Trauma Module
Contents
1. Add 10 09 2009 12 22 02 01 Opening of cranial suture Edit 10 09 2009 12 22 03 01 Removal of foreign body from spinal canal Delete 5 To edit data on a detail grid select the row from the grid To select the row left click the row using the mouse This will highlight the row in the grid Demographics Injury Ambulance Referring Hospital ED Diagnosis Procedures Comorbidity Complication Outcome Financial ICD 9 Procedures Procedures Procedure Start Date Procedure Start Time Procedure ICD 9 Code Add 07 01 2009 19 00 21 00 Control of epistaxis not otherwise specified 07 02 2009 19 00 35 00 Closed heart valvotomy unspecified valve Delete Select Edit and the record detail screen will open Edit data Select OK to save changes and close the detail screen or select Cancel to close without saving 2010 Digital Innovation Inc All Rights Reserved 26 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual Procedures x Procedure Start Date Procedure Stark 12 22 Time Procedure ICD 3 04 Fay 03 01 Removal of foreign body fro 9 Code Gk Cancel lt 2 of 5 Ba eee oe 6 To delete data from a detail grid select the row from the grid To select the row left click the row using the mouse This will highlight the row in the grid Demographics Injury Ambulance Referring Hospital ED Diagnosis Procedures Comorbidity Com2. Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Trauma Registry Module Ov Crview siscess0sticactoctaeviesindasiyndeseveneiaeae TE Z Accessing the DI Trauma Registry Module cccccccccccccceeeeeeeeeeeeeeeeeeeeeeeees 3 Navigation within the Trauma Registry Module cccccccccccccccceeeeeeeeeeeeeeeeeeeees 5 Trauma Registry Record Manager OV rVICW cccceeesseeseeseseesessesseessseeeens 5 Trauma Registry Record Manager Sorting Columns ccceessseceeeeeeeeeeees 6 Searching for Trauma Registry Records cccccccccccccscccsceeeeeeeccceeeeeeeceeeeeeeeeeeees 7 Adding Editing Viewing and Deleting Trauma Records c000eseseeeees 11 Addin a Lanna RECON erreien E E ER 11 Porio mna R CO e a a E N 12 Views a Trauma ReCO earren anie P ETA E 13 Deleting a Trauma Record enenennnnnennnsensssssssesssesesssssssssssssssssessssssssnesnssnns 14 Exporting Records from the Trauma Registry Record Managet 00066 15 Data Entry Within a Trauma Registry ReCOIrd cccccccccccccccceeeeeeeeeeeeeeeeeeeeeeeees 17 Navigating Within a Trauma Registry Record cccccccccccccccceeeeeeeeeeeeeeeeeeees 17 Wate Teme Tool and 10S agrees erecta reese 18 Working wiih Date SG cree ccasttntedneciatertiniesiteemr onde see castes sadtante Petaaiaeandeesnevedes 18 Vy Oligo wiih Time Fields eocen E 18 Ny Omri with Menu Fichi eisoes nn aR N 19 Not Known Not Re
3. To correct the data follow these steps a Select the failed check on the Check Failure screen To select the failed check left click the row using the mouse This will highlight the row on the Check Failure screen Source Message EQ Arrival Time EQ Arrive Time should not be blank Chief Complaint Chief Complaint should not be blank Resp Rate The value is outside the 0 99 range SBP This field is required to calculate TRISS and cannot be blank Eye Response This field is required to calculate TRISS and cannot be blank Recheck Goto Validate Close b Select the Goto button This will return the user to the incorrect field so the user may correct the data entry errors Chief Complaint Arrival Condition 1 Aircraft O a 3 Assault Physical Type Of Surgeon 4 ATV 4 Wheeler 5 Bicycle 6 Boating T Burn c Correct the data entry error Chief Complaint 1 Aircraft d Return to the Check Failure screen and select the Recheck button The check is removed once the data correction meets the validation requirements Source Message ED Arrival Time ED Arrive Time should not be blank Chief omplaint Chief ormpl aint s how Id not be blank Resp Rate The vesting is ouitsids the 0 99 range SBP This field is required to calculate TRISS and cannot be blank Eye Response This field is required to calculate TRISS and cannot be blank Validate Close 2010 Digital Innovation
4. digital innovation Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual a HOME MODULES DATA SUBMISSION SUBMISSION REVIEW UPLOAD REPORTS REVIEW REPORTS SUPPORT Welcome to the ATR Web Portal Demonstration 0 8 8 0 6 Alabama Trauma Registry www adph org atr ADPH amp Alabama Department of Public Health 4 Select Modules from the menu options provided on the left side menu bar 5 Select Trauma Registry from the list of Modules provided Welcome Admin Logout Change Password Modules Select a module to launch e Trauma Registry Administration 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Navigation within the Trauma Registry Module Trauma Registry Record Manager Overview Trauma Data Collector Admin System Refresh Trauma Number ATCC Number Facility Name Medical Center Medical Health Medical Center Medical Center Medical Center Medical Health Medical Center D he A e oo Medical Center Last Name CROWE DOODIDDLE MCBRIDE RIDDLE SCHMIDT WRIGHT MAGOG HENDERSON First Name TIM MARTINA SHARON HARRY MIKEA KATARINA BRIAN HERBERT Arrival Date 0701 2003 o7 01 2009 07 01 2003 07 18 2009 07 01 2003 O7 01 2009 o7 o1 2009 o7 o2 2009 Discharge Date 07 18 2009 ovf24 2009 o7f24 2009 O7f30 2009 08 01 200
