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ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the-shelf) solution is dedicated to children and adolescent psychiatric care institutions of the Departments of Children and Families.

ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

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Page 1: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF

Copyright © 2004-2010 ITC Software All rights reserved

ULTIMA*DCF CHOTS (component health-care off-the-shelf) solution is dedicated to children and adolescent psychiatric care institutions of the Departments of Children and Families.

Page 2: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF CHOTS SOLUTION

ULTIMA*DCF CHOTS (component health-care off-the-shelf) solution is dedicated to children and adolescent psychiatric care institutions of the Departments of Children and

Families.

ULTIMA*DCF CHOTS (component health-care off-the-shelf) solution is dedicated to children and adolescent psychiatric care institutions of the Departments of Children and

Families.

Page 3: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Patient Administration Patient Care

Available Components

ULTIMA*DCF offers ten (10) components for all interested institutions. Five (5) are dedicated to the patient administration and five (5) to patient care, including comprehensive electronic patient/medical

recording of patient’s treatment progress.

ULTIMA*DCF offers ten (10) components for all interested institutions. Five (5) are dedicated to the patient administration and five (5) to patient care, including comprehensive electronic patient/medical

recording of patient’s treatment progress.

Page 4: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

USER’S SIGN ON

Only certified physicians, psychologists, nurses and other authorized hospital/institution staff have access to the ULTIMA*DCF application. This is enabled by activating the horizontal tabs according to

each user’s access privileges.

Only certified physicians, psychologists, nurses and other authorized hospital/institution staff have access to the ULTIMA*DCF application. This is enabled by activating the horizontal tabs according to

each user’s access privileges.

Page 5: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Physicians

Only certified physicians, psychiatrists or psychologists have access to the ULTIMA*DCF applications enabled by activating the horizontal tabs according to each user’s access privileges.

Only certified physicians, psychiatrists or psychologists have access to the ULTIMA*DCF applications enabled by activating the horizontal tabs according to each user’s access privileges.

Page 6: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Nurses

Nurses and other authorized hospital/institution nursing staff have access to the ULTIMA*DCF application, enabled by activating the horizontal tabs according to each user’s access privileges.

Nurses and other authorized hospital/institution nursing staff have access to the ULTIMA*DCF application, enabled by activating the horizontal tabs according to each user’s access privileges.

Page 7: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Technologists/Administration

Authorized hospital/institution staff have access to the ULTIMA*DCF application, enabled by activating the horizontal tabs according to each user’s access privileges and HIPAA guidelines.

Authorized hospital/institution staff have access to the ULTIMA*DCF application, enabled by activating the horizontal tabs according to each user’s access privileges and HIPAA guidelines.

Page 8: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

HIPAA COMPLIANT ACCESS

The HIPAA certified security officer, usually a DBA (database administrator), is authorized to assign user’s roles, access to specific applications and user’s password.

The HIPAA certified security officer, usually a DBA (database administrator), is authorized to assign user’s roles, access to specific applications and user’s password.

Page 9: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

The ULTIMA*DCF scheduler is a unique application seamlessly integrated with other system components.

The ULTIMA*DCF scheduler is a unique application seamlessly integrated with other system components.

Page 10: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

This form is used by the clinic front desk to capture data from new patients, who’s referring physician usually contacts the clinic by phone.

This form is used by the clinic front desk to capture data from new patients, who’s referring physician usually contacts the clinic by phone.

Page 11: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

The Physician and Staff listing allows the booking staff the selection of the requested or least busy physician, psychologist or other mental caregiver.

The Physician and Staff listing allows the booking staff the selection of the requested or least busy physician, psychologist or other mental caregiver.

Page 12: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

The appointment calendar of the selected surgeon gives the staff a number of choices: open the data entry by a click on the ‘zoom’ square to the right of the appointment time (see next form to enter

appointments). The daily, weekly or monthly schedules can be viewed by a single click of the mouse at the left.

The appointment calendar of the selected surgeon gives the staff a number of choices: open the data entry by a click on the ‘zoom’ square to the right of the appointment time (see next form to enter

appointments). The daily, weekly or monthly schedules can be viewed by a single click of the mouse at the left.

Page 13: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

This is the appointment entry form that allows the entry of a new appointment or the cancellation of an appointment and assigning the priority of the appointment by the established color codes.

This is the appointment entry form that allows the entry of a new appointment or the cancellation of an appointment and assigning the priority of the appointment by the established color codes.

Page 14: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

The ULTIMA*DCF Scheduler features both the weekly and monthly appointment reviews.The ULTIMA*DCF Scheduler features both the weekly and monthly appointment reviews.

Page 15: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

This form is an online report for the medical records staff.This form is an online report for the medical records staff.

Page 16: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SCHEDULING

ULTIMA*DCF includes a number of reports and statistical analyses for the clinic management.ULTIMA*DCF includes a number of reports and statistical analyses for the clinic management.

Page 17: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

CHILD REGISTRATION

A click on the Registration button displays the child’s registration and admission component menu.A click on the Registration button displays the child’s registration and admission component menu.

