MODULE 6 REVIEW AND REPORTS INSTRUCTOR GUIDE by ijk77032

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									                       DEFENSE HEALTH INFORMATION MANAGEMENT SYSTEM




                                     AHLTA-MOBILE

                MODULE 6: REVIEW AND REPORTS
                     INSTRUCTOR GUIDE

                                        VERSION 1.1




                                       Visit Us Online at:
                                    http://dhims.health.mil

The DHIMS Program Office is a component of the Military Health System Office of the Chief Information Officer.
                                                                                  SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                                        15 Aug 2008

Table of Contents

   1.   Introduction.............................................................................................................. 1
   2.   Objectives................................................................................................................. 1
   3.   Review Patient Encounters and Exams........................................................................ 2
   4.   Medevac Request Report ......................................................................................... 11
        4.1 Generate a Medevac Request Report................................................................ 11
   5.   Student Practice – Generate a Medevac Request Report ............................................ 15
        5.1 Skill................................................................................................................ 15
        5.2 Review a Medevac Request Report................................................................... 16
   6.   Student Practice – Generate a Medevac Request Report ............................................ 19
        6.1 Skill................................................................................................................ 19
   7.   Student Evaluation – History and Report Functions.................................................... 20
   8.   Conclusion .............................................................................................................. 21




Module 6: Review and Reports                                     iii                                        Instructor Guide
                                                            SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                  15 Aug 2008

LESSON PLAN FOR MODULE 6: REVIEW AND REPORTS
Instructor Preparation Guidelines

Before conducting this module, the student should possess and/or be familiar with:

   •   The purpose and function of AHLTA-Mobile
   •   Navigating AHLTA-Mobile screens
   •   Adding and entering patient data

Before conducting this module, the instructor should be familiar with the above, have practiced
the procedures explained in this module, and be able to demonstrate them with ease.

Ensure each workstation has the following hardware and software:

   •   A laptop or desktop with TMIP-J Block 2 installed with the AHLTA-Theater application
   •   A Pocket PC with AHLTA-Mobile installed (These training materials are written using the
       Hewlett Packard iPAQ Model 5150 or Symbol MC70).

Ensure the instructor’s AHLTA-Mobile interface displays the Remote Display software image of
the Pocket PC, or the instructor has the Margi Presenter-to-Go connected to the projector and
the Pocket PC.

Ensure there are at least three patient records loaded on the Pocket PCs.

Estimated Time

The estimated time for this module is one hour depending on students’ participation in data
entry tasks and practice exercises.

Objectives

At the end of this module, the students will be able to accomplish the following without
assistance:

   •   Review saved encounters and exams.
   •   Generate a MEDEVAC Request Report.

Student Evaluation

At the end of this module, direct the students to individually complete the scenario in the
Student Evaluation. Review the procedure when all students have completed the evaluation.
Because the tasks in this module are so straightforward, there is no practice exercise.




Module 6: Review and Reports                    iv                             Instructor Guide
                                                          SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                15 Aug 2008

1.    Introduction

      The AHLTA-Mobile Startup screen has two
      buttons that enable you to accomplish specific
      tasks for processing patient data. From the
      AHLTA-Mobile Startup screen, as shown in
      Figure 1-1, you can access the History button and
      the Reports button. This module covers their
      functions.




Figure 1-1. AHLTA-Mobile Startup Screen

2.    Objectives

      At the end of this module, you will be able to
      accomplish the following without assistance:

      •   Review saved encounters and exams
      •   Generate a MEDEVAC Request Report




Module 6: Review and Reports                   1                           Instructor Guide
                                                                SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                      15 Aug 2008

3.    Review Patient Encounters and Exams

      Once you have signed and saved encounter and
      exam data, you can review them in read-only
      format by using the History button on the
      AHLTA-Mobile Startup screen. You cannot edit
      the data due to being in Encounter Review mode.
      If you find a need to add or change information,
      you must create a new encounter or exam. (The
      exception to this statement is the DD1380 Field
      Medical Card. If you need to add information to a
      DD1380 exam, you can do so with a Reassessment
      exam.)