5. 01 01 2009 Active FIRST 01 01 2009 09 23 2009 Active 990000001 583958358 System Medical Cente 7 Medical Center JCODCOT TERBDER BRIAN 07 01 2009 07 03 2009 Closed 2 The Edit Trauma screen will open Edit Trauma Record Patient Name HENDERSON HERBERT M Facility System Arrival Date 07 02 2009 Trauma 8 Demographics injury Ambulance Referring Hospital ED Diagnosis Procedures Comorbidity Complication Outcome Financial Recorded By Created Date 08 18 2009 PE Trauma Number 2 ATCC ID ED Arrival Date 07 02 2009 afl ED Arrival Time 12 00 HERBERT MI LastName HENDERSON Suffix If Other 04 14 1922 Age 1 Years 111 11 1111 Ethnicity Not Hispanic or Latino 1 Male Gender If Other American Indian Or Alaskan Native Race If Other Alternate Home Residence Street Address 1 123 MARKET STREET Street Address 2 UNIT B1 Zip 21222 City Baltimore State MD MD Maryland County Country USA Country If Other Phone E mail Occupational Industry Occupational Industry If Other Occupation 1 Business and financial operations occupations Occupation If Other Alt Contact First Name Alt Contact Last Name Relationship If Other Relationship Alt Address Alt Zip ale Mik Alb Ohaka Ci Eo z Check a Save id Save Exit x Cancel Prev Next 2010 Digital Innovation Inc All Rights Reserved 12 digital innovation DI Trauma Registry Module User Manual Viewing a Trauma Record A
6. 01 2009 and 01 31 2009 Discharge Date oifoifzoo9 FH O1f31 2009 Fa Between o To search for all records after a certain Hospital Discharge Date enter only a beginning Hospital Discharge Date The search below will return all records with a Hospital Discharge Date of 01 01 2009 or after Discharge Date oi foi 2zoo09 F F Between o To search for all records prior to a certain Hospital Discharge Date enter only an ending Hospital Discharge Date The search below will return all records with a Hospital Discharge Date of 01 31 2009 or prior Discharge Date ed 01 31 2009 P Between e Last Name search by Last Name The last name search is not case sensitive Enter the last name text Select starts with to return records that start with the text entered Select contains to return records that contain the text entered e First Name search by First Name The first name search is not case sensitive Enter the first name text Select starts with to return records that start with the text entered Select contains to return records that contain the text entered 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual e Date of Birth search by Date of Birth This is an exact search The user must enter the exact Date of Birth in order to return results e SSN search by SSN This is an exact search The user must enter the exact SSN in ord
7. Inc All Rights Reserved 29 Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual e Users also have the option of validating some data checks When a user validates a data check the user reviews the data in the field and approves the quality of the data Example A user may enter a Respiratory Rate of 100 This is outside the 0 99 range The user may validate or approve this Respiratory rate of 100 f To validate a data check select the failed check on the Check Failure screen To select the failed check left click the row using the mouse This will highlight the row on the Check Failure screen Select the Validate button The Confirm Check Validate screen will open Select Yes to validate the check Select No to not validate the check Walidate the current check g Once all check issues are resolved the Checks Resolved screen will open Select OK All check issues Have been resolved h Select Save or Save Exit to save the validated record The record status will now update from Active to Closed The closed record status indicates that checks have been performed and validated on the current record 2010 Digital Innovation Inc All Rights Reserved 30 Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Proprietary Rights Notice The Web Portal and related materials including but not limited to this document and other written material provid
8. select this option to edit an existing record in the Trauma Registry View select this option to view an existing record in the Trauma Registry Users cannot edit records in View only mode Adding a Trauma Record 1 Select Add from the available options 2 The Add Record Screen will open Complete data entry on this screen and select Add All fields on this screen are required If information is not known enter into the field to proceed Select Add to add the record and proceed to the data entry screen Select Cancel to exit the Add Record Screen Add Record First Name Last Hame Injury Date im Injury Time Social Security Number Add Cancel 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual Editing a Trauma Record 1 Select a record from the Trauma Registry Record Manager To select a record left click the record using the mouse This will highlight the record on the screen Then select Edit from the available options The user may also double click the selected record from the Trauma Registry Record Manager to open it Trauma Data Collector Admin Syste ll Trauma Number ATCC Number Facility Name Last Name First Name Arrival Date Discharge Date Active 990000004 83583958395839589 System LAST FIRST 01 01 2009 Active 990000002 8538395893859 System LASTNAME FIRSTNAME