Page 18: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

CHILD’S ADMISSION

The hospital admission menu consists of six vertical tabs for easy access to registration components and to the room/bed allocation.

The hospital admission menu consists of six vertical tabs for easy access to registration components and to the room/bed allocation.

Page 19: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

FAST AND EASY CAPTURE OF DATA

Patient demographics, mailing address, phone information and patient’s referring physician data are entered into this form. Some of the data are selected by a simple click at the so-called LOV icon.

Patient demographics, mailing address, phone information and patient’s referring physician data are entered into this form. Some of the data are selected by a simple click at the so-called LOV icon.

Page 20: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

FAMILY CONTACTS

The Patient Family Contacts form captures the important family or child’s guardian data.The Patient Family Contacts form captures the important family or child’s guardian data.

Page 21: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

CHILD’S PRIMARY INSURANCE

The information about the insurance coverage is entered in two forms, primary and secondary insurance, if any.

The information about the insurance coverage is entered in two forms, primary and secondary insurance, if any.

Page 22: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

SECONDARY INSURANCE

The information about the insurance coverage is entered into two forms, primary and secondary insurance, if any.

The information about the insurance coverage is entered into two forms, primary and secondary insurance, if any.

Page 23: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ROOM & BED ALLOCATION

The assignment of the patient to a ward, room and bed is supported by a fully computerized bed inventory.

The assignment of the patient to a ward, room and bed is supported by a fully computerized bed inventory.

Page 24: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ELECTRONIC RECORDS MENU

The Electronic Records component consists of two groups of applications: 1) EPR and 2) Patient Intake Form.

The Electronic Records component consists of two groups of applications: 1) EPR and 2) Patient Intake Form.

Page 25: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The wards/nursing stations applications are a hub of all patient care information.The wards/nursing stations applications are a hub of all patient care information.

WARDS/NURSING UNITS

Page 26: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The Ward Organization form is a convenient overview of the ward’s structure, by listing all rooms and beds of each ward, selected from the hospital ward listing.

The Ward Organization form is a convenient overview of the ward’s structure, by listing all rooms and beds of each ward, selected from the hospital ward listing.

WARDS/NURSING UNITS

Page 27: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The top block of the Ward Staff Scheduling form displays the managers of each ward, i.e., the chief physician and head nurse. Changes in the management staff are made by the hospital chief-of-staff who has been authorized to update this list.

The second block is a list of the staff of each ward, their main responsibilities (‘Note’), and the current shift. The head nurse usually maintains the ward’s schedule.

The top block of the Ward Staff Scheduling form displays the managers of each ward, i.e., the chief physician and head nurse. Changes in the management staff are made by the hospital chief-of-staff who has been authorized to update this list.

The second block is a list of the staff of each ward, their main responsibilities (‘Note’), and the current shift. The head nurse usually maintains the ward’s schedule.

Page 28: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The first block is a summary view of each room. The second block displays the name of each patient, admission date, and expected length of stay (LOS). An LOV button selects the name and unique ID of the patient’s attending physician. Then the severity rate, patient diet and differential diagnoses are entered, marking the primary diagnosis.

The third block is used for a patient’s discharge; indicating the reason and discharge summary. The command button ‘Discharge’ activates a number of important transactions, namely the transfer of all patient electronic records into an ARCH_ database for billing, reporting and statistics, as well as updating the electronic bed inventory.

The first block is a summary view of each room. The second block displays the name of each patient, admission date, and expected length of stay (LOS). An LOV button selects the name and unique ID of the patient’s attending physician. Then the severity rate, patient diet and differential diagnoses are entered, marking the primary diagnosis.

The third block is used for a patient’s discharge; indicating the reason and discharge summary. The command button ‘Discharge’ activates a number of important transactions, namely the transfer of all patient electronic records into an ARCH_ database for billing, reporting and statistics, as well as updating the electronic bed inventory.

Page 29: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The S-O-A-PE methodology and format are used as a common denominator for every ward’s electronic recording. In this manner it is possible to enter all Patient Treatment Progress Notes generally, yet specific to each ward.The ‘Open S-O-A-PE’ button enables the ward staff to have fast, online access to the patient’s treatments, orders and results.

The powerful Oracle 9i/10g database technology acts as an integrator of the current ‘legacy’ systems throughout your hospital.

The S-O-A-PE methodology and format are used as a common denominator for every ward’s electronic recording. In this manner it is possible to enter all Patient Treatment Progress Notes generally, yet specific to each ward.The ‘Open S-O-A-PE’ button enables the ward staff to have fast, online access to the patient’s treatments, orders and results.

The powerful Oracle 9i/10g database technology acts as an integrator of the current ‘legacy’ systems throughout your hospital.

Page 30: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Patient’s chart and name, selected from the ‘List of Resident Patients’ are displayed automatically. The date and time are displayed by default. The purpose of the Subjective notes is to record a patient’s subjective communication or complaints to the nursing staff (remember: ‘what is not recorded – does not exist’).  

