(Patient Profile) Demographics & Status

From COVID-19 CY National eHealth Platform of the Ministry of Health for Inpatient and Home-monitoring and Treatment
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Figure 1: Patient Demographics and Status

This is the header of the Patient Profile page. Here you can find the patient's demographics, his/her clinical status, hospital accommodation information and the Covid-19 severity assessment indicators.

The description of the terms shown as links (blue font color) in the text can be found in the Terminology page of this wiki. By clicking them, the page will be redirected to the corresponding section that the clicked term is located in the Terminology page.

Watch Video 2: Health Status, Accommodation, Severity Assessment

Demographics

Basic patient demographics including name, country, age, gender, and weight are depicted on the leftmost side of the header. Current Patient Status is also rendered.

Patient Status

Figure 2: Change patient's status

You can update the current patient status by clicking on the colored label under patient demographics as depicted in Figure 1.
The available patient status categories are:

By clicking the Save button, the colored patient status label is updated accordingly.


Accommodation

3: Modify patient's accommodation

In the middle header section, information about the hospital, ward, floor, room, and bed number, as well as date of illness (symptoms appearance) is provided. By clicking the Accommodation button, you have the following options as can be seen in Figuge 3:

    • Hospital: You can select the General Hospital of the following cities: Nicosia, Ammochostos, Limassol, Larnaca and Paphos.
    • Ward: You can select the specific ward where the patient is treated from TAEP, Suspect Ward, Covid Positive Ward, ICU Covid Positive, ICU Covid Suspect or specify any Other.
    • Floor: You can select the specific floor where the patient is treated.
    • Room: You can select the specific room on a given floor that the patient is treated.
    • Bed: You can select the specific bed in a given room that the patient is treated.
By clicking the Save button, accommodation information is updated accordingly.


ARDS - Mews - Glasgow


Figure 4: ARDS-MEWS-GLASGOW clinical severity assessment indicators

On the rightmost side of the header section, three clinical severity assessment indicators that have are proposed in the clinical treatment guidelines (therapeutic algorithm) issued by the MOH scientific committee are listed, namely:

The date of last assessment is also displayed.

The + button next to each assessment triggers a modal (popup) window allowing the medical expert to enter the relevant data for updating the severity assessment for each of these three categories.


Add Arterial Blood Gases (ABG)

Figure 5: Add patient's Arterial Blood gases values

You can trigger this modal (popup) window by clicking the + button next to the ARDS status (on the right) on the page header or by the Add ABG button in the Daily Monitoring Tab.
The following ABG parameters can be added as depicted in Figure 5:

    • Registration time: Vital signs date and time registration allows backdated entries to accommodate the scenario where healthcare professionals add these values from hardcoded paper entries that might be kept in parallel.
    • Arterial Blood Gases measurements:
    > pH
    > HCO3 (mEq/L)
    > PaCO2 (mmHg)
    > PAO2 (mmHg): It is used in the ARDS severity algorithm computation.
    > SaO2 (%)
    ABG parameters' reference values (ranges) are available in Terminology.
By clicking the Save button the ABG measurements are stored.


Add Vital Signs (Mews)

Figure 6: Add patient's Vital Sign values


You can trigger this modal (popup) window by clicking the + button next to the Mews score (on the right) on the page header or by the Add Vital Signs button in the Daily Monitoring Tab.
The following vital signs parameters can be inserted as depicted in Figure 6:

    • Registration time: Vital signs date and time registration allows backdated entries to accommodate the scenario where healthcare professionals add these values from hardcoded paper entries that might be kept in parallel.

    • Vital Signs measurements:
    > Temperature (°C)
    > Respiratory Rate (bpm)
    > Heart Rate (bpm)
    > Systolic/Diastolic Blood Pressures (mmHg)
    > SpO2 (%)
    > Urine Output (ml)
    Vital Signs parameters' reference values (ranges) are available in Terminology.

By clicking the Save button the Vital Signs measurements are stored.

Note: You can insert new Vital Signs measurements without providing an entry for the Urine Output.
In that case, Mews score is computed assigning zero (0) points to Urine Output (see also Modified Early Warning System Score in Terminology.)
However, if a Urine Output measurement is provided, all Vital Signs' fields become mandatory.


Add Glasgow Coma Scale

Figure 7: Add patient's Glasgow values

You can trigger this modal (popup) window by clicking the + button next to the Glasgow score (on the right) on the page header or by the Add GCS button in the Daily Monitoring Tab.
Here, you can select response values using the Glasgow Coma Scale to assess a person's level of consciousness.
The following values to the response categories can be added as depicted in Figure 7:

  • Registration time: Glasgow date and time registration allows backdated entries to accommodate the scenario where healthcare professionals add these values from hardcoded paper entries that might be kept in parallel.

  • Glasgow metrics:
    Eye Opening options:
    • None
    • To pain
    • To speech
    • Spontaneous
    Verbal Response Options:
    • None
    • Sounds (Incompressible)
    • Words (Inappropriate)
    • Confused
    • Oriented
    Motor Response options:
    • None
    • Extension to pain (decerebrate)
    • Flexion to pain (decorticate)
    • Withdraws from pain
    • Localizes to pain
    • Obeys commands

By clicking the Save button the new GCS value is computed and stored.