 2014 Right Acute angle closure glaucoma Remove Add Ophthalmic Diagnosis Systemic Diagnoses Date Diagnosis Actions 2013 Diabetes mellitus type 1 Remove 14 Apr 2013 Myocardial infarction Remove Administration 1 tablet s PO qid Date 22 Aug 2014 Actions Edit Stop Delete Adherence Not Recorded Comments Not Recorded Actions Edit Add Medication Page 6 Episode s Next of Ki Unk Support Services i ee me Links takes 22 Aug Support No D 2014 N A Services diagnosis No diagnosis n2. 0 Correspondence Victoria Aina OpenEyes Programme Office update 11 06 2015 Second Draft of Victoria Document Reviewers Simon Pearce OpenEyes Programme Director Page 2 Glossary of Terms Term Abbreviation What it stands for Event Any activity that takes place to a patient appointment eg Examination Prescriptions Firm A sub speciality which is the combination of the name of clinician and sub speciality OE OpenEyes OP Note Operation note which is an event within OpenEyes OpenEyes Electronic Medical Record and also by the acronym OE Pas Patient administrative System Silver link Document Status This is a controlled document This document version is only valid at the time it is retrieved from controlled file store after which a new approved version will replace it 2 Introduction The Purpose of this document is to introduce users to both new and existing functionalities with and features within the Correspondence s event in the Openeyes application Users will be accessing the correspondences functionality and features via events Page 3 Logging on and Getting Started The OpenEyes login page is case sensitive 1 Select the clinical services link within the intranet 2 Select the grey connect button situated within the Remote Desktop Connection box This remote connection could ham your local or remote computer Do not connect unless you know where this
3. Create Correspondence Event Date 29 Jul 2014 Lette Moorfields at City Road v Recipient v 4 Macro X 15 Dec 2014 oa Direct line 020 7566 2087 nak Nickname 4 Chay Close DOB 2 Nov 1920 Hosp No 1000001 NHS No 348 769 5836 Introduction Findings Diagnosis This 33 year old woman was discharged from hospital today Diagnosis mixed diabetic maculopathy Operation Right Biopsy of iris Prescription Chloramphenicol 0 5 eye drops 1 drop s qid Eye Right for 7 days Chloramphenicol 0 5 eye drops 1 drop s gid Eye Right for 7 days Dexamethasone 0 1 eye drops 1 drop s qid Eye Right for 1 month Cyclopentolate 1 eye drops 1 drop s gid Eye Right for 7 days Management bi Drugs Dutcome No GP action is required The patient has been advised of the importance of taking their topical medication Pro has been given an appointment for post operative review in 2 weeks time From type to search for users Yours sincerely Mr Test User user role Consultant Dr Adnan Tufail Cc Patient Mrs Kathryn Howard 49 Trueman Avenue Abbots Ripton Q Y12 80N Mrs Smith 11 Hill Road London Enclosures xray Remove blood tests Remove Add ETE Edit Print Printall 4 Enter appropriate Event date 5 The Clinic Date field prepopulated to display
4. connection came from or have used it before a Publisher Unknown publisher 9 Type Remote Desktop Connection Remote computer rds Allow the remote computer to access the following resources on my computer V Clipboard V Printers Changes to these options apply to this connection only a Hide Details 3 Within the Window Security pop up box enter Password into the password field Enter your credentials These credentials will be used to connect to rds Aina Victoria CITY_ROAD ainav A Use another account _ Remember my credentials WINDOWS SECURITY POP UP BOX 2 4 Select Clinical services fol for the live environment Home S Refresh Training environment ee We 5 Select the Training fold lead 2 a iM wi o 7 Trarwe inj af Serce Modent MEH Intranet Networi Dhe Duto Emal Logoff Clinical Services 6 Launch Open Eyes by selecting double clicking the Openeyes Training Icon faee Page 4 7 Enter Username and Password then select the blue login button Ee Searching for a Patient Scan barcode on notes if scanners present 1 Select site and or firm from the pop up box then the green confirm button Select a new Site and or Firm site Firm Brookes John Glaucoma Confirm 2 Search for patient by entering one of the following search criteria s into the search box Find a patient by Hospital Number NHS Number Firstname Sur