9. 9 08 01 2009 07 03 2009 07 18 2009 Active Closed Closed Closed Active Active Closed Closed Closed ki Export After the user has selected Trauma Registry from the list of Modules the Trauma Registry Record Manager will open The Trauma Registry Record Manager is used to display a subset of trauma records included in the Trauma Registry The subset of records in the Trauma Registry Record Manager is filtered based on the search criteria entered by the user It is also pre filtered by the hospital Facility ID entered on the login screen The Trauma Registry Record manager includes the following columns e Trauma Number the Trauma Number is a unique identifier assigned to each trauma record entered into the Trauma Registry e ATCC Number the ATCC Number is an identifier assigned by the Alabama Trauma Communication Center e Facility Name the Facility Name identifies the facility that created the trauma record e Last Name this is the patient s last name e First Name this is the patient s first name e Arrival Date this is the date that the patient arrived in the ED e Discharge Date this is the date that the patient was discharged from the hospital e Active this identifies if the record is Active or Closed The Active Closed record status is explained in more detail in the Checks section of this user manual 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Re
10. ATR Web Portal DI Trauma Registry Module User Manual Oxygen _ Morphine sulfate Sodium bicarbonate Naloxone Thiamine Hitroglycerin _ Vasopressin Nitrous oxide Other al Mormal saline _ None Cancel 3 Check select the appropriate items from the speed form To select or de select a choice left click the box to the left of the choice Select OK to save the changes or select Cancel to close the form without saving changes Select up to 20 v 50 Dextrose _ Atropine sulfate w Activated charcoal _ alium gluconate v Adenosine w Diazepam _ Albuterol _ Piphenhydramine Amiodarone _ Dopamine _ Aspirin _ Epinephrine 1 1 000 Other Medications 2010 Digital Innovation Inc All Rights Reserved Epinephrine 1 10 000 Magnesium sulfate _ Furosemide _ lucagon _ Slucose _ Lidocaine _ Lorazepam Ok 23 xygen _ Morphine sulfate _ odium bicarbonate _ Naloxone Thiamine N Nitroglycerin Vasopressin _ Nitrous oxide Other Normal saline None Cancel digital innovation Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual 4 Data from the speed form is copied back to the trauma registry record Data is copied back to the trauma registry record in the exact order the user selected on the speed screen Example If the user selects Thiamine and then selects Oxygen then Thiamine will a
11. Occupational Industry If Other Occupation Business and financial operations occupations Occupation If Other Alt Contact First Name sssts S Alt Contact Last Name Relationship EHS S S o Relationship If Other Alt Address aS Alt Zip Ale Mik a Albe Cheke e Cancel 123 MARKET STREET 21222 MD MD Maryland 1 USA i Prev Next 2010 Digital Innovation Inc All Rights Reserved 13 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual Deleting a Trauma Record 1 Select a record from the Trauma Registry Record Manager To select a record left click the record using the mouse This will highlight the record on the screen Trauma Data Collector Admin Syste _ Trauma Number ATCC Number Facility Name Last Name First Name Arrival Date Discharge Date Active 9330000004 83583958395839589 System LAST FIRST 01 01 2009 Active 390000002 8538395893859 System LASTMAME FIRSTNAME 01 01 2009 Active 990000001 583958358 System LAST FIRST 01 01 2009 03 23 2009 7 Medical Center MAGOO BRIAN 07 01 2009 07 03 2009 2 Select Delete from the available options L a St t Ai nae Te re E es ig z i ag kaan an ET i F 3 The Confirm Delete screen will open Select OK to confirm delete Select Cancel to cancel the delete Are you sure you wish to delete this trauma Lahi record This cannot be undone pee 2010 Digital Innovation Inc All
12. Rights Reserved 14 Active Closed Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual incor porm taa Exporting Records from the Trauma Registry Record Manager The Export option will export the records displayed in the Trauma Registry Record Manager to an excel csv format The export file will contain only the data listed on the current Trauma Registry Record Manager screen It will include only the records listed on the current Trauma Registry Record Manager screen To use the Export option follow these steps 1 Select Export from the available options Add Edit A H View i Delete 2 The Confirmation screen will open indicating that the current window will close while the export file is created Select OK to continue with the export Select Cancel to stop the export Confirm ey re vou sure you want to navigate away From this page You have attempted to leave this page IF you have made any changes without clicking the Save button your changes willbe lost Are vou sure you want to exit this page Press OK to continue or Cancel to stay on the current page Cancel 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual 3 After selecting OK the Opening trauma _rm csv screen will open Select OK to open the export file Select Cancel