The entry of these subjective data are supported by two options: 1) the use of an LOV (list of value) button which displays a pull-down list of the most frequently used subjective patient complaints, and 2) the display of an edit window (called modal) for the entry of additional, specific subjective information. The date, time, and the nurse’s internal code are mandatory items for each entry. The name of the nurse responsible for the entry is displayed when the nurse’s code is entered. The ‘Save’ button secures the entry of the information into the database.

Patient’s chart and name, selected from the ‘List of Resident Patients’ are displayed automatically. The date and time are displayed by default. The purpose of the Subjective notes is to record a patient’s subjective communication or complaints to the nursing staff (remember: ‘what is not recorded – does not exist’).  

The entry of these subjective data are supported by two options: 1) the use of an LOV (list of value) button which displays a pull-down list of the most frequently used subjective patient complaints, and 2) the display of an edit window (called modal) for the entry of additional, specific subjective information. The date, time, and the nurse’s internal code are mandatory items for each entry. The name of the nurse responsible for the entry is displayed when the nurse’s code is entered. The ‘Save’ button secures the entry of the information into the database.

Page 31: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The entry of the objective data is similar to entry of the ‘S’ section data; the nurses are aided by two buttons, Search (LOV pull-down list) and Edit, in order to make the recording of data acceptable and simplistic. The purpose of the Objective notes is to record all ‘objective’ data (remember again: ‘what is not recorded – does not exist’), mainly vital signs and measurements, and important patient’s behavioral and abnormal test results. Each nurse has convenient access to a patients’ laboratory test results, thus having a more comprehensive understanding of a patient’s medical situation, usually reserved for physicians.

The entry of the objective data is similar to entry of the ‘S’ section data; the nurses are aided by two buttons, Search (LOV pull-down list) and Edit, in order to make the recording of data acceptable and simplistic. The purpose of the Objective notes is to record all ‘objective’ data (remember again: ‘what is not recorded – does not exist’), mainly vital signs and measurements, and important patient’s behavioral and abnormal test results. Each nurse has convenient access to a patients’ laboratory test results, thus having a more comprehensive understanding of a patient’s medical situation, usually reserved for physicians.

Page 32: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

There are two options for the capture of laboratory test results: 1) transferred from the clinical laboratories, and 2) entered by the ward staff (e.g., a ward clerk) from the paper printouts.

There are two options for the capture of laboratory test results: 1) transferred from the clinical laboratories, and 2) entered by the ward staff (e.g., a ward clerk) from the paper printouts.

LABORATORY TESTS

Page 33: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The patient’s attending physician, after reviewing and assessing the subjective and objective data, both in his/her home office or at the time of the visit, has a considerable amount of pertinent information at his/her ‘finger tips’ – just a click away for the following: 1) patient health care history, 2) patient physical examination/review of systems, 3) medication orders and administration, and 4) orders of laboratory tests, diagnostic examinations and treatments, as well as physiotherapy and other therapies.

The entry of the attending physician’s comments and instructions to nursing teams are aided by easy to use, and ward care specific, pull-down lists of free text (Search). The physician and the ward staff do not need to know the numerical/alphanumerical codes that are used, therefore they are not displayed. These are listed only as unique identifiers and primary keys in the Oracle database. An Edit button displays a special ‘zoom’ window for the entry of a specific physician’s treatment notes.

The patient’s attending physician, after reviewing and assessing the subjective and objective data, both in his/her home office or at the time of the visit, has a considerable amount of pertinent information at his/her ‘finger tips’ – just a click away for the following: 1) patient health care history, 2) patient physical examination/review of systems, 3) medication orders and administration, and 4) orders of laboratory tests, diagnostic examinations and treatments, as well as physiotherapy and other therapies.

The entry of the attending physician’s comments and instructions to nursing teams are aided by easy to use, and ward care specific, pull-down lists of free text (Search). The physician and the ward staff do not need to know the numerical/alphanumerical codes that are used, therefore they are not displayed. These are listed only as unique identifiers and primary keys in the Oracle database. An Edit button displays a special ‘zoom’ window for the entry of a specific physician’s treatment notes.

Page 34: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The patient’s medical history form, displayed by a click on the Pt Health History button, consists of four blocks: 1) Patient identification (the chart number and full patient name are displayed automatically), 2) Past diseases (the name and ICD9 code are entered by the ward staff from the LOV – list of values – pull down listing of codes entered during the installation of the system), 3) Medications are entered based on the patient’s own recollection, and 4) As well as Allergies - mainly drug and food adverse reactions. All entered data and updates are stored in the patient’s electronic record by a click of the Save button.

The patient’s medical history form, displayed by a click on the Pt Health History button, consists of four blocks: 1) Patient identification (the chart number and full patient name are displayed automatically), 2) Past diseases (the name and ICD9 code are entered by the ward staff from the LOV – list of values – pull down listing of codes entered during the installation of the system), 3) Medications are entered based on the patient’s own recollection, and 4) As well as Allergies - mainly drug and food adverse reactions. All entered data and updates are stored in the patient’s electronic record by a click of the Save button.