5. null Enter appropriate date Page 10 Select appropriate Site from the drop down menu Select appropriate option from Recipient drop down menu Select appropriate option from the Macro drop down menu Use template in macros for the selected service macro date prepopulated with today s date 10 Clinic date is prepopulated To change click into the date area 11 Patient address details which includes NHS and Hospital Numbers are shown in the box just below the patient name 12 Select the appropriate option from the Introduction drop down menu 13 Select the appropriate option from the Findings drop down menu 14 Select the appropriate option from the Diagnosis drop down menu 15 Select the appropriate option from the Management drop down menu 16 Select the appropriate option from the Drugs drop down menu 17 Select the appropriate option from the Outcome drop down menu 18 Within the From field type the surname of the required staff and then select from list of names populated 19 Select the appropriate option from the CC drop down menu 20 Add any attachments eg Xrays or Blood Tests by selecting the green button 21 Select to print one copy 22 Select GEM to orint all letters including copies vew a ONO E 23 Select the Edit tab to make any changes after the document has been saved Letters can only be edited by the creato
6. 14 Anr 2013 Marfan s syndrome Ramnva k 14 Apr 2013 Marfan s syndrome Remove P at nt Clinical i TEE Summary and Date Operation Actions Td pal Ea PRIA i 16 Oct 2013 Right Cataract surgery Edit Remove LSL i j D Current Medication Acetazolamide 250mg tablets Patient Summary Screen Overview 1 On the right hand side of the main screen under the All Episodes subheading select the blue Create episode add event link AN Episodes open 1 closed O Start hate End Date Firm Bubs pecially Eye Diagmo s is Ophthalmology 24 Jun 2014 Brookes John Glaucoma Mo diagnosis Mo diagnosis 2 The Episodes and Events summary screen opens The Summary Screen Summary displays the following Glaucoma information Overview Overview Male 44 CVI status Sight Impaired Driving status No longer drives Principal Di agnoses Principal diagnosis Refraction Primary angle closure glaucoma CCT IOP Principal eye ae Comments Righi Clinic Interval Refraction nvestig ations 0 00 0 00 176 Ophthalmologist 0 00 0 00 0 Auto refraction Visual Field progression Bet and last Visual fields Not recorded Not recordad Glaucoma Management vil Plan extracts 10 mmHg 13 mmHg Target IOP Glaucoma Management Plan Tinh iniernal 12 months 12 months OCT 12 months Visual Fisids 12 months Goria Not required HAT 12 months Page 7 Graph of IOP History hide FOP History i au Jum 20413 Aug 20S
7. D acd ec 20S Feb sod Agr 2014 un St revi Move the bar to view history of data Graph of Visual Acuity History Vizusl Acury Heo Vinal Anay en Scgcsn Mera Vig Aouky right Wigs Acuky 2 Ray 2013 Jal 5013 p 2013 Rj cis Jan D Mer 2014 Masy 20014 Yeal Acuity rme Mere Move the bar to view history of data Page 8 Visual Fields History F 5 Hist Sy select image to zoom ae es into detail view Date 12 Dec 1997 14 36 00 Date 12 Dec 1997 14 22 56 Strategy Full Threshold Strategy Full Threshold Test Name S S 24 2 Thr Test Name S S 24 2 Thr Move the bar to view history of data Episode Details eee eee View episode details 4 Jun 2014 still open TE rmiaard ini View episode status Glaucoma Brookes John Glaucoma created by User User on 4 Jun 2014 at 12 43 Episode Status Post op Correspondence e All letters must be signed e Select the correct firm before creating letter 1 To the left of the Episodes and Events summary screen select tmiimnuui to adda patient Event 2 Select the Correspondence option from the Add a new event Window Add a new Glaugoma event Xx Select event to addjio the Glaucoma episode EA Anaesthetic S tisfaction Audit CorresponWence _4 Examination Intravitreal injection Laser Operation booking J7 Phasing Prescription P Therapy Application Go Visual Fields 3 The Correspondence area opens e and print
