Records For Living Community: Unanswered Threads

Can I create a Visits Report including After Visit Notes?

drix — Sun, 16 Aug 2020 21:21:37 GMT

This would be very helpful since the Visits Summary report only lists the Date, Type, With and Reason. I need the details that I've recorded since we rarely get any "doctor notes". I don't want to copy/paste into my own document. Reports need to be more flexible to show/hide any info that's in a record.

Feature Request: Add NEXT and PREVIOUS options to panel with open journal entries; Bug? linking entries to Visits

dealio — Tue, 22 May 2018 16:35:14 GMT

I've created several journals in the applications to track various histories that aren't necessarily an issue and may not be quantifiable. Examples:

Body Observations -- to capture the odd bump or mark on the skin that I notice from time to time which may or may not become an issue

Sleep Journal -- to track sleep times

Headache Journal -- tracking when I have headaches and what type of headache it is as well as what I do to relieve it.

Exercise Journal -- a place to track my efforts to sustain a viable exercise regimen and the impact that is has on weight, blood pressure and other measures

When I make a journal entry and perhaps later find that it is related to a medical condition, I link the two to show the relationship for future reference and to help discover any trends.

The issue: to open a journal and "flip" through the "pages" of it is cumbersome. For example, after opening the exercise journal, to see another journal entry in the same journal, I cannot do it from the open entry; I have to go back to the initial panel that has the list of exercise journal entries, then scroll to find the entry of interest and open it. And now I have 2 panels with journal entries open. While that might be useful sometimes, it would also be useful just to have a "Previous" and "Next" button on the open exercise journal entry that would allow me to "flip" through exercise journal entries without the unnecessary step of returning to the panel with all exercise journal entries listed.

Another issue with journals. I have successfully opened a journal entry and related it to, say a Dr. Visit. Later, when I open that Visit, in the Relationships section the link to the journal entry appears. When I click the link, the proper journal entry opens. Perfect! But I cannot open a Visit and create a relationship to a specific journal entry in a particular journal from the Relationship section of the Visit panel. I can create a link to the entire journal, but for me this is far less useful.

So in summary, a bi-directional link between a specific journal entry and a Visit can be created from the journal entry, but not from the Visit. I say "bi-directional" link. To be clear, what I mean is that the link from the Journal entry to the Visit appears as a link in the Relationship section of the journal entry -- the link works to open the visit. Alternatively, if I start by opening the Visit first, in the Relationship section there is a link to the journal entry and it works to open the specific journal entry. Once created, the relationship between the dated journal entry and the visit works no matter which item you open first. Although I have not tested is for Concerns (Tests, Treatments, Activities, Journals, and all the other items), I wonder if this anomaly is true when creating relationships between specific dated journal entries and each of these items as well.

This seems like a bug. If it's not, I'd request another feature -- allow creating a relationship between specific (dated) journal entries and other items just as you do with other items (e.g. Concerns, Tests, Treatments, Activity, etc.)

Thanks,

David

Contact type data lost in export/import

Mindsurfer — Tue, 22 May 2018 12:28:16 GMT

v3.0.1, while migrating to a new machine. Contact retained, but Family flag and all related information (family relationship, sex, status, dob, dod, conditions, etc.) were dropped, either during export or import. Both Export and Import ran smoothly, completing successfully and normally. Other information appears to have transferred, though I will be checking all contacts for additional issues.Discovered the missing data when I went in to update some family history
information on the new machine.

ETA:A check of other contacts indicates that all contacts lost data: Emergency contact flag and related data, Healthcare Provider flag and related data, Family flag and related data. Active/Inactive, phone numbers and email were not lost. Export was complete in Healthframe format.

Discharge date for multi-day visits

Mindsurfer — Mon, 02 Apr 2018 01:41:33 GMT

It would be nice to be able to track the discharge date and time for hospitalizations and other multi-day visits. Default discharge to same as visit date. Default discharge time to same as visit time if blank.

Section missing

RicardoSwe — Fri, 30 Mar 2018 13:50:55 GMT

Today when I opened my health record, the section "Encounters" is missing. I tried downloading a new demo copy. The section re-appeared. I ran the automatic sync and closed the app. When I reopened it, the Encounters section was again missing.

Summer Camp and Activities Form

Mindsurfer — Mon, 26 Mar 2018 14:45:57 GMT

This is a very useful snapshot of current medical information, useful for more than summer camp and school activities. Others have suggested renaming it. I think giving it a more generic name, like "Current Medical Brief" and providing for an optional, user-specified sub-title where the user might specify who it is for or its purpose, might increase its utility. Yes, it can be duplicated by filtering the Medical History Summary, but running this is more convenient, and if the title were more generic, would be useful to more people - people who aren't sending anyone to summer camp, but who need a brief report of current, active medical information.

