Posts Tagged ‘screenshot’

Screenshot: Advanced regimen sandboxing

October 19, 2010

**UPDATE  06/05/2012** Contains old screenshots!

 

Ankhos provides lots of flexibility when it comes to creating chemotherapy regimens. Not only is it easy to create a custom regimen, but it’s also easy to modify them on the fly. We do this with a technique we call ‘Sandboxing’.

Whether we’re using a regimen straight from the textbook or creating our own, we have the option to place it in the ‘sandbox’.  Anything can be placed in the sandbox, from entire regimens to x-rays to comp panel orders…. Anything that occurs with some periodicity in conjunction with patient treatment.

Once in the sandbox, these agents and orders can be modified on a  day/cycle basis in order to match the needs of the patient. Clicking on the right and left arrows will increase/decrease the cycle length, and the days of a treatment can either be typed in or inserted on days 1,8,15,… by clicking the weekly checkboxes.

The sandbox outlines a patient’s entire treatment schedule in one fell swoop.  We won’t need to do any physician data entry for weeks… or until a change is needed.

The sandbox pictured above outlines 4 weeks of (made-up) treatment. Once the treatment is in the sandbox, You can cycle these four weeks as many times as you want. Three cycles of CHOP-R? Easy. Weekly CBCs for 6 months? Easy.

The sandbox has received many accolades and nearly every user who has experienced it describes it as ‘very powerful’ or ‘incredibly easy’.

One limitation of the sandbox is that it is not practical to schedule a follow-up  one year from now or mammogram in 6 months, but we solve that problem by ordering the simpler tasks like a normal EMR might… one at a time.

A final note: As far as patient safety is concerned, each treatment must be electronically signed by an MD before it can be administered so any dose reduction that is required does not fall through the cracks.

Screenshot: Scheduling problem

July 22, 2010

**UPDATE  06/05/2012** Contains old/nonexistent screenshots!

 

I just posted about the scheduling problem and promised a mock-up screenshot. Here it is:

Diagram showing sliders and charts

The sliders on the left will affect the population histograms on the right.

Obviously numbers are off and scale is inaccurate… for now.

Chemo administration screenshot

May 19, 2010

**UPDATE  06/05/2012** Contains old screenshots!

 

This is a promised screenshot of our current iteration of the page our nurses will be using to administer chemo.  There is a LOT going on in this picture, but some of the important procedural bookkeeping that is required of the nurses is streamlined on this page.  IV notes, allergies, even plain old warnings about a patient are present here.  Also present are things like dual-signature chemo dose verification and minute-by-minute tracking of what has happened to this patient.

Keep in mind, this is a beta, and there are some debugging/feedback features here for the time being.

The orders these nurses are carrying out come from the specialized physician order interface (not pictured here).

I would love to get more into the rest of the application, but that is premature at this juncture.

Screenshot: Daily notes, treatment status

February 9, 2010

**UPDATE  06/05/2012** Contains old screenshots!

 

I’ve been busy at work and not posting as much, but I thought I would post a screenshot of how we are handling the status of treatments.  There are many more features in this screenshot than I can talk about in one post, so those will be for later. I do want to point out a few features, though.

(more…)

Screenshot: calendar context menu

January 29, 2010

One of the neat things about the dojo toolkit is the support for cool widgets like the right-click context menu. We have a screenshot of how we are using it in our application past the break.

We are using Dojo for our javascript framework. It works very well in most browsers without too much special-case programming. The biggest disadvantage that Dojo has is it’s horrendous documentation. Nearly every official page is marked ‘out of date’ and the automatically-generated API documentation contains virtually no information other than method names.

That said, two books that have been indispensible (especially when the internet is out) are O’Reilly’s Definitive Guide to Dojo and Mastering Dojo. Both provide detailed discussions of design philosophies and go into how dojo leverages the idiosyncrasies of javascript to create easily-maintainable code (not a trivial task in javascript).

I really like Dojo, but most of the other competing frameworks have better documentation. Anyway, on to the screenshot…

(more…)

Screenshots soon!

January 7, 2010

Development for a private alpha release is wrapping up and I am going to publicly commit to showing some screenshots soon. Hopefully this promise will help my already voracious appetite for productivity and will speed things along even faster.

Keep in mind, I’m not the best web-designer, but will welcome all comments and ideas.  Hopefully, this open development will allow you readers to have an insight into what I am doing, maybe get an idea or two for your own EMR and hopefully contribute to mine.

I should get back to coding!