PATIENT’S ASSESSMENT

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The structure and contents of the block ROS (review of systems) is adjustable for each specialty. A click on the ‘Zoom’ square displays a window, called a ‘modal’, that enables the entry of longer text. The length of the text is also flexible depending upon the needs of each medical specialty.

The structure and contents of the block ROS (review of systems) is adjustable for each specialty. A click on the ‘Zoom’ square displays a window, called a ‘modal’, that enables the entry of longer text. The length of the text is also flexible depending upon the needs of each medical specialty.

Entry and Review of PE

Page 36: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The physician selects the drug from the approved list of drugs – hospital drug formulary – from a pull down list. The National Drug Code (NDC), generic name, strength and dosage are displayed automatically. The physician enters only the quantity, frequency and route of drug administration.

 A check off box informs the pharmacy if there is a requirement to prepare a Medication Administration Record (MAR) for this prescription. The physician is able to access the preferred Drug Consultant available on the Internet or hospital’s intranet before approval is given to print the MAR or to send the prescription to the hospital pharmacy.

The physician’s electronic signature (full name) is mandatory data to be entered. Without it the Save button will not function and the prescription(s) will not be saved in the patient’s electronic medication profile .

The physician selects the drug from the approved list of drugs – hospital drug formulary – from a pull down list. The National Drug Code (NDC), generic name, strength and dosage are displayed automatically. The physician enters only the quantity, frequency and route of drug administration.

 A check off box informs the pharmacy if there is a requirement to prepare a Medication Administration Record (MAR) for this prescription. The physician is able to access the preferred Drug Consultant available on the Internet or hospital’s intranet before approval is given to print the MAR or to send the prescription to the hospital pharmacy.

The physician’s electronic signature (full name) is mandatory data to be entered. Without it the Save button will not function and the prescription(s) will not be saved in the patient’s electronic medication profile .

Page 37: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

www.rxlist.com is an example of a ‘free of charge’ Internet RxList. In addition to the Rxlist Web site, there are a number of highly reliable drug consultant sites, such as Medscape, Electronic Medicines Compendium (eMC), Scholz Healthcare, Drug InfoNet, RxMed, RxCentric, Drugs.com, Consumer-Oriented Databases, etc.

www.rxlist.com is an example of a ‘free of charge’ Internet RxList. In addition to the Rxlist Web site, there are a number of highly reliable drug consultant sites, such as Medscape, Electronic Medicines Compendium (eMC), Scholz Healthcare, Drug InfoNet, RxMed, RxCentric, Drugs.com, Consumer-Oriented Databases, etc.

DRUG WEB CONSULTANT OPTION

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A simple click on the Treatment Orders button displays a menu with three vertical tabs of the most frequently ordered tests and examinations, namely Laboratory Tests, X-ray/Diagnostic Imaging, and Therapy Orders. Each of the order forms/requisitions has an identical layout of two blocks: 1) A list of approved tests, examinations and therapies, 2) A list of all orders placed for the selected/designated patient during his/her hospitalization. A check off box indicates if the results have arrived or are available.

A simple click on the Treatment Orders button displays a menu with three vertical tabs of the most frequently ordered tests and examinations, namely Laboratory Tests, X-ray/Diagnostic Imaging, and Therapy Orders. Each of the order forms/requisitions has an identical layout of two blocks: 1) A list of approved tests, examinations and therapies, 2) A list of all orders placed for the selected/designated patient during his/her hospitalization. A check off box indicates if the results have arrived or are available.

Page 39: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

A single click on the Treatment Orders button displays a menu with three vertical tabs of the most frequently ordered tests and examinations, namely Laboratory Tests, X-ray/Diagnostic Imaging, and Therapy Orders. Each of the order forms/requisitions has an identical layout of two blocks: 1) A list of approved tests, examinations and therapies, 2) A list of all orders placed for the selected/designated patient during his/her hospitalization. A check off box indicates if the results have arrived or are available.

A single click on the Treatment Orders button displays a menu with three vertical tabs of the most frequently ordered tests and examinations, namely Laboratory Tests, X-ray/Diagnostic Imaging, and Therapy Orders. Each of the order forms/requisitions has an identical layout of two blocks: 1) A list of approved tests, examinations and therapies, 2) A list of all orders placed for the selected/designated patient during his/her hospitalization. A check off box indicates if the results have arrived or are available.

Page 40: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

A simple click on the Treatment Orders button displays a menu with three vertical tabs of the most frequently ordered tests and examinations, namely Laboratory Tests, X-ray/Diagnostic Imaging, and Therapy Orders. Each of the order forms/requisitions has an identical layout of two blocks: 1) A list of approved tests, examinations and therapies, 2) A list of all orders placed for the selected/designated patient during his/her hospitalization. A check off box indicates if the results have arrived or are available.

A simple click on the Treatment Orders button displays a menu with three vertical tabs of the most frequently ordered tests and examinations, namely Laboratory Tests, X-ray/Diagnostic Imaging, and Therapy Orders. Each of the order forms/requisitions has an identical layout of two blocks: 1) A list of approved tests, examinations and therapies, 2) A list of all orders placed for the selected/designated patient during his/her hospitalization. A check off box indicates if the results have arrived or are available.