Typo in balloon help

Mindsurfer — Mon, 26 Mar 2018 12:49:48 GMT

In the Views menu on the left of the screen, mouseover 'Planning' and a help balloon pops up. In this help text, the word 'example' is spelled 'exmaple.'

Scientific notation in test results?

Mindsurfer — Mon, 26 Mar 2018 12:39:11 GMT

I have a CBC drawn at least once a month. The WBC and some other results come back as very large numbers per liter, expressed in scientific notation (e.g., 7.0 10e9/L). How should results like these be entered (both the value itself and the unit of measure)?

Medication dose vs strength

Mindsurfer — Mon, 26 Mar 2018 11:30:07 GMT

I've been evaluating v3.0.1, and see from browsing the forum that the Medications section is undergoing a redesign. I've recently had a lot of hospital and new doctor visits. In my experience, both as an EMT and as a patient, the EMT's are happy if they get a list of medications, at all, much less actual doseage information. Doctors, on the other hand, whether in the ED or private practice, are interested in doseage.

The strength of the medication issued may only be indirectly associated with the doseage, and has as much to do with insurance and pharmacy requirements. For example, I was prescribed 6.25mg of metropolol tartrate PO daily. Insurance required that I get 25mg pills, because 25mg pills are less expensive than 12.5mg pills. So I was expected to quarter those pills to get my prescribed doseage. All the doctor is concerned with is that I'm getting 6.25mg/day, not with what form or strength the insurance company will pay for or what I have to do to get to the prescribed doseage.

Currently, the Strength field places a space to the left of the decimal point, if a decimal value is entered in the Strength field. Example: I'm prescribed 7.5mg of prednisone once daily. The pharmacy fills it as 2.5mg pills. I take 3 2.5mg pills, daily, to achieve the prescribed dose. When I put in a Strength value of 2.5, once the record is created, it shows up on screen and in reports as 2 .5, with a space added to the left of the decimal. The abbreviated string the program creates from the Dose, Strength, and frequency is confusing because it looks like this: "3 2 .5 QD". Don't know if it is just a display bug, or if a space is actually added to the Strength value, but it makes determining the doseage difficult. As someone else pointed out, it is much easier for someone to make a mistake either by math or misreading 3 2.5. It is harder to make a mistake or to misread if the dose is plainly displayed. Yes, the number and strength of pills are both important, and multiplied reflect the doseage, but a discreet value for the doseage is less likely to be misinterpreted. Perhaps the Dose needs to be stored in addition to the number, strength and frequency?

Recurring Treatment and the Calendar

Mindsurfer — Mon, 26 Mar 2018 10:45:26 GMT

I am a dialysis patient. I added a Treatment record for dialysis with a start date of 14 November 2017 - the date of my first acute dialysis - and no end date, because it is on-going on a regular schedule (in my case, every Tuesday, Thursday, and Saturday, unless I need to shift the schedule or add an extra treatment for some reason). I expected that I would link every discreet dialysis Visit to that one Treatment record, since it is current and on-going. At the time, I did not know that Treatments show up on the Calendar, and that current on-going treatments show up on every date in the Calendar.

I can see why Treatments show up on the Calendar. There are treatments that are continuous through a period of time, and that do not require a Visit to a facility, so it can make sense for those to show up as a daily item in the Calendar. There are also treatments that recur on a periodic basis that do no occur daily, for which a daily entry on the Calendar would not be accurate. It also doesn't seem like it should be necessary to clutter the Treatment records with separate, otherwise identical Treatment records for each Visit.

Recurring Visits, on the other hand, do warrant separate Visit records for each Visit, because there may be things that happen during a Visit that differ from one Visit to the next, even for the same treatment. For example, I have a lab that is drawn during a dialysis visit that only happens on the first Thursday of the month. I have an iron sucrose injection that happens weekly on Thursdays, and an injection that normally happens every other Thursday, but sometimes happens on Tuesdays.

As another example, after my transplant, it was determined that the organ was positive for cytomegalovirus (CMV) while I was CMV negative, so I had to undergo 8 IV treatments over 4 weeks on Mondays and Thursdays, with each treatment being a two-hour visit to the transplant clinic.In this case, it wasn't an open-ended series of treatments like dialysis, having a definite beginning and ending point and a specified number of visits.

You know best how your data model supports Treatments and Visits. I suggest that, in order to accurately reflect recurring treatments that happen on an other than daily basis, Treatments need to support nth calendar day of the month (1st of every month), nth day of the week in the month (1st Thursday of the month, or 1st and 3rd Mondays of the month, etc.), weekly on particular days of the week (every Monday and Thursday), as well as daily.Not sure what would need to happen regarding dates. Recurring treatments could have a definite end date, like the CMV example, above, or could be until until the end of time, like dialysis.