13. T MIKEA 07 01 2009 2 Medical Center MCBRIDE SHARON 07 01 2009 L Medical Center CROWE TIM 07701 2009 Searching for Trauma Registry Records To search for Trauma Registry Records follow these steps 1 Select the Search button in the upper right hand corner of the Trauma Registry Record Manager screen Refresh Discharge Date 07703 2009 09 23 2009 07 30 2009 07 18 2009 08 01 2009 07 24 2009 08 01 2009 07 24 2009 07 18 2009 2010 Digital Innovation Inc All Rights Reserved Active Closed Active Active Active Active Closed Closed Closed Active Closed Closed Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual 2 The Search Trauma screen will open Search Cancel Clear ATCO ID Record Status Arrival Date 7H EN Between 5 Discharge Date Pr EE Between l Last Hame ay starts with L contains First Name _ starts with contains Date Of Birth SSM Facility ID a Ea H x J Created By A description of each search criteria is provided below Trauma Number search by Trauma Number This is an exact search The user must enter the exact Trauma Number in order to return results For the following the user may enter multiple search criteria For example the user may search by Arrival Date and Discharge Date Or the user may search by First Name and Last Name and Arrival Date ATCC ID search by Alabam
14. TCC Number Facility Name Last Name Y First Name Arrival Date Discharge Date Active 6 Medical Health WRIGHT KATARINA 07 01 2009 08 01 2009 Closed 6 Medical Center SCHMIDT MIKEA 07 01 2009 08 01 2009 Active 5 Medical Center RIDDLE HARRY 07 18 2009 07 30 2009 Active 2 Medical Center MCBRIDE SHARON 07 01 2009 07 24 2009 Closed 7 Medical Center MAGOO BRIAN 07 01 2009 07 03 2009 Closed 990000002 8538395893859 System LASTMAME FIRSTNAME 01 01 2009 Active 990000004 83583958395839589 System LAST FIRST 01 01 2009 Active 990000001 383958358 System LAST FIRST 01 01 2009 09 23 2009 Active 8 Medical Center HENDERSON HERBERT 07 02 2009 07 18 2009 Closed 2 Medical Health DOODIDDLE MARTINA 07 01 2009 07 24 2009 Closed 1 Medical Center CROWE TIM 07 01 2009 07 18 2009 Closed digital innovation Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual 3 To sort a different column left click a different column The example below removes the sort from the Last Name and changes the sort to First Name Trauma Number Facility Name Last Name First Name Arrival Date Ed Medical Center MAGOO BRIAN 07 01 2009 990000001 System LAST FIRST 01 01 2009 390000004 83583958395839589 System LAST FIRST 01 01 2009 330000002 System LASTNAME FIRSTNAME 01 01 2009 5 Medical Center RIDDLE HARRY 07 18 2009 S Medical Center HENDERSON HERBERT 07 02 2009 6 Medical Health WRIGHT KATARINA 07701 2009 2 Medical Health DOODIDDLE MARTINA 07 01 2009 6 Medical Center SCHMID
15. a Trauma Communication Center ATCC ID This is an exact search The user must enter the exact ATCC ID in order to return results Record Status search by Record Status Active or Closed The Active Closed record status is explained in more detail in the Checks section of this user manual Arrival Date Between search by the ED Arrival Date o To search for all records within an ED Arrival Date range enter a start date and an end date The search below will return all records with an ED Arrival Date between 01 01 2009 and 01 31 2009 Arrival Date oifoif2zoo09 eH 0i 31 2009 al Between 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual o To search for all records after a certain ED Arrival Date enter only a beginning ED Arrival Date The search below will return all records with an ED Arrival Date of 01 01 2009 or after Arrival Date oifoifzoo9 F EN Between o To search for all records prior to a certain ED Arrival Date enter only an ending ED Arrival Date The search below will return all records with an ED Arrival Date of 01 01 2009 or prior Arrival Date i O1ifoif2zo0o093 HA Between e Discharge Date Between search by the Hospital Discharge Date o To search for all records within a Hospital Discharge Date range enter a start date and an end date The search below will return all records with a Hospital Discharge Date between 01