Page 41: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

The last form of the S-O-A-PE electronic records is the Patient Plan and Education (PE) section. The entry of the Nursing care plan based on NANDA nursing diagnosis is optional. For more information visit: http://www.nanda.org/

The last form of the S-O-A-PE electronic records is the Patient Plan and Education (PE) section. The entry of the Nursing care plan based on NANDA nursing diagnosis is optional. For more information visit: http://www.nanda.org/

PATIENT CARE PLANS & EDUCATION

Page 42: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

In all ULTIMA*DCF forms the entry of data is simplified by the deployment of pull-down list of values (LOV). A single click at the LOV icon attached to most fields, activates the underlying coding structure - database schemas - to enable the operator the selection of data for the field. There are four groups of codes included in the ULTIMA*DCF Code Menu.

In all ULTIMA*DCF forms the entry of data is simplified by the deployment of pull-down list of values (LOV). A single click at the LOV icon attached to most fields, activates the underlying coding structure - database schemas - to enable the operator the selection of data for the field. There are four groups of codes included in the ULTIMA*DCF Code Menu.

ULTIMA*DCF - Codes

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General codes used by the registration staff are simple to maintain. Here are examples of Citizenship and Ethnic/Race codes.

General codes used by the registration staff are simple to maintain. Here are examples of Citizenship and Ethnic/Race codes.

ULTIMA*DCF – General Codes

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General codes used by the registration staff are simple to maintain. Here are examples of Language and School Grade codes

General codes used by the registration staff are simple to maintain. Here are examples of Language and School Grade codes

ULTIMA*DCF – General Codes

Page 45: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

General codes used by the registration staff are simple to maintain. Here are examples of Religion and State codes

General codes used by the registration staff are simple to maintain. Here are examples of Religion and State codes

ULTIMA*DCF – General Codes

Page 46: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Ward and room codes maintain the list of all hospital units and rooms including the charge/diem.Ward and room codes maintain the list of all hospital units and rooms including the charge/diem.

ULTIMA*DCF – Spec. Codes

Page 47: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

List of physicians licensed (approved) by the hospital and their specialties are maintained by these two forms.

List of physicians licensed (approved) by the hospital and their specialties are maintained by these two forms.

ULTIMA*DCF - Spec. Codes

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Nursing staff and their certified/official specializations are entered and maintained by these forms.Nursing staff and their certified/official specializations are entered and maintained by these forms.

ULTIMA*DCF - Spec. Codes

Page 49: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Nursing position codes could be expanded for the HR and payroll applications.Nursing position codes could be expanded for the HR and payroll applications.

ULTIMA*DCF - Spec. Codes

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These are examples of subjective and objective typical statements or complaints used for entry into the Subjective and Objective sections of S-O-A-PE electronic patient treatment progress notes.

These are examples of subjective and objective typical statements or complaints used for entry into the Subjective and Objective sections of S-O-A-PE electronic patient treatment progress notes.

ULTIMA*DCF - Spec. Codes

Page 51: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

Medical assessments and nursing plans, as well as patient education statements, are used for entry into the Assessment and PE sections of the S-O-A-PE electronic patient treatment progress notes.

Medical assessments and nursing plans, as well as patient education statements, are used for entry into the Assessment and PE sections of the S-O-A-PE electronic patient treatment progress notes.

ULTIMA*DCF - Spec. Codes

Page 52: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ICD-9 CM codes as well as CPT (‘Current Procedural Terminology’ by the American Medical Association) are maintained for the US institutions. For installations outside the US the system coding schemes include ICD-10 and other codes for reimbursement, e.g., fee codes.

ICD-9 CM codes as well as CPT (‘Current Procedural Terminology’ by the American Medical Association) are maintained for the US institutions. For installations outside the US the system coding schemes include ICD-10 and other codes for reimbursement, e.g., fee codes.

ULTIMA*DCF – Diag. Codes

Page 53: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ONLINE CHILD’S INTAKE FORM

The patient’s intake form is a unique component of ULTIMA*DCF. It’s main goal is to enable a thorough assessment of the child’s or adolescent’s status and admission to the treatment facility. It also creates a powerful database for statistics and research as well as flexible adjustment of the questionnaire for each psychiatric facility.

The patient’s intake form is a unique component of ULTIMA*DCF. It’s main goal is to enable a thorough assessment of the child’s or adolescent’s status and admission to the treatment facility. It also creates a powerful database for statistics and research as well as flexible adjustment of the questionnaire for each psychiatric facility.

Page 54: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ONLINE CHILD’S INTAKE FORM

The Patient Intake Form’s first tab opens the section of the patient’s demographic data, usually already entered during the child’s registration. If the registration has not been done, the data from the data captured here will be available at the time of registration/admission.

The Patient Intake Form’s first tab opens the section of the patient’s demographic data, usually already entered during the child’s registration. If the registration has not been done, the data from the data captured here will be available at the time of registration/admission.