8. Moortields Eye Hospital NHS NHS Foundation Trust OpenEyes for Medical Secretaries User Manual Published by OpenEyes Programme Office Document version 0 3 Date 11 June 2015 p www openeyes org uk Document published by OpenEyes Programme Office In case of any query please contact OPO team Ext 4752 Source IT PMO_L drive OPO documents yr dade i repository TrainjngMaterials Colour Key OpenEyes Form links OpenEyes navigation links Notes Field names The following features are included in this course Contents CONTEN a Documentation History ccccscccseeceeeceeeseeeseeeseeeseeesaeees D c ment StAtUs occisi ia EEN Logging on and Getting Started ceccceceeeseeeeeeeeeeeeeeees Searching for a Patient cccccceeccsseseeceeeeseeeeeseeeesseeeeees Overview Of Summary PaQGEe ccccsecceeeeeceeeeeeeeeeseeeesanees Patient Summary Screen OVErvieW ccccececseeeeeeeeeeeeeeees Grap mot lOP RISON erei Graph of Visual Acuity History cccccccseeeeeeeeeeeeeeeees Visual Fields HISTO esineisiin aiaia Episode B onan ea aN Correspondente cccccceeccceeeeeceeeeceeeeeceuseseueeeseusesseeesees View Correspondences sitesi ceuie ee eed eine ees Page 1 1 Document Management Revision History Version Revision details Written by Approved by number 28 10 2014 First draft of document OpenEyes Programme Office 3 15 12 2014
9. Road Firm Brookes John Glaucoma Change Page 13
10. name or Surname Firstname AD Open Eyes D You are logged in as User User Find a patient by Hospital Nu nt k NHS Number Firstname Surname or Surname Firstname Site City Road Firm Barton Keith Glaucoma Change OO mmn memmen sco __ SSN ree 3 Then select the button to open the patient record Page 5 Patient demographics Overview of Summary Page Demographic details may need to be altered this action can currently be altered updated in PAS Home Theatre Diaries Partial bookings waiting list Logout CLOSE Chay 93 3 No 1000001 CEES OpenEyes A Patient has no GP practice address please correct in PAS before printing GP letter ri Patient is Diabetic Diabetes mellitus type 1 Patient has allergies Penicillin Sulphonamides You are logged in as Patient Summary User User Site City Road Firm Brookes John Glaucoma Change open 7 closed 0 Personal Details All Episodes First name s Chay End Start Date Date Firm Subspecialty Eye Diagnosis Patient Close Last name Ophthalmology Unknown Address 20 Dac Abou Rayyah Adnexal Both Chalazion Date of Birth 2 Nov 1920 17 Jan Andrews Medical Left Malignant melanoma of Age 93 2012 Richard Retinal choroid 14 Apr Gender Female 2013 Brookes John Glaucoma Left Pigmentary glaucoma Ethnic Group Unknown 3 Jun
11. r of the document Letters can only be deleted once the reason 24 Select the green FARAH button to save document as a draft or the PERAMI button to print and save the document simultaneously Correspondence Event Date 25 Select to discard information that is not required to be saved Page 11 View Correspondences 1 To the left of the Episodes and Events summary screen select the Historical Letter that is required to be from the appropriate speciality 14 Apr 2013 Glaucoma Episode Summary c3 Add event 14 Apr 2013 8 Jul 2014 G 24 Sep 2014 2 Select the correspondence Icon a besides the desired date to view letter Edit aiue piiat Correspondence Moorfields Eye Hospital NHS NHS Foundation Trust Moorfields at City Road 162 City Road London EC1V 2PD rty Tel 020 7253 3411 ri Direct line 020 7566 2625 y 8 Jul 2014 clinic date 14 Apr 2013 Re Chay Close DOB 2 Nov 1920 Hosp No 1000001 NHS No 348 769 5836 rty Yours sincerely Mr Enoch Root All admin role Consultant Mr Keith Barton Page 12 3 Select is print current page 4 Select MEELIS to print all pages of the document Logging Off 1 Select Logout_from the blue tab located top right hand corner of the screen This can be seen from any screerrvwiths enEyes Home Theatre Diaries Partial bookings waiting list L qout You are logged in as User User Site City
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