Attendance

There are two ways to make medical calls:

1. Nurse logs from the item an appointment or by medical Agenda schedule Including all individuals seeking outpatient clinic to be met.
   In the record of an appointment, the attendant defines a sequence of an appointment, the attendant that will make the pre or the doctor who shall complete the attendance area and occurrence of malaise. Usually the clerk is a nurse who fills in this first contact the pre data. In this pre, will be raised to the patient's clinical data that will assist the doctor later, during the service, such as blood pressure, heart rate, weight, height and subnormalidades whose follow-up will be through report available in Medicine/medical records/List. During the pre, procedures that will be administered to the patient, such as bandages, intravenous application among others. Can also be made by the nursing notes for the physician becomes aware of symptoms that the patient was in when he arrived at the outpatient clinic. The use of pre item is not mandatory, that is, you can perform the service directly, without the pre has been effected.
   The attending physician checks the queue for the calendar, select the patient and press the Service button. The other service data will then be filled in. To return to the schedule, the program changes the status to Answered Yes.
2. The company does not use the items an appointment and schedule. Registers so the service directly on the Medical/Care/Care (nurse icon).

This register is given in the folder "Cadastro", which receives the general data, in Clinical Data are informed the preliminary items for care such as blood pressure, heart rate, temperature, weight and height. In procedures is informed the WBA for the code. At Annotations tabreceives information different from the service and in Complement registers information of the attendant that is complementing the service. This folder can only be accessed when you press the Complement button and the attendant user is different from the initial listener.

The Finish button, has the function to terminate a service provided that this is in situations 1-open or 3-in addition. When a new service and the attendant have another open, this can be done automatically otherwise this message will always be displayed in the registration of a new customer service. A terminated or completed may be reopened by pressing the button Reopen, since the clerk has permission. To identify whether a service was reopened, in the right corner of the patient information will be shown a red light.

Interventions with types 2-Internal Clearance, 3-External Clearance, and 5-Occupancy Accident with clearance allow you to generate Clearance by the respective folder. If the company uses the Technical Epidemiological Nexus (NTEP) routine and if there is a relationship between the CID informed in the care and the CNAE of the collaborator, the situation of the 3-Relief-sickness removal will be changed to 4-Accident at work as the type of care will become 5-Accident Work with Removal.

If there is deviation from open, the Return button will be visible only when there is deviation from open or is there is already a deviation from certain date and we are registering another expulsion.

For servicing it will be possible to register a new schedule with a later date through the mark button, located to the right of the window. When this button is pressed, the window will be displayed with the medical agenda 5 days designed to be registered a new scheduling (return). After the registration the future schedule, to return to the window, the Return date/time field is automatically populated according to the schedule registered and will be realized also by red light next door. If there is need to delete this scheduling, press the delete button on the schedule.

In the footer of the Attendances screen, the system provides, according to the registry of the attendant, the buttons: Password, PPRA, Medical File, CAT, Recipe, ASO, Attested, Exam Request, Exam Result , Questionnaire, Referral, Medication, Func. Exams, External Attestation , Audiometry, Audiometry Monitoring, Vaccine.

We still have the possibility to activate extra buttons for the issuance of report templates as the need of the medical attendants. These buttons should be configured in tables/medicine/Attendants, Service folder and will be available on the right-hand side of the window. The attendant may use up to 6 additional models (buttons) as needed or until 6 rules that will make it possible to call SGI windows.

User-created templates must have input variables that will receive information about the location where it was pressed the button:

• EAbrEmp-have to be string-type variable scope = Yes
• EAbrFic-have to be string-type variable scope = Yes
• EDatAte-you have to be a variable type mask date DD/MM/YYYY
• EHorAte-has to be a numeric-type variable mask 99:99

The following process rules can be used to register medical appointments:

• 205 - Insert care;
• 206 - Change attendance;
• 207 - Exclude service;
• 295-after identifying a new service: this rule will be executed after the identification of the registry key, but only on inclusion. Aims to change or complement in user fields his own record being included. Example: on the window there is a service that will provide information from another table (Developer's syndicate) on insertion of the attendance;
• 383-Complete service;
• 384-service Reopen;
• 759 - Consists of Customer Service Data.

The fields of the R038AFA and R110MAT tables, including users, are also available in the rules by process 19-Insert Pitch History, 20-Change Pitch History, and 21-Delete Pitch History, as long as the OriHisAfa variable is equal to 2 .

Medical Form
Inform the medical file of answered.

Service Date Register the date of attendance. That information will be automatically populated if pressed the current date/time button (ALT + H).

Time Attendance Record the start time of the service. That information will be automatically populated if pressed the current date/time button (ALT + H).