      You can review the following encounters and
      exams:

      •   DD1380 and associated Reassessments
      •   Sick Call
      •   SF600
      •   Pre- and Post-Deployment Assessments

      To review data in encounters and exams, follow
      these steps:

                   Step                        Result

          1. Tap Select Patient      Patient list displays as
             drop down list on the   shown in Figure 3-1.
             AHLTA-Mobile
             Startup screen.
             See Figure 3-1.




Module 6: Review and Reports                   2                                 Instructor Guide
                                                            SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                  15 Aug 2008




1




                                               2




    Figure 3-1. AHLTA-Mobile Startup Screen         Figure 3-2. Select Patient List Screen


                      Step                      Result

             2. Select patient name,   Patient name displays in
                Zhang, Mary T          field as shown in
                (8787).                 Figure 3-2.
                See Figure 3-2.




    Module 6: Review and Reports                3                              Instructor Guide
                                                            SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                  15 Aug 2008




                                       3




Figure 3-3. Selected Patient on AHLTA-Mobile       Figure 3-4. Review Encounters Screen
Startup Screen


                  Step                         Result

         3. Tap History.           A list of all encounters
            See Figure 3-3.        and exams for the
                                   patient displays as shown
                                   in Figure 3-4.

         Note: Records created in the training mode display
         in green type.

         4. Highlight DD1380       The record highlights.
            BI.
            See Figure 3-5.

         5. Tap Review.            Encounter or exam data
            See Figure 3-5.        displays in a summary,
                                   read-only format as
                                   shown in Figure 3-6.




Module 6: Review and Reports                   4                             Instructor Guide
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                                       5


                                       4




Figure 3-5. Review Encounters Screen




Module 6: Review and Reports               5                    Instructor Guide
                                                        SAIC D/SIDDOMS Doc. D3-TMIP-8005A
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                                                                                      7




                                      6




Figure 3-6. Encounter Review Screen            Figure 3-7. View/Reassess Encounters
                                               Screen


                  Step                     Result

         6. To enter              Menu displays.
            Reassessment data     Figure 3-7.
            for a DD1380, tap
            Tools at the
            bottom of the
            screen.
            See Figure 3-6.

         7. Tap Add               The Encounter screen
            Reassessment.         with Reassessment
            See Figure 3-7.       data entry area displays
                                  as shown in Figure 3-8 .




Module 6: Review and Reports               6                             Instructor Guide
                                                             SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                   15 Aug 2008




7                                                9

                                                                                             10
8




    Figure 3-8. Reassessment Screen                  Figure 3-9 Vital Signs Entered Screen


                      Step                      Result

             8. To update a
                Reassessment
                entry, for example -
                to add Vital Sign
                data: Tap Add
                Vital Signs
                See Figure 3-8.

             9. Enter the following    Values display in
                data:                  appropriate areas.
                Pulse – 65
                Resp - 22
                Sys – 120
                Dia – 80
                Time – Will auto-
                populate once vitals
                are entered.
                See Figure 3-9.




    Module 6: Review and Reports                7                              Instructor Guide
                                                                SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                      15 Aug 2008


                        Step                      Result

              10. Tap Add to add         The Vital Signs screen
                  data to Vital Signs.   displays added data.
                  See Figure 3-9.        As shown in Figure 3-10.




11                                                12




     Figure 3-10. Vital Signs Screen Added             Figure 3-11. Encounter Screen

              11. Tap Close to exit      Encounter screen
                  Vital Signs            displays as shown in
                  See Figure 3-10.       Figure 3-11.


              12. Tap Finish.            Encounter Review
                                         screen displays as shown
                                         in Figure 3-12.




     Module 6: Review and Reports                 8                              Instructor Guide
                                                            SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                  15 Aug 2008




13                                              14




     Figure 3-12. Encounter Review Screen            Figure 3-13. Encounter Review Screen



              13. Tap Sign/Save        The Encounter Review
                  See Figure 3-12.     screen displays as shown
                                       in Figure 3-13.


              14. Tap Close.           The AHLTA-Mobile
                  See Figure 3-13.     Startup screen displays
                                       as shown in Figure 3-14.