Page 55: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ONLINE CHILD’S INTAKE FORM

The information about the insurance coverage is entered in two forms, primary and secondary insurance, if any.

The information about the insurance coverage is entered in two forms, primary and secondary insurance, if any.

Page 56: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ONLINE CHILD’S INTAKE FORM

The information about the insurance coverage is entered in two forms, primary and secondary insurance, if any. Note that the date, chart number and child’s name are displayed by default.

The information about the insurance coverage is entered in two forms, primary and secondary insurance, if any. Note that the date, chart number and child’s name are displayed by default.

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ONLINE CHILD’S INTAKE FORM

The fourth data entry tab opens the section of patient’s information about parents, mother and father in two separate blocks.

The fourth data entry tab opens the section of patient’s information about parents, mother and father in two separate blocks.

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ONLINE CHILD’S INTAKE FORM

The Siblings data entry tab opens the section of the patient’s information about any siblings, as well as about other members of the household.

The Siblings data entry tab opens the section of the patient’s information about any siblings, as well as about other members of the household.

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ONLINE CHILD’S INTAKE FORM

The birthmother pregnancy problems required answers are aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon. Note that the date, chart number and child’s name are displayed by default.

The birthmother pregnancy problems required answers are aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon. Note that the date, chart number and child’s name are displayed by default.

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ONLINE CHILD’S INTAKE FORM

The child’s delivery required answers are aided by lists of optional statements (e.g., YES, NO, NATURAL, HOSPITAL, etc.) that are displayed by a click on the ‘down’ arrow icon.

The child’s delivery required answers are aided by lists of optional statements (e.g., YES, NO, NATURAL, HOSPITAL, etc.) that are displayed by a click on the ‘down’ arrow icon.

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ONLINE CHILD’S INTAKE FORM

The infant’s data entry is also aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon.

The infant’s data entry is also aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon.

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ONLINE CHILD’S INTAKE FORM

The infant’s development data entry is also aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon.

The infant’s development data entry is also aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon.

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ONLINE CHILD’S INTAKE FORM

The child’s behavior data entry is also aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon.

The child’s behavior data entry is also aided by lists of optional statements (e.g., YES, NO) that are displayed by a click on the ‘down’ arrow icon.

Page 64: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ONLINE CHILD’S INTAKE FORM

A child’s medical history covers mainly allergies and adverse drug reactions. A child’s physician as well as the diagnosis are included in this section of the intake questionnaire.

A child’s medical history covers mainly allergies and adverse drug reactions. A child’s physician as well as the diagnosis are included in this section of the intake questionnaire.

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ONLINE CHILD’S INTAKE FORM

This section of the Patient Intake Form covers the child’s family tree and the health status of each family member.

This section of the Patient Intake Form covers the child’s family tree and the health status of each family member.

Page 66: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY

The Pharmacy component is an option for larger hospitals. This menu – Introduction - consists of nine applications accessed by a click on the vertical tabs.

The Pharmacy component is an option for larger hospitals. This menu – Introduction - consists of nine applications accessed by a click on the vertical tabs.

Page 67: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY

The Patient Data Entry form is a duplicate copy of the patient registration form. This is an option for a stand-alone pharmacy.

The Patient Data Entry form is a duplicate copy of the patient registration form. This is an option for a stand-alone pharmacy.

Page 68: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY

The Incoming Drug Orders form lists all prescriptions sent from the hospital wards.The Incoming Drug Orders form lists all prescriptions sent from the hospital wards.

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ULTIMA*DCF PHARMACY

All orders/prescriptions of drugs are listed for the dispensing approval (OK box) by the pharmacist. Details of each approved item are displayed in the second block.

All orders/prescriptions of drugs are listed for the dispensing approval (OK box) by the pharmacist. Details of each approved item are displayed in the second block.

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ULTIMA*DCF PHARMACY

The Patient Medication Profile, consists of four blocks of important information: 1) Patient’s ID code and full name, 2) Patient’s allergies and adverse drug reactions, 3) Listing of all current drugs and medications with three check off boxes: A = approved, D = dispensed, X = not approved, 4) Item details.

The Patient Medication Profile, consists of four blocks of important information: 1) Patient’s ID code and full name, 2) Patient’s allergies and adverse drug reactions, 3) Listing of all current drugs and medications with three check off boxes: A = approved, D = dispensed, X = not approved, 4) Item details.

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ULTIMA*DCF PHARMACY

The medication administration record (MAR) is prepared by the hospital pharmacy at the request of the physician who prescribed the medication. The form consists of four blocks: 1) Patient’s ID, 2) A list of current patient’s drugs/medications, 3) MAR plan prepared by the pharmacy 4) Actual administration. ‘Note’ fields could be displayed in full by a click on the ‘Zoom’ icon.

The medication administration record (MAR) is prepared by the hospital pharmacy at the request of the physician who prescribed the medication. The form consists of four blocks: 1) Patient’s ID, 2) A list of current patient’s drugs/medications, 3) MAR plan prepared by the pharmacy 4) Actual administration. ‘Note’ fields could be displayed in full by a click on the ‘Zoom’ icon.