16. bottom of the Trauma Record window Prev Next e Select Prev to navigate to the prior screen For example to navigate from the Referring Hospital screen to the Ambulance screen select the Prev button e Select Next to navigate to the next screen For example to navigate from the Ambulance screen to the Referring Hospital screen select the Next button Users may also navigate from screen to screen by selecting the tabs at the top of the Trauma Registry record In the example below the Ambulance screen is selected by left clicking the Ambulance tab at the top of the Trauma Registry record To select the Referring Hospital screen the user left clicks the Referring Hospital tab Demographics Injury Ambulance Referring Hospital ED Diagnosis Procedures Comorbidity EMS Provider Hame Fat 1OS ALEXANDER CITY FIRE MEDICS EMS Provider If Other Dispatch Date FE Dispatch Time Arrive Date F Arrive Time 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Data Entry Tools and Tips Working with Date Fields The following data entry shortcuts exist for data and time fields 1 Users may enter dates via the calendar popup Left click the calendar to the right of the date field and a calendar will display Double click the appropriate date from the calendar popup to select it The date is then inserted into the date field To close th
17. corded or Not Applicable seeeennensssossssseeeeerreeeresesss 21 IVES BNO PCNA e E E vent taaececsenaeontsanscce 21 PE TOT e E E E E duis vonaseteneecsomitesinateaanktyesoeaterees 22 DEIRE g e E EE E E E 25 Py MD IR COOP ceca cee E E E E E E EE E AEE 21 E CG OS E E dans E E EE O E T 28 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Trauma Registry Module Overview The Trauma Registry Module manages data entry The Trauma Registry Module User Manual is designed to demonstrate common tasks performed when using the Trauma Registry Module web application 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Accessing the DI Trauma Registry Module The Trauma Registry Module is accessed via the Alabama Trauma Registry ATR Web Portal The address for the ATR Web Portal is https trauma adph state al us To login to the ATR Web Portal follow these steps 1 Enter https trauma adph state al us in the Internet browser 2 Enter a User Name Password and a Facility at the login screen The System Administrator provides the login information ga DI Portal User Name i Password Facility 3 Select Login after entering the User Name Password and Facility 2010 Digital Innovation Inc All Rights Reserved
18. e calendar select the Esc key on the keyboard e 4 October 2009 amp z ea 5 M T Ww T F 5 4 a 6 T 5 ES 10 a eae Sa DS ee T Te T9 Oe ee Oe et fa ee ae ee ae ed Date of Bith io fos zo09 HH 2 Type in the month and day only and tab to the next field The year will default to the current year 3 Type t and tab to the next field The date will default to the current date 4 To increase an existing date field by one day follow these steps a Locate the date field b Left click into the date field c Select on the keyboard This will increase the existing date field by one day Each time is selected the date will increase by one day 5 To decrease an existing date field by one day follow these steps a Locate the date field b Left click into the date field c Select on the keyboard This will decrease the existing date field by one day Each time is selected the date will decrease by one day Working with Time Fields 1 Type t and tab to the next field The time will default to the current time 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual Working with Menu Fields Menu fields are defined as fields that allow the user to select from a list of choices The types of menus used are described below 1 Drop dow
19. eck Example Injury City should not be blank e Sequence checks verify the sequence of dates in the trauma record If the sequence is incorrect the user will receive a sequence check Example Injury Date is out of sequence Should be before Dispatch Date e Range checks verify that vitals are entered in an appropriate range If a vital 1s not in an appropriate range the user will receive a range check Example Resp Rate the value is outside the 0 99 range e Duplicate checks warn if duplicate values have been entered into a list If duplicate values are entered into a list the user will receive a duplicate check Example Additional Ecode cannot equal the Primary Ecode To perform checks on a record do the following 1 Select the Check button id Save Ld Save Exit x Cancel ei Check 2 The Check Failure screen will open The Check Failure screen lists all failed checks within the current record Source Message Chief Complaint Chief Complaint should not be blank Resp Rate The value is outside the 0 99 range SBP This field is r quired ta calculate TRISS and cannot be blank Eye Response This field is r quired ta calculate TRISS and cannot be blank Verbal Response This field is required to calculate TRISS and cannot be blank 2010 Digital Innovation Inc All Rights Reserved 28 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual 3