     Module 6: Review and Reports               9                            Instructor Guide
                                        SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                              15 Aug 2008




Figure 3-14. AHLTA-Mobile Screen




Module 6: Review and Reports       10                    Instructor Guide
                                                             SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                   15 Aug 2008

4.    Medevac Request Report

      4.1    Generate a Medevac Request Report

      AHLTA-Mobile has one report feature in its
      application: the Medical Evacuation (MEDEVAC)
      Request Report. This feature stores the information
      locally on the Pocket PC for reference purposes. It
      does not submit a request for evacuation through
      any other system. You still need to request an
      evacuation through traditional means, i.e., radio or
      phone.

      Generate this report to record an evacuation
      request for one or more patients. Follow these
      steps:

                 Step                         Result

         1. Tap Reports from         The Report Index
            the AHLTA-Mobile         screen displays as shown
            Startup menu.            in Figure 4-2.
            See Figure 4-1.




Module 6: Review and Reports                   11                             Instructor Guide
                                                     SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                           15 Aug 2008




                                     1




Figure 4-1. AHLTA-Mobile Startup Screen


                 Step                     Result

         2. Tap Medevac            The Medevac Request
            Request.               data entry screen
            See Figure 4-2.        displays as shown in
                                   Figure 4-3.




Module 6: Review and Reports               12                         Instructor Guide
                                                              SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                    15 Aug 2008




                                      2




Figure 4-2. Select Report Screen


                  Step                       Result

         3. Enter data into the     Responses display as you
            fields.                 enter them.
            See Figure 4-3 and
            Figure 4-4.

         4. Use the scroll bar to   Next set of data fields
            view all data fields.   display as shown in C.
            See Figure 4-3.

         5. Tap Sign/Save           Record is saved.
            when completed.
            See Figure 3-8.




Module 6: Review and Reports                  13                               Instructor Guide
                                                            SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                  15 Aug 2008




3                                           4




                                                5




    Figure 4-3. Medevac Data Entry Screen            Figure 4-4. Medevac Data Entry Screen




    Module 6: Review and Reports                14                            Instructor Guide
                                                           SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                 15 Aug 2008

5.    Student Practice – Generate a Medevac Request Report

      5.1     Skill

      Scenario: In a peacetime environment, you need
      to evacuate three US military patients. One has a
      gunshot wound, another has experienced blunt
      force trauma, and the third is suffering from heat
      stress. Two evacuations are urgent and one is
      routine. The patients are waiting next to an open
      field that you have marked with smoke.

      Use the data listed below and follow Steps 1-5 to
      record this Medevac Request Report.

           Field Name                                       Action
Select Wartime, Peacetime         Select Peacetime.
1. Location of pickup site:       Enter text to describe location – usually an 8-digit grid
                                  zone designator or free text (e.g., open field).
2. Radio frequency:               Enter text for radio frequency: (e.g., 38:50).
   Call sign:                     Enter text for call sign: (e.g., Spearhead Six).
3. Patients by precedence         Enter number of patients for each level of urgency
                                  evacuation type: A-Urgent, B-Urgent – Surgery, C-
                                  Priority, D-Routine, and E-Convenience.
                                  Note: You have 3 patients to select.
4. Special Equipment Req:         Select None.
5. Number of Patients by          Select number from drop down list: 2 litters and 1
   Litter/Ambulance               ambulatory.
6. Number and type of             Enter text to describe: 1 GSW, 1 blunt trauma, 1 heat
   wound, injury, illness         stress.
7. Method of marking pickup       Select Smoke.
   site
8. Patient Nationality and        Select Yes/No for US MilitaryB-US, Non-US Military, Non-
   Status                         US Civilian, and EPW (Enemy Prisoner of War).
                                  Note: You have 3 patients.
9. Terrain Description            Enter free text to describe the terrain (e.g., open field).
10. Save                          Tap Sign/Save to sign and save the report.




Module 6: Review and Reports                  15                              Instructor Guide
                                                         SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                               15 Aug 2008

      Note: Two fields on the report change depending
      on the selection of Wartime or Peacetime.

        Peacetime                                         Wartime
6. Number and type of             6. Security of pickup site:
   wound, injury, illness
9. Terrain Description            9. NBC Contamination


      5.2    Review a Medevac Request Report

      Once the Medevac Request Report is saved, it is
      accessed using Reports>History to review the
      report.