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ULTIMA*DCF PHARMACY

The Inventory Stock Control offers the hospital pharmacy a powerful online review of all items including the quantity on hand (QOH) and quantity on order (QOO) as well as the total inventory value based on the hospital internal costing guidelines. Details of each stock item are displayed in the second section of the form.

The Inventory Stock Control offers the hospital pharmacy a powerful online review of all items including the quantity on hand (QOH) and quantity on order (QOO) as well as the total inventory value based on the hospital internal costing guidelines. Details of each stock item are displayed in the second section of the form.

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ULTIMA*DCF PHARMACY

A complete log of all transactions (opening balance, issued, received, returned, physical inventory count + -) enables the pharmacy management an online review of the stock movement.

A complete log of all transactions (opening balance, issued, received, returned, physical inventory count + -) enables the pharmacy management an online review of the stock movement.

Page 74: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY

The Review of Drug Orders is a listing of all items on order from suppliers. The entry of new orders and the electronic order, electronic data interface (EDI), deployment is done by a check off of the Act (activate) box. Details of each purchase order are displayed in the lower section of this form.

The Review of Drug Orders is a listing of all items on order from suppliers. The entry of new orders and the electronic order, electronic data interface (EDI), deployment is done by a check off of the Act (activate) box. Details of each purchase order are displayed in the lower section of this form.

Page 75: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY - Codes

The hospital pharmacy is responsible for the entry and maintenance of coding schemes of all applications.

The hospital pharmacy is responsible for the entry and maintenance of coding schemes of all applications.

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ULTIMA*DCF PHARMACY - Codes

The Drug Formulary, i.e., a list of approved drugs and medications, is the foundation of the hospital pharmacy management, as well as drug orders/prescription from physicians. It contains all information for drug orders from suppliers, plus the maintenance of stock.

The Drug Formulary, i.e., a list of approved drugs and medications, is the foundation of the hospital pharmacy management, as well as drug orders/prescription from physicians. It contains all information for drug orders from suppliers, plus the maintenance of stock.

Page 77: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY - Codes

The pharmacy has an option of using traditional abbreviations derived from Latin or their own codes, e.g., instead of ACL – BL = Before lunch, etc.

The pharmacy has an option of using traditional abbreviations derived from Latin or their own codes, e.g., instead of ACL – BL = Before lunch, etc.

Page 78: ULTIMA*DCF Copyright © 2004-2010 ITC Software All rights reserved ULTIMA*DCF CHOTS (component health-care off-the- shelf) solution is dedicated to children

ULTIMA*DCF PHARMACY - Codes

The Drug Administration Route codes are based on the pharmacy internal coding, e.g., RTE01, etc. It is important to note that these alpha-numerical codes are only for the

database unique item’s identification.

The Drug Administration Route codes are based on the pharmacy internal coding, e.g., RTE01, etc. It is important to note that these alpha-numerical codes are only for the

database unique item’s identification.

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ULTIMA*DCF PHARMACY - Codes

This is an example of drug manufacturers codes, usually well established within the pharmaceutical professional community.

This is an example of drug manufacturers codes, usually well established within the pharmaceutical professional community.

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ULTIMA*DCF PHARMACY - Codes

The details of drug suppliers (primary, secondary, etc.) are captured and maintained by this form.The details of drug suppliers (primary, secondary, etc.) are captured and maintained by this form.

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POWERFUL ORACLE9i/10g DATABASE

