HEALTHe NL Quick Reference Guide

Login 3. Global Menu: Refers to your account information and the Home, Help - Go to: https://healthenl.ca and log out options at the top right of the screen. It is always accessible from any screen within the HEALTHe NL Viewer. - Enter your user ID and Password and click Log In

Clinician Homepage

. 3 Home – Returns the user to the Clinician Homepage. 2 Help – Launches the built-in help files. Logout - Will immediately log you out of the system. Timeout is 35 4 minutes of inactivity (30 minutes if you accessed HEALTHe NL through the internet), after which time the system will log you out. Note: Using the X button, in the top right of your browser, will close your window but will not log you out of the system.

1 4. Patient Demographic Search: Displays search fields enabling the user to search for a patient directly from the Clinician Homepage. o Access via the clinician homepage or the left navigation menu. 5 6 o Recommended search via MCP, however search by other patient’s identifiers (E.g. Account number, Out of Province HCN, RMCP Number, etc.) is available. o If patient has masked his/her profile it will appear a lock icon next to his/ her name.

o If a patient has been merged, the user will see the merged Figure 1: Clinician Homepage patient indicator next to the patient’s name. The clinician homepage (shown above) is a personalized view of: o Some users, (i.e. Users working in Emergency Rooms) will be o Your recent patients; allowed to search using first name, last name and date of birth. o The patient demographics search; and o A search will return a maximum of 25 results. You may have to o Any worklists you may have set up. scroll down through the list to see all returned results and the

1. Left navigation pane/ menu: Provides access to administrative associated features.

functionality within the HEALTHe NL Viewer. This is the menu you will 5. Recent Patients: Displays the patient records the user has previously see when you don’t have a specific patient in context. viewed classified by the following periods.

• Today; • The last 7 days; • The last 4 weeks; • The last 12 months;

6. My Worklist: This area contains 6 lists (by default named with colors red, blue, yellow, green, orange, purple) that you can customize by clicking “Rename” button next to the worklist name. You can select a specific worklist to show on your clinician homepage.

2. Broadcast Messages: Clicking the banner, or the link under Common on On the “My Details” page go to “Clinician Homepage” section and then the left hand navigation pane, leads to the Broadcast Messages page. click the icon, select the worklist to show and then click “Update Preferences”.

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Patient Summary

HEALTHe NL Quick Reference Guide

Patient Dynamic Summary Clicking the next to the contexts icon (on the left) closes the Patient Once a patient has been selected from a search or a worklist and brought Dynamic Summary and it goes back to the previous page the user was into context, the Patient Dynamic Summary is displayed, consisting of three using before the patient was brought into context. parts: Clicking the plus icon next to the patient’s name (on the left corner) 1. Patient Context Bar. displays the available worklists. You can add the current patient to a 2. Patient Record tabs: specific worklist by selecting it. Once you select a worklist the icon 2.1 The Patient Summary tab (displayed by default); changes to a coloured icon. If the patient is currently on a worklist, 2.2 The Timeline tab; (Please note Timeline is turned off for initial the flag's background colour will match the colour of the flag associated deployment and is planned to be turned on by Fall 2015) with that worklist. If the patient is on two or more worklists, the 2.3 The Encounters tab; and background colour will match the first worklist the patient has been 2.4 The Medication Profile tabs. added to based on the order displayed in the drop down list (red, blue, yellow, green, orange and purple). 2.1 2.2 2.3 2.4

 Patient Record Tabs

2.1 The Patient Summary tab: It is the first screen you see when a patient's 3. The Clinical Document View (CDV) Tree. name is selected from a worklist or the results of a search. The patient’s information is displayed in 3 sections. 1 a. Demographics: Lists the patient's personal and contact details. If the patient is deceased, this is indicated by the presence of the a label alongside his or her name. The information displayed is shown below: Identifiers: All available identifiers are displayed (E.g. MCP, Unit #, Out of Province HCN, RCMP number, etc), Demographics including gender date of birth, age, address, available 3 phone numbers and Alternate names (E.g. alias). b b. Allergy Summary: Lists the patient's recorded allergies. The 2 information displayed includes the Agent, Severity (Reactions), and Created date. Red font denotes Severity of the Allergy “High”.