      To review a completed Medevac Request, follow
      these steps:

                  Step                      Result

         1. Tap Reports on the     The Report Index
            AHLTA-Mobile           menu displays. As shown
            Startup screen.        in Figure 5-1.

         2. Tap History.           A list of saved requests
            See Figure 5-1.        displays as shown in
                                   Figure 5-2.




Module 6: Review and Reports                 16                           Instructor Guide
                                                                SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                      15 Aug 2008




                                                   3

2




                                                   3




    Figure 5-1. Report Index Menu                       Figure 5-2. List of Medevac Requests


                      Step                        Result

             3. Select the report        A read-only copy
                entry to highlight and   Medevac Request screen
                tap Review               of the report displays as
                Medevac.                 shown in Figure 5-3.
                See Figure 5-2.

             4. Use the scroll bar to    Fields display.
                review all fields on
                the report.
                See Figure 5-3.

             5. End review of the        The Medevac Review
                Medevac Request          screen displays as
                by tapping Close in      shown in Figure 5-4.
                the lower left-hand
                corner of the screen.
                See Figure 5-3.




    Module 6: Review and Reports                   17                            Instructor Guide
                                                           SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                 15 Aug 2008




                                         4




5                                             6




    Figure 5-3. Review Medevac Request             Figure 5-4. Review Medevac Request



                      Step                   Result

             6. Tap Close Medevac    The Report Index
                Review screen.       screen displays.
                See Figure 5-4.      Figure not shown.

             7. Tap Close on the     The AHLTA-Mobile
                Report Index         Startup screen will
                screen.              display. Figure not
                                     shown.




    Module 6: Review and Reports              18                            Instructor Guide
                                                             SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                   15 Aug 2008

6.    Student Practice – Generate a Medevac
      Request Report

      6.1    Skill

      Complete a Medevac Request to move two patients
      to the next level of care. Use the following patient
      information for your report.
                                                                          Instructor Notes
            Field Name                              Action                Direct the students
 Select Wartime, Peacetime              Wartime                           to complete the
                                                                          exercise individually
 1. Location of pickup site:            030o 56’ North, 046o 06’          using their Pocket
                                        East                              PC.

 2. Radio frequency:                    38:50
    Call sign:                          Spearhead Six
 3. Patients by:                        Urgent-1
                                        Routine-1
 4. Special Equipment Req:              Ventilation
 5. Number of Patients by               Select number from drop
    Litter/Ambulatory:                  down list:
                                        Litter – 1; Ambulatory – 1
 6. Security of pickup site:            Enemy troops in area
 7. Method of marking pickup            Panels
    site:
 8. Patient Nationality and             US Military
    Status:
 9. NBC Contamination:                  C - Chemical




Module 6: Review and Reports                   19                             Instructor Guide
                                                           SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                                 15 Aug 2008

7.    Student Evaluation – History and Report
      Functions                                                         Instructor Notes

      Answer the following questions about using the                    After students have
                                                                        completed the
      History and Report functions.
                                                                        Student Evaluation,
                                                                        ask students to
      1. Data can be added to the following encounter if                review these
         the patient has been reassessed after the                      questions to
         encounter was signed:                                          generate class
          a. Sick Call                                                  discussion and affirm
                                                                        understanding.
          b. SF600                                                      Answers are as
                                                                        follows:
          c. DD1380                                                     1. c
          d. All of the above                                           2. d
                                                                        3. b

      2. You use the History button to access the
         following feature:
          a. Suspend an encounter
          b. Export encounters
          c. Sign/Save a suspended encounter
          d. None of the above

      3. You generate a single Medevac Request for
         each patient.
          a. True
          b. False




Module 6: Review and Reports                 20                             Instructor Guide
                                                   SAIC D/SIDDOMS Doc. D3-TMIP-8005A
                                                                         15 Aug 2008

8.    Conclusion

      This module covered how to:

      •   Review saved encounters and exams
      •   Generate a Medevac Request Report




Module 6: Review and Reports                  21                    Instructor Guide

								
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