Model: DCF physical database modelVersion: 1.0Author: Ruslan Vagizov

U_CD_DCF_ETHNICGRPLIST

ETHNIC_ID: INTEGER NOT NULL

ETHNIC_CODE: VARCHAR2(10) NOT NULLETHNIC_DESCRIPTION: VARCHAR2(30) NULL

U_CD_DCF_LANGUAGELIST

LANG_ID: INTEGER NOT NULL

LANG_CODE: VARCHAR2(10) NOT NULLLANG_DESCRIPTION: VARCHAR2(30) NULL

U_CD_DCF_RELIGIONLIST

RELIG_ID: INTEGER NOT NULL

RELIG_CODE: VARCHAR2(10) NOT NULLRELIG_DESCRIPTION: VARCHAR2(30) NULL

U_CD_DCF_SCHOOLGRADELIST

GRADE_ID: INTEGER NOT NULL

GRADE_CODE: VARCHAR2(10) NOT NULLGRADE_DESCRIPTION: VARCHAR2(30) NULL

U_CD_DCF_STATELIST

STATE_ID: INTEGER NOT NULL

STATE_CODE: VARCHAR2(10) NOT NULLSTATE_DESCRIPTION: VARCHAR2(30) NULL

U_DCF_MPIREG

PT_ID: INTEGER NOT NULL

PT_CODE: VARCHAR2(15) NOT NULLPT_NAME1: VARCHAR2(30) NOT NULLPT_NAME2: VARCHAR2(20) NULLPT_NAME3: VARCHAR2(20) NULLPT_NAME4: VARCHAR2(20) NULLPT_REGNO: NUMBER NULLPT_REGDATE: DATE NOT NULLPT_DOB: DATE NULLPT_SEX: VARCHAR2(10) NULLRELIG_ID: INTEGER NULL (FK)CITIZEN_ID: INTEGER NULL (FK)LANG_ID: INTEGER NULL (FK)ETHNIC_ID: INTEGER NULL (FK)GRADE_ID: INTEGER NULL (FK)PT_ADDRESS_LINE1: VARCHAR2(30) NULLPT_ADDRESS_LINE2: VARCHAR2(20) NULLPT_ADDRESS_LINE3: VARCHAR2(20) NULLSTATE_ID: INTEGER NULL (FK)PT_HPHONE: VARCHAR2(15) NULLPT_OPHONE: VARCHAR2(15) NULLPT_EMAIL: VARCHAR2(15) NULLPT_MDREFER: VARCHAR2(30) NULLCONT_TXT: VARCHAR2(100) NULLCONT_ENTRY_DATE: DATE NOT NULL

U_DCF_PRIM_INSREG

PT_ID: INTEGER NOT NULL (FK)

INS_SEQ_NO: NUMBER NULLINS_ENTRY_DATE: DATE NULLINS_SIN: NUMBER NULLINS_HOLDER_NAME: VARCHAR2(50) NULLINS_RELATIONSHIP: VARCHAR2(1) NULLINS_HOLD_ADDRESS1: VARCHAR2(30) NULLINS_HOLD_ADDRESS2: VARCHAR2(20) NULLINS_HOLD_ADDRESS3: VARCHAR2(20) NULLINS_HOLD_ADDRESS4: VARCHAR2(20) NULLINS_HOLD_PHONE: VARCHAR2(15) NULLPRIM_INS_GRP_ID: VARCHAR2(20) NULLPRIM_INS_PLAN_NUMBER: VARCHAR2(20) NULLPRIM_INS_GRP_HOLDER_DOB: DATE NULLPRIM_INS_GRP_HOLDER_SEX: VARCHAR2(10) NULLPRIM_INS_GRP_HOLDER_EMPLOYER: VARCHAR2(30) NULLPRIM_INS_NAME: VARCHAR2(50) NULLPRIM_INS_ADDRESS: VARCHAR2(50) NULLPRIM_INS_PHONE: VARCHAR2(15) NULLPRIM_INS_CONTACT: VARCHAR2(30) NULLSECOND_INS_FLAG: VARCHAR2(5) NULL

U_DCF_USER_REG

USER_ID: INTEGER NOT NULL

ACCOUNT_CODE: VARCHAR2(15) NOT NULLUSER_NAME: VARCHAR2(30) NOT NULLPASSWORD: VARCHAR2(15) NOT NULLOLD_PASSWORD: VARCHAR2(15) NULLROLE_CODE: VARCHAR2(5) NULLFUNCTION_CODE1: VARCHAR2(5) NULLFUNCTION_CODE2: VARCHAR2(5) NULLFUNCTION_CODE3: VARCHAR2(5) NULLFUNCTION_CODE4: VARCHAR2(5) NULLENTRY_DATE: DATE NULL

U_DCF_SECOND_INSREG

PT_ID: INTEGER NOT NULL (FK)

SECOND_INS_ENTRY_DATE: DATE NULLSECOND_INS_NUMBER: VARCHAR2(20) NULLSECOND_INS_PLAN_NUMBER: VARCHAR2(20) NULLSECOND_INS_HOLDERNAME: VARCHAR2(50) NULLSECOND_INS_DOB: DATE NULLSECOND_INS_SEX: VARCHAR2(10) NULLSECOND_INS_EMPLOYER: VARCHAR2(30) NULLSECOND_INS_NAME: VARCHAR2(50) NULLSECOND_INS_ADDRESS: VARCHAR2(50) NULLSECOND_INS_PHONE: VARCHAR2(15) NULLSECOND_INS_CONTACT: VARCHAR2(30) NULL

U_CD_DCF_CITIZENSHIPLIST

CITIZEN_ID: INTEGER NOT NULL

CITIZEN_CODE: VARCHAR2(10) NOT NULLCITIZEN_DESCRIPTION: VARCHAR2(30) NOT NULL

U_DCF_CONTACTS

PT_ID: INTEGER NOT NULL (FK)

CONT_HPHONE: VARCHAR2(15) NULLCONT_OPHONE: VARCHAR2(15) NULLCONT_NAME: VARCHAR2(50) NULL

One of the most important issues of any electronic hospital system is the reliability and confidentiality of the sensitive patient information. Oracle9i/10g database systems are one of the, if not the best in the world and fully compliant with HIPAA requirements.

One of the most important issues of any electronic hospital system is the reliability and confidentiality of the sensitive patient information. Oracle9i/10g database systems are one of the, if not the best in the world and fully compliant with HIPAA requirements.

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THANK YOU !

ITC Software

Tel.: +1 978 287 4855

[email protected]

THANK YOU !

ITC Software

Tel.: +1 978 287 4855

[email protected]