20. ed by Digital Innovation Inc collectively Software Products constitute confidential and proprietary information of Digital Innovation Inc It 1s the responsibility of the user to comply with all applicable copyright laws The Software Products are to be maintained in confidence and not to be disclosed duplicated or otherwise reproduced directly or indirectly whole or in part or any materials relating thereto except as specifically authorized by Digital Innovation Inc No portions of this manual may be reproduced duplicated or disclosed without the expressed written approval of Digital Innovation Inc Reasonable steps are to be taken to insure that no unauthorized persons have access to the Software Products and that all authorized persons having access to the Software Products refrain from any such disclosure duplication or reproduction except as authorized by Digital Innovation Inc Copyright 1998 2010 Digital Innovation Inc All Rights Reserved 2010 Digital Innovation Inc All Rights Reserved 31
21. er to return results e Facility ID to search by Facility ID select the Search button to the right of the Facility ID field The Facility menu will open Double click a Facility Name to select it Or highlight the Facility Name and choose the Select button Facility ID x Select Facility ID A Id Name Show All system System Select test test e Created By search by the Created By User This is an exact search The exact Created By User ID must be entered in order to return results 3 After entering all search criteria select Search to perform the search This returns the user to the Trauma Registry Record Manager where search results are displayed If a search has identified no matching results then the user will be returned to a blank Trauma Registry Record Manager Search Editor x Search Trauma Search By Search Cancel Trauma Number Clear BERS re a nr A raa nanara enu o na o 4 Select Cancel to exit the Search screen 5 Select Clear to clear the existing search criteria and return to a blank search screen 2010 Digital Innovation Inc All Rights Reserved Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Adding Editing Viewing and Deleting Trauma Records The System Administrator configures the Add Edit and View Permissions in the Administrative Module e Add select this option to add a new record to the Trauma Registry Edit
22. ghts Reserved 19 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual e To expand a branch of the code menu click the arrow to the left of the menu branch name Or select gt Right Arrow on the keyboard to expand e To close a branch of the code menu click the arrow to the left of the menu branch name Or select lt Left Arrow on the keyboard to close e To enter a known choice for example an Ecode of 800 0 simply type 800 0 into the field without selecting from the menu Ecode 200 0 Fal 800 0 Railway Collision w Rolling Stock Railway Employee If an incorrect code is entered the NO MATCH Text reset error displays Users should correct the code Ecode 810 1 i NO MATCH Text reset e To search by text do the following 1 Type the text into the Ecode field Ecode CaF Fa 1i Select the menu button or select Enter on the keyboard iii Codes matching the text search criteria will display yY a Motor Vehicle Traffic Accidents ye MwA Traffic Involving Collision wf Train 810 4 MYA Traffic Collision wf Train Occupant of L Streetcar YG MVA Traffic Re entrant Collision w Another Motor Vehicle D 51i 4 MVA Traffic Re entr Collision w MW Occupant of Streetcar y Ea oth MYA Traffic Involving Collision w Motor Vehicle E 812 4 Oth MWA Traffic Collision wf MY Occupant of Streetcar FO MWA Traffic Inv
23. gistry ATR Web Portal DI Trauma Registry Module User Manual Pee ees Trauma Registry Record Manager Sorting Columns Users may sort columns in the Trauma Registry Record Manager depending on specific needs Users may sort only one column at a time To sort the Trauma Registry Record Manager columns follow these steps 1 Using the mouse left click on the column to be sorted The example below sorts the records in ascending order by the Last Name Trauma Number ATCC Number Facility Name Last Name Discharge Date Active b Add 2010 Digital Innovation Inc All Rights Reserved tail 1 Medical Center CROWE TIM 07 01 2009 07 18 2009 Closed Op 2 Medical Health DOODIDDLE MARTINA 07 01 2009 07 24 2009 Closed 8 Medical Center HENDERSON HERBERT 07 02 2009 07 18 2009 Closed 990000001 583958358 System LAST FIRST 01 01 2009 09 23 2009 Active 990000004 83583958395839589 System LAST FIRST 01 01 2009 Active k Export 990000002 8538395893859 System LASTNAME FIRSTNAME 01 01 2009 Active ti Medical Center MAGOO BRIAN 07 01 2009 07 03 2009 Closed 2 Medical Center MCBRIDE SHARON 07 01 2009 07 24 2009 Closed 5 Medical Center RIDDLE HARRY 07 18 2009 07 30 2009 Active 6 Medical Center SCHMIDT MIKEA 07 01 2009 08 01 2009 Active 6 Medical Health WRIGHT KATARINA 07 01 2009 08 01 2009 Closed 2 Left click the column a second time to sort in descending order The example below sorts the records in descending order by the Last Name Trauma Number A
