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Data collection throughout the workflow of a particular surgery is done with concepts and observation groups. This allows us to use the collected data to generate reports and perform analytics in the future.

The pre-theater data collection considers the following:

• Past procedures - a user may enter the procedures the patient has undergone before, which may affect the current procedure. These are saved with an obs group that has the following concepts.
  • Procedure History (Grouping concept)
    • Procedure performed.
    • Procedure date/time
    • Procedure comment.
    These concepts are adopted from CIEL Concept Dictionary, and are therefore portable across systems.
• Allergies - uses the current Allergy API to display the patient's allergies and add new ones.
• Pre-theater drugs - uses the surgery information obs group explained below.

To record the drugs prescribed throughout the surgery and to keep a surgery note, a new concept set is introduced.

• Procedure information (Grand-parent grouping concept)
  • Pre-theater drugs (parent grouping concept)
  • In-theater drugs
  • Post-theater drugs
  • Procedure History (same as before)

This concept set allows us to use an obs group that can record all drug prescriptions for a surgery. It also allows us to add a surgery note, which automatically creates a past procedure record with the current surgery.

The following clips walk through entering data to the system. All data entered are validated on the client side.

Pre-theater Data Collection

Post-theater Data Collection