Emergency Card suggestions

Mindsurfer — Sun, 25 Mar 2018 20:31:16 GMT

I realize that the Emergency Card, by definition, can't include everything; still, I would like to suggest a couple of items for consideration.

Devices. ED staff, and personnel supporting the ED (anesthesiology, radiology, etc.) may not need to know about every device and appliance one has, but they do need to know you have a pacemaker or ICD, artificial joints and other metal implants, dentures and dental implants. Preferably, they should know this before they let the pacemaker get close enough to an industrial magnet to cause it to shut down, and before they intubate for surgery. As with the other information already on the card, I think Devices should be filterable information included on the Emergency Card, for situations when you can't speak for yourself.

Other Urgent Information. The Emergency Card currently provides for freeform text to be appended to the end of the report. I think there needs to be a way to include information that needs to be at the top. Information that should be explicit rather than deduced from other information on the card. If one is on dialysis, care providers need to know what kind of access you have and which arm not to use for taking blood pressure and for IV's. If you have a pacemaker or ICD implanted, care providers need to know that, especially if Devices aren't included on the card (subcutaneous ICD's are not as obvious as the outline of an ICD just below the collarbone). I'm sure there are other pieces of information that one might want care providers to know, ideally before they render treatment.

The Emergency Card is already useful, as is. Correcting the truncation problem drix pointed out in the "Larger Emergency Card" thread, adding Devices, and other critical information at the top of the front of the card would make it better than any other Emergency Card out there.

Join the new HealthFrame Users Group in Facebook!

support@RecordsForLiving.com — Wed, 04 May 2016 23:57:22 GMT

We want to know your opinion on features you would like to see in future releases of HealthFrame.

FaceBook makes it easy for us to ask your opinion by voting on particular topics. Join the group at: https://www.facebook.com/groups/1526160124359357/?ref=br_rs (You may need to send us your email address/Facebook contact for you to be added).

If you have suggestions for new poll topics, please add comments to this thread. Alternatively, you can post on our FaceBook page https://www.facebook.com/RecordsForLiving or in Twitter - @Records4Living

Thank you for using HealthFrame!

Simone

Maid Services Austin

eWellpd23 — Sat, 02 May 2015 17:59:19 GMT

Informative URL for Maid Services Austin | 8514 Cameron Rd Austin, TX 78754 (512) 419-0021 or visit http://www.austinmaidservice.us

Printing expanded visits

uuinpok — Fri, 22 Aug 2014 13:34:38 GMT

How do I print all the visits including post visit notes?

Allergy Coding Errors in CCRs and CCDs

Rob49 — Sat, 19 Jun 2010 06:01:05 GMT

Allergies are not being correctly notated in CCR and CCD records

CCR –For example, Penicillin (the only medication tested), is translated to ‘Allergy, Unspecified, NEC In Icd9cm_2006’. Note that Microsoft’s HealthVault has this same problem. Interesting! Also, this medical allergy is included in the Problem section. Is it supposed to be in the Alert or Allergies section? The allergy to Hay Fever is coded correctly in the CCR.
CCD – Allergies are not included in the proper designated section (2.16.840.1.113883.10.20.1.18). Penicillin allergy is included in the 'Problem' section. This may be due to incorrect CCR creation. The allergy to Hay Fever is not included in the CCD.

Immunization Summary Wizard issue for Adults

bizbear — Fri, 04 Jun 2010 18:34:43 GMT

There needs to be a change to the Immunization Summary Wizard. It appears to assume it will only be used on newborns. I am an adult and getting vaccinations for Hepatits A & B for travel. The wizard shows a recommended first dose date range, starting on my birthday in 1955 and forward 1 month. When I try to enter the actual date in 2010 on the wizard, I get a warning message that the date I entered falls outside of any recommended dates for the vaccine, do I want to continue. If I say yes, it creates a manual entry instead of using the Recommend First Dose entry already there. So the recommended dates should be checked, perhaps, against the age of the patient. If the patient is a newborn or child, the current recommended dates may be appropriate, but for older children and adults, the recommned dates either should be blank or be set to something around the current day AND it should allow an entry that is outside the recommended dates also.

Thanks, keep up the good work.

Comprehensive Food (Sensitivity) Panel

drix — Sun, 07 Feb 2010 00:27:25 GMT

My son just had a Comprehensive Food Panel (IgG ELISA) done and I'm not sure how to record the results. I couldn't find any food panel, or how to include it in the Allergies (i.e. Rye, Gluten). Besides just scanning and attaching the test results, how else can I record the data?

Upgrading to Windows 7 - Instructions

support@RecordsForLiving.com — Wed, 27 Jan 2010 08:57:36 GMT

Many HealthFrame users have asked us how to proceed with their upgrades to Windows 7. This should be a simple effort if you're upgrading the same computer to a new operating system, but may require a little more preparation if you are switching to a new computer.