24. labama Trauma Registry ATR Web Portal 1 Select a record from the Trauma Registry Record Manager To select a record left click the record using the mouse This will highlight the record on the screen Trauma Data Collector Admin Syste _ Trauma Number ATCC Number Facility Name Last Name First Name Arrival Date Discharge Date Active 330000004 83583958395839589 System LAST FIRST 01 01 2009 Active 390000002 8538395893859 System LASTNAME FIRSTNAME 01 01 2009 Active 990000001 583958358 System LAST FIRST 01 01 2009 09 23 2009 Active 7 Medical Center MAGOO BRIAN 07 01 2009 07 02 2009 8 2009 07 03 2009 Closed Select View from the available options 2 The View Trauma screen will open View Trauma Record Patient Name HENDERSON HERBERT M Facility System Arrival Date 07 02 2009 Trauma 4 Demographics injury Ambulance Referring Hospital ED Diagnosis Procedures Comorbidity Complication Outcome Financial Recorded By Created Date 08 18 2009 E Trauma Number g ATCC ID ED Arrival Date 07 02 2009 afl ED Arrival Time 12 00 First Name HERBERT LastName HENDERSON Suffix Suffix If Other Date of Birth 4 14 1922 i Age 111 11 1111 Ethnicity 2 Mot Hispanic or Latino m Male Gender If Other American Indian Or Alaskan Native Race If Other Alternate Home Residence Street Address 1 Street Address 2 UNIT Bi Zip City Baltimore State County Country Country If Other Phone E mail Occupational Industry
25. n menus the drop down menu is available when the user tabs to a menu field To select a menu choice the user clicks or selects it using the mouse The user may also type the corresponding menu code In the example below the user may click or select 1 No motor response from the menu Or the user may type 1 directly into the field Motor Response Mo motor response Manual Gos 1 Mo motor response Ed 5 2 Extension to pain 3 Flexion to pain 4 Withdrawal from pain 5 Localizing pain 6 Obevs commands f Mot Applicable 2 Code Menus the code menu is used for menus containing large code sets For example it is used for ICD9 codes Procedure codes and Ecodes Ecode Railway Accidents 5 Railway Accident Involving Collision wt Rolling Stock a 500 0 Railway Collision wf Rolling Stock Railway Employee 500 1 Railway Collision w Rolling Stock Railway Passenger 800 2 Railway Collision wf Rolling Stock Pedestrian 800 3 Railway Collision w Rolling Stock Pedal Cyclist 00 8 Railway Collision w Rolling Stock Oth Person Ei 800 9 Railway Collision w Rolling Stack Unspec Person i l e To access a code menu click the menu button to the right of the field or left click into the field and select Enter on the keyboard e To close a code menu click the close button or select Escape on the keyboard 2010 Digital Innovation Inc All Ri
26. nhydramine _ Glucose _ MNitroglycerin Vasopressin _ Amiodarone _ Dopamine _ Lidocaine Nitrous oxide Other _ Aspirin m Epinephrine 1 1 000 Lorazepam _ Normal saline _ None Other Medications Ok Cancel Detail Grids A detail grid is used to capture multiple rows of data For example it may be used to capture multiple rows of procedures To complete date entry into a detail grid perform the following steps 1 Select the Add button Procedures Procedure Start Date Procedure Start Time Procedure ICD 9 Code 2010 Digital Innovation Inc All Rights Reserved 25 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual 2 The Add screen will open Procedures x Procedure Start E Procedure Start ate A EE Frocedure ICD Fat 3 Code Ok Cancel oe x a ap 3 Complete data entry on this Add screen a Select OK to save changes and close the Add screen b Select Cancel to cancel changes and close the Add screen Select to continue adding records in the Add screen d Select lto return to the first record entered on the Add screen e Select _ _ to return to the last record entered on the Add screen f Use and 7 to move between the records 4 Data entered on the Add screen is copied to the detail grid Procedures Procedure Start Date Procedure Start Time Procedure ICD 9 Code
27. olving Collision wf Oth Vehicle a 2123 4 MVA Traffic Collision wf Oth Veh Occupant of Streetcar 2010 Digital Innovation Inc All Rights Reserved 20 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual e To search by code do the following 1 Type the code into the Ecode field Ecode 813 ii Select the menu button or select Enter on the keyboard iii Codes matching the code search criteria will display y E Motor Vehicle Traffic Accidents yi MYA Traffic Involving Collision w Oth Vehicle 213 0 MYA Traffic Collision wf Oth Veh Driver of MY Hon MZ a 313 1 MVA Traffic Collision w Oth Weh Passenger in PVG Non ME 15 2 MWA Traffic Collision wi Oth Veh Motorcyclist a 813 3 MVA Traffic Collision w Oth Veh Passenger on Motorcycle a 213 4 MIVA Traffic Collision wi Oth Veh Streetcar Occupant of a 213 5 MYA Traffic Collision wf Oth Veh Occupant of Animal Veh 1813 6 MVA Traffic Collision w Oth Veh Pedal Cyclist Vets 7 MUA Tratfie allicinn mf mth Wah Dedartrian Not Known Not Recorded or Not Applicable e Type in any field to set it equal to Not Applicable e Type in any field to set it equal to Not Known Not Recorded Memo Fields Memo fields are used to record notes To access a Memo field select the ellipse to the right of the field A Note Editor screen will o