c c. Adverse Drug Event Summary: Lists the patient's recorded adverse drug event. The information displayed includes the Agent, Severity Figure 2: Patient Dynamic Summary (Reactions), and Created date. Red font denotes Severity of the  Patient Context Bar: Displays patient’s information (name, date of birth Adverse Drug Event “High” -DOB- , gender, and MCP). In the Patient Context Bar, clicking the contexts icon (found in the 2.2 Timeline tab: Provides the user with an overall perspective of a rigth corner) redisplays the list of patient search results or worklists patient's medical history using a visual representation of encounters entries, allowing a different patient to be selected. Additionally, the and documents available for that patient. It shows the information for a and icons can be used to change the patient in context to the patient presented according to when that information was generated or previous or next patient in the list, respectively. received, with the oldest information to the left, to the newest information to the right.

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HEALTHe NL Quick Reference Guide

2.2. Timeline Tab (Continue) 2.4 The Medication Profile Tab: When the Medication Profile tab is Master Timeline: Provides constant view of Sub- timelines: Encounters selected the “Prescriptions” page is opened displaying the most recent the time range over which data is displayed. and Patient Summary prescriptions for the patient in context and dispenses (if any) history.

To the left of the Prescriptions page is the Medication Profile Menu displaying links to additional information (pages)

The timeline allows you to: From the “Prescriptions”, “Other Medications” and “Devices” pages  See the details of an item on the Timeline: Hover the mouse over the user may use the filter controls to organize the data returned in the the selected node. “Open document” link lets you open the result set by Range (timeframe) and by Status (prescription status). document. Click the “Timeline” link to go back to the timeline.

 Zoom in on a selected timeframe: Select a time frame in any panel of the timeline to zoom in on a specified time frame. Click the

“Reset Zoom” link to redisplay the full timeline.

 See what the markers mean: Click the “Show Key” link above each section of the timeline to display the key for that section.  Hide section of the timeline: Click the Collapse icon to the left of a This table timeline section to hide section of the timeline. summarizes a list of icons and 2.3 Encounters Tab: Displays a list of the views on the patient encounter links. history (please note pre-admissions are not included), containing the

following options: o Emergency (displayed by default) Click on the corresponding o Inpatient link to display any o these Clicking the hyperlink displays a Provider encounter views. o Outpatient Detail Popup in a window, showing the  CDV Tree: Displays all the current reports for the selected patient. By o All current Provider Registry data on the default the reports are grouped by category and subcategory. The specified provider (when available). category is only visible when there are patient reports available in that grouping; otherwise the category is not displayed.

Report Categories: All reports are displayed as links in the CDV Tree and have been classified in 4 categories:

I..Clinical Documents, II. Discharge Summary, III. Laboratory, and IV. Medical Imaging

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HEALTHe NL Quick Reference Guide

3. CDV Tree (continue)  Abnormality indicators:

CDV Categories CDV Subcategories

Some reports are rolled up in the CDV tree. In this case, the abnormality indicator represents the abnormality of the latest report in the series. When a rolled up report entry is displayed in the CDV tree with the red color but no abnormality indicator, this means that some report in the series was abnormal (but not the latest one).

 Report Status:

To expand a category and view the reports contained within, click the Expand icon .

To collapse a category, click the Collapse icon .

 Read/ Unread: The CDV tree indicates the number of read/ unread reports in a given category, for the current user. “Mark All As Read” link, when available, can be used Total number of to mark all reports as read Indicate s number of for the current user. • Each report displayed appears in the following format: unread documents. ...documents.