Information Tab

Attending Pre-customer service
When an attendance and a pre for the same patient has already been executed, the clerk (internal or external) that filled the pre information. This information is requested when there is initially the pre.

Attendant
Inform the clerk (internal) code that performed the service.

Area
The module automatically suggests the area of expertise of the health professional if the attendant is already been informed. Examples of areas of care: nursing, general practice, Gynaecology, etc.

Customer Service Corresponds to the medical attendant. This information will be automatically populated since the attendant's register Default Post field is filled in.

Occurrence
Inform the occurrence presented or be the reason took attended the clinic. Example: dizziness, laryngitis, etc.

ICD
Inform the codification of International Classification of Disease occurrence. This field is automatically populated if the record of the occurrence has already been indicated the code of the corresponding CID. This CID will also be registered automatically in the folder CID as the main disease. If there is a need to register other diseases, you can use the folder CID.

Subgroup CID
Inform the disease subgroup code when you don't have the certainty of disease. This field is automatically populated if the record of the occurrence has already been indicated subgroup code of CID.

Type of Service Inform the service type, as follows:

1. Simple Service - you will not be allowed to enter data in the Distance tab;

   Important

   By registering a statement on the button External Attestation, the system will only automatically populate the data from the Pitch tab on the Attendance screen when the departure is of internal origin. Case in the field Type of Ser

   vice
   the "03 - External Clearance" type will be entered manually.
2. Sickness-internal clearance corresponds to a spacing generated by the company's outpatient clinic, in this case the clearance tab is enabled;
3. External clearance by disease-corresponds to a departure generated by an external doctor, in this case the clearance tab is enabled;
4. Work accident without absence-corresponds to a workplace accident of little value, example: bruise, scratch, in this case the tab spacing will not be enabled;
5. Work accident with spacing-corresponds to an accident at work which requires a departure, in this case the clearance tab is enabled;
6. Not met the patient went to the clinic but was not attended by withdrawal or other reason either-does not allow to generate removal;
7. Pre-answered-the patient was only pré-atendido, in this case, by nurse-generate.

The type of care can be informed also by attestation, window accessed by the button at the bottom of the window when available.

Assistance Service Allows you to identify if the attendance is related to the assistance or occupational area:

• S-Assistance
• No-I don't care (occupational)

Return Date Inform the date on which the met should return to a new query.

Time Entry Register the time of entrance to the outpatient clinic, which is the start time of the service. This information is automatically populated but allows it to be changed.

Time-out Record the time that the met has left the clinic, this time represents the end of the service. Prompted by the system to complete the service if the attendant settings, the Output Time field is filled accordingly. The time out can be used to update the end time of the appointment, as the parameter "Scheduling" in tables/medicine/Attendants-folder.

Service Cost Inform the cost of the service. There may be some specific service in which the company make off sheet, in this case may issue a listing with the value of the service to be submitted for release.

Absence

The dismissal of the employee can be registered through this folder or directly by the button Attestation, where a button will be available to print the medical certificate. Will be transferred to this folder the data concerning the removal of medical certificate (15 days). If it is done the registration removal in this folder and then access the certificate button will be suggested the data removal.

Date Departure

Enter the starting date of the expulsion which usually matches the same date of medical care.

Clearance Time Inform the hour in which the clearance that generally corresponds to the time of entry into the clinic. Learn the initial clearance time with 00:00 and also in the End Time field, the module ignores these two information and considers only the dates.

Situation Certificate
Report the situation of the certificate that corresponds to the period of days set for the company, respecting the definition provided for by law and that the company is responsible for payment. Corresponds to the situations that contains the types of care 2 = internal clearance and 3 = External Clearance. The types of situations may be:

• 06-maternity leave
• 14-sick leave (payment)
• 17-Point control and calculation Situation Cafeteria-not recommended
• 19-maternity leave INSS
• maternity 24 corporate citizen
• 99-Other-not recommended

For the service type 5 = lost-time Labor Accidents, the types of situations may be:

• 14-sick leave (payment)
• 17-Point control and calculation Situation Cafeteria-not recommended
• 23-accident (PO)
• 99-Other-not recommended

Reason Rais Certificate
Inform the reason of Rais according to the certificate. Pressing F3 will be available items.

Day Certificate
Report the amount of days of attested to the developer.

Time End End time of the removal. If you enter 00:00 in this field and also in the Off Time field, the Gestão de Pessoas | HCM ignores these two information, considering the departure only for the dates. This field is available if the amount of days is equal to 1.