28. pen Enter the notes Select OK to save changes and return to the data entry screen Select Cancel to close the Note Editor screen without saving changes Injury Description 2010 Digital Innovation Inc All Rights Reserved 21 x Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual Note Editor Patient fell dawn the stairs while trying to move a heavy set of equipment at a construction site Broke his right leg left arm upon impact Was atthe construction site by himself was not found until the following morningl k Cancel Speed Forms Speed forms are used primarily for quickly selecting items that are applicable to the given data entry field To access a speed form perform the following steps 1 Select or click the Speed button In the example below the Medications speed button is selected S proin ki Je n heads 2010 Digital Innovation Inc All Rights Reserved 22 digital innovation 2 The speed form opens Select up to z0 50 Dextrose _ Atropine sulfate Activated charcoal _ Salcium gluconate L Adenosine Diazepam a Ss _ Albuterol _ Diphenhydramine Amiodarone Dopamine a _ Aspirin _ Epinephrine 1 1 000 Other Medications Epinephrine 1 10 000 Magnesium sulfate _ Furosemide _ Glucagon _ Glucose _ Lidocaine _ Lorazepam L Ok Alabama Trauma Registry
29. plication Outcome Financial Procedures Procedure Start Date Procedure Start Time Procedure ICD 9 Code 07 01 2009 21 00 Control of epistaxis not otherwise specified 07 02 2009 19 00 35 00 Closed heart valyotorny unspecified valve Select Delete The Confirm Delete screen will open Select OK to delete the row Select Cancel to cancel the delete Are you sure you wish to delete the selected elementis Saving a Record The save options are located at the bottom of the trauma record window ei Check a bie Save Exit x Cancel e Select Save to save the current trauma record without exiting the record e Select Save Exit to save the current trauma record and exit the record e Select Cancel to exit the record without saving changes The Confirm Cancel screen will open Select OK to confirm the cancel without saving Select Cancel to remain in the current trauma record 2010 Digital Innovation Inc All Rights Reserved 27 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual incar pormat a a Data has changed Are you sure you wish to cancel without saving Validation Checks The checks process validates the data in the current trauma record The following types of validation checks exist e Blank Required checks verify if required fields contain data If a required field does not contain data user will receive a blank required ch
30. ppear first on the Trauma Registry Record Oxygen will display second Medications Meds 20 Dextrose Activated charcoal Adenosine Diazepam 5 To de select or remove a choice select or click the Speed button The speed form opens To de select a choice left click the box to the left of the choice Select OK to save the changes or select Cancel to close the form without saving changes In the example below Adenosine is de selected from the speed form Select up to iv 50 Dextrase _ Atropine sulfate Epinephrine 1 10 000 Magnesium sulfate Oxygen 20 w Activated charcoal Salkium gluconate _ Furosemide _ Morphine sulfate Sodium bicarbonate v Adenosine w Diazepam _ Slucagon _ Naloxone Thiamine _ Albuterol _ Diphenhydramine Glucose _ Nitroglycerin Vasopressin _ Amiodarone Dopamine _ Lidocaine _ Nitrous oxide _ ther _ Aspirin _ Epinephrine 1 1 000 Lorazepam Normal saline _ None Other Medications Ok Cancel 2010 Digital Innovation Inc All Rights Reserved 24 Alabama Trauma Registry ATR Web Portal digital innovation DI Trauma Registry Module User Manual ae up to w 50 Dextrose _ Atropine sulfate Epinephrine 1 10 000 Magnesium sulfate Oxygen w Activated charcoal _ Calcium gluconate _ Furosemide Morphine sulfate _ Sodium bicarbonate _ Adenosine w Diazepam _ Glucagon _ Naloxone Thiamine _ Albuteral _ Diphe
31. to stop the process Opening trauma_rmm csy You have chosen to open ixi trauma_rm cs whichis a Adobe Acrobat Document From http 207 114 89 132 8091 What should Firefox do with this File a t Open with Microsoft Excel For Windows default O Save File Do this automatically For Files like this From now on 4 After selecting OK the trauma_rm csv file will open in Excel A B C D E F G Trauma Number ATCC Number Facility Name Last Name First Name Arrival Date Discharge Date Active 990000004 System LAST FIRST 1 1 2009 Active gg0000002 Isy stem LASTNAME FIRSTNAME 1 1 2009 Active 990000001 563958356 System LAST FIRST 1 1 2009 9 23 2009 Active 8 Medical Center HENDERSON HERBERT 7 2 2009 7 16 2009 Closed fs Medical Center MAGOO BRIAN 7 1 2009 7 3 2009 Closed 6 Medical Health WRIGHT KATARINA 7 1 2009 6 1 2009 Closed 6 Medical Center SCHMIDT MIKEA 7 1 2009 8 1 2009 Active 5 Medical Center RIDDLE HARRY 7 16 2009 7 30 2009 Active 2 Medical Health DOODIDDLE MARTINA 7 1 2009 7 24 2009 Closed 2 Medical Center MCBRIDE SHARON 7 1 2009 7 24 2009 Closed 1 Medical Center CROWE TIM 7 1 2009 7 16 2009 Closed 2010 Digital Innovation Inc All Rights Reserved 16 Alabama Trauma Registry ATR Web Portal DI Trauma Registry Module User Manual Data Entry Within a Trauma Registry Record Navigating Within a Trauma Registry Record The navigation options are located at the
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