No matter what the case may be, you should always start by making a backup of your personal health records:

Go to the computer that is currently running HealthFrame and create a new backup file (File/Save PHR Backup...) for each of the personal health records you are tracking in your computer. Store these backup files in a location that you will remember.
Copy the backup file(s) to a removable drive like a USB drive or a CD. (You could have done this directly in step 1, but it is never a bad idea to have multiple backups...)

Some of our users have been using third-party backup programs and there is some confusion about how to restore those types of backup, in particular, since Microsoft typically changes the default location of data files, making it harder for users to restore data files across different operating systems. Records for Living recommends the use of the built-in backup functionality as described above.

If you're upgrading your existing computer, the backup is pretty much all you should need to do. Follow Microsoft's instructions for the upgrade (without hard disk format) and you should be all set. If, on the other hand, you either format your hard disk or switch to a new computer, please follow these additional instructions:

Still in your current computer, go to the Help/About HealthFrame... menu and a dialog box will appear. Your license key number will be displayed on the screen, please copy that information.
On your new computer, download and install HealthFrame Explorer.
Attach the removable device (USB or CD) with the HealthFrame backup files in them, to the new computer.
Restore each of the backed up PHRs (File/Restore PHR backup...)
Finally, go to Options/Enter License Key... and enter the license key information you copied down on step # 3. If you ever lose your license code, please note that you can automatically retrieve it from our website - http://www.recordsforliving.com/HealthFrame/ForgotLicenseCodes.aspx - by using the email you used to purchase HealthFrame.

This should be it! Please let us know if you require additional assistance.

Support Team

Home view

beckyohio — Fri, 25 Dec 2009 12:32:48 GMT

I keep getting the reports view. How do I get to the home view?

Report Suggestion

mjcurtis — Thu, 12 Nov 2009 10:46:43 GMT

A report that shows lab results in a columnar format would be very helpful for looking at changes over time.

What I have seen from a couple different practice management packages (such as Epic) has the various test results down the left, (i.e. WBC, RBC, HGB, HCT, etc) the unit of measure in the next column and then the most current test in the next column with a header of the date and lab. Each successive column to the right is the next older test.

The results are generally grouped by things like Vital Signs, Metabolism, Chemistry etc. So in a given column that was CBC it will have those values, but the prior test may have been a Hepatic Panel so it would only have values in those rows.

This is a helpful view since in many cases there is overlap in results from various panels so you can get a good chronological view of those results regardless of if some came from a metabolic panel and others came from hepatic panels or even specific tests.

The current software does an excellent job of collecting lab data but the reporting is so limited that it makes using that data a challenge. While graphs are good for looking at trends of looking for relationships between results, good tabular data is also important where the values themselves are as important as general trends.

Thanks

Default Font and size for Jounrals

mjcurtis — Wed, 11 Nov 2009 12:35:15 GMT

How can I change or set the default font face and size for the journal editors. It is defaulting to Times Roman 12pt which is too large on reports and inconsistent with other reports.

Color shading on reports

Jadian — Wed, 14 Oct 2009 18:59:08 GMT

I have asked about this in the past, but I'm still stumped. The Medical History Report looks great on the screen, but when printed to a color printer the only thing that's in color is the photograph. All of the shading is gone. I'd like to give this report to my doctor, but without the shading it is difficult to read.

I've temporarily installed Healthframe on four different computers which each has a different kind of printer and none of them have printed the shading. However, one of the users here said that his report printed fine. Can you give me ANY clue as to how to get the shading to print?

This may be a hint. On the CCR report I have to "open" the report and in my browser I have to check the "print background colors and images" in "Page Setup" (file) before it prints the shading. Without going through the browser I don't see any place to change this in any of the printer dialogs. Unfortunately, there is no "open" on the History Report. I've even tried printing to a PDF file and opening this file in my browser, but still no go.

Thanks

Jadian

HealthFrame 2.1.11 Graphics

welchga — Wed, 14 Oct 2009 16:49:32 GMT

My HealthFrame application used to entirely fit on the sceen without having to use scrolling functions. Does anybody know how to change this?

Provider with Multiple Organizations

mjcurtis — Wed, 07 Oct 2009 13:12:41 GMT

I have a couple doctors that work through as many as three organizations. This is a University and they all bill separately. Depending on why I am being seen he may seem me at that hospital, one of the metro clinics or one of the community clinics. I need to know how I can link one Provider individual to multiple Provider organizations.

Thanks,

--Marshall

Hello to all of you

gretahinsonn — Sun, 24 May 2009 22:20:35 GMT

Hey All, it's always nice to meet new people..
Just wanted to introduce my self as new comer into the forum and for you all please
feel free to ad me to your buddy list