Situation Removal Report the situation of departure for the developer which corresponds to the period from the 16th day.
For the types of care 2 = internal clearance and 3 = external Clearance, the types of situations may be:

• 03 - Sickness aid
• 17-Point control and calculation Situation Cafeteria-not recommended
• 99-Other-not recommended
• For the service type 5 = lost-time Labor Accidents, the types of situations may be:
• 04-Work Accident
• 17-Point control and calculation Situation Cafeteria-not recommended
• 99-Other-not recommended

Nexus Venture
To inform if this departure runs the risk of generating an Epidemiological Technical Nexus (NTEP) according to the subgroup of CID informed in the folder Cadastre. If the subgroup of CID informed is related to CNAE dev affiliate, will be proposed to the country's ' through the message: warning! There is a risk of this removal be considered in epidemiological technical nexus. "

Reason Reason Inform the reason of Rais according to the order. Pressing F3 will be available items.

Days Removal Report the amount of days.

Days Justified This field aims to simplify the developer's clearance record, i.e. to register a departure could say how many days were justified, without the need to report the situation to the customer service or in the record of the CAT, generating in this way only a record of removal with the situation Away from illness or Accident Work. This field is available if the situation of the attestation is not reported and the situation of departure have on your record a situation justified days reported (tables//situations).

Return Exam Valid information:

• Yes, there will be a generation of medical examinations that are indicated in Medicine/PCMSO/Periodicals ..., Return column. For types 03 (sickness benefit), 04 (work accident), 06 (maternity leave) and 14 (medical leave-15 days).
• No, for this removal will not be generated tests.

Medical examinations of return will be generated only if there is no the end date in distancing.

Weather forecast
Allows you to define if the end date is only an estimate or the end of the clearance:

• Yes, it's just a prediction. The next field will receive the forecast date of termination;
• No, the next field will receive the effective end date of the order.

End/Final Removal Date Forecast Inform the date of expiration of the forecast or the date of the final end as the Forecast field. If any amount of days removal informed, will be designed its for both cases.

Treatment Duration
Corresponds to the amount likely to days of medical treatment. When you insert a clearance, will be proposed as duration of treatment the sum of attestation and Removal days, or if the removal is in hours, will suggest 1 day. This information will be used to link the medical care the CAT where will later be listed in 58 field of the form CAT.

Clinical Data

Weight (Kg)
Register the weight of the patient. The existing weight in previous calls will not be changed, making it possible to make comparative reports. This information can be used for the Pondero-Estatural report.

Height (Cm)
Register the patient's height in centimeters. This information can be used for the Pondero-Estatural report.

Cephalic Perimeter (Cm)
Inform the cranial (frontoccipital) circumference of the patient in centimeters that will be used in the Pondero-Estatural Chart. This information will be used only for medical records that are dependent on with degree of relatedness 1 = Son (a), 11 = Stepson (a) and 14 = Son (a) (a) foster.

Abdominal Perimeter (cm)

Inform the patient's abdominal circumference, in centimeters. This information serves to follow the evolution of the person served at each visit. This field remains enabled for any medical records service.

Priority customer service
Notify the priority of the met. The description of the priority is displayed with the color registered for priority (on Medicine > Tables > Priority Service) and also on the window of the schedules in Priority fields, description and priority Wait Time.

AMB Procedures

Inform the AMB medical procedure code used in attendance. Next to the description the name of the clerk who checked the procedure.

This guide is available to the attendant only when the field AMB Procedures Guide available to the attendant is set to "S - Yes" on the Attendants screen (FR108TAT).

CBHPM Procedures

Inform the CBHPM medical procedure code used in attendance. Next to the description the name of the clerk who checked the procedure.

This guide is available to the attendant only when the field CBHPM Procedures Guide available to the attendant is set to "S - Yes" on the Attendants screen (FR108TAT).

Annotations

This space is intended for notes regarding the service performed.

Insert Auto Text Button ()

Click this button, located next to the fields Pre-Service and Annotations, to search for texts registered through the Text Record screen (FR110TXT). You can select only the texts that have been registered with theType of Use equal to "0 - General" or "4 - Pre-Service / Service Notes".

Complement

In this folder will be informed the staff complement data made by another attendant. Is an atypical situation that allows a doctor to continue the service, allowing the issuance of prescription and medical certificate.

Area
Indication of the attendant's area code.

Notes Register comments for this add-on.

Prescriptions

Record the prescriptions for this service. Through the Insert button is made available the registration window of prescriptions.

This guide is available to the attendant only when the field Revenue tab available to the clerk is set to "S - Yes" on the Attendants screen (FR108TAT).

ICD

Register the CID of the disease or its subgroups. Should be indicated at least one main disease which will be presented on the window of registration of medical care.

Images

This grid allows you to attach images to the attendances.

This guide is available to the attendant only when the field Images tab available to the attendant is set to "S - Yes" on the Attendants screen (FR108TAT).