Specialist medical software wouldn't be very useful if it couldn't cater to different specialties! We know that different specialties need specific features, but more than that, no one wants to go trawling through a mess of features they don't need either. For this reason, the features available in your Genie system will depend on your Practice Type.
Before you begin
First, ensure that your practice type is set to accurately reflect your services. To adjust your practice type, simply head to File> Set Practice Type and choose your specialty from here. The specialty options are:
- General Practice
- Obs/ Gynae/ IVF Specialist
- Orthopaedic Surgery
- Ophthamology
- Plastic Surgery
- Rheumatology
- Dermatology
- Anaesthetics
- Other Specialty
- Podiatry
- Other Allied Health
The differences for most specialities will be in the Tools menu and the Clinical Window. The below article will outline these differences in each section. Not all specialties have features that are specific to them. The listed specialities in this article will only outline the specialties with differences.
Clinical Window
Obstetrics HX Tab: Selecting the Obstetric Hx tab will present you with the Obstetric History window. This window allows you to enter past antenatal records or create a new pregnancy record for the patient. Please see the Obs/ Gynae/ IVF Specialst section below.
Tools:
GP Management Plans: Opens up a GP Management Plan history where you can view past plans as well as create new ones. For more information on GP Management Plans, please refer to our Knowledgebase Article.
Add Careplan – Old Method: Creates old style Care Plans which are then accessed via the Care plans tab in the Clinical Window's contact list. These have now been replaced by GP Management Plans.
Add Health Assessment: Allows you to create Health Assessments, covering areas such as Allied Health, Nutrition and Mental functioning. Health assessments can be saved and then accessed via the Health assessments tab in the Clinical Window's contact list.
Open Current Pregnancy: This will open the current pregnancy record for the patient where Antenatal visits and Birth & Postnatal information can also be recorded.
Clinical Window
Obstetrics HX Tab: Selecting the Obstetric Hx tab will present you with the Obstetric History window. This window allows you to enter past antenatal records or create a new pregnancy record for the patient.
Smoking/ Alcohol - The patient's smoking status and alcohol intake will automatically populate from the Summary/ Main tab of the clinical window
Folate - Folate reduces the risk of neural tube defects in babies and is recommended to be taken in early stages of pregnancy.
The Last Pap field will be populated automatically if you download electronic results. Alternatively it can be filled in manually to stop warnings for overdue smears appearing and to mark correctly the patient on the Overdue Smears list in the Patients menu. If the patient is not a regular of the practice or is no longer required to be recalled for smears (eg. due to hysterectomy), you can tick the Don't Recall for Pap tickbox which will prevent them from appearing on the Overdue Smears recall list.
Left clicking in the blank fields beneath last pap allows you to add a pap smear result from the Result drop down list which is generated in Open> Pathology and Radiology in the Action List. Free text can also be typed into this field.
Last HPV- the Last HPV field behaves in the same way as the Last Pap field above it, but for HPV results instead
Parity GxPx refers to Gravida and Parity
G (Gravida) | Represents the number of times the patient has been pregnant, regardless of the outcome of the pregnancy. This includes current pregnancies. |
P (Parity) | Represents the number of pregnancies that have reached 20 weeks of gestation, regardless of whether the baby was born alive or not, vaginally or not |
M (Miscarriage) | Represents the number of pregnancies that have been lost prior to 20 weeks of gestation. E.g. Miscarriage. |
T (Termination) |
Represents the number of terminated pregnancies (before 20 weeks otherwise it becomes a P). |
To ensure the correct calculation of parity, there are several factors:
- The Result field needs to be completed in the Current Pregnancy or the Obstetric History
- The text in the Result field needs to be either 'Miscarriage', 'Stillborn', 'TOP' or 'Live' ('Live' can be followed by any text e.g. Live Birth)
A 'Miscarriage' result in a Current Pregnancy or Obstetric History will produce an M
A 'TOP' result will produce a T if it was before 20 weeks and a P if it was after 20 weeks. Both 'Stillborn' and 'Live' results will produce a P
Obstetric History - To enter general details about any past pregnancies that have not been previously entered in Genie (through the Current Pregnancy window), choose the blue plus icon. Enter in the relevant details in the fields provided. Information for multiple babies born within this pregnancy can be added under the Baby 1, 2, etc. tabs in the top right hand corner of this window. The Parity will automatically be generated by the outcomes added in the Result field. Automated calculation of parity recognises the results: ‘Live’, ‘TOP’ (Termination of Pregnancy), ‘Stillborn’, ‘Miscarriage'.
IVF Tab
The IVF module allows you to add fertility treatment information to a patient's clinical record. This tab displays the IVF treatment cycles, embryo thawing, semen analysis, semen prep and semen freeze information.
The Open Partner button allows you to open the clinical record of the partner that has been linked to this patient. If a name appears next to this button but you are unable to select this button, it means that a partner has been entered in the Partner's Name field of the patient's Demographic window. Once you link a partner using the Select Partner button you will be able to use the Open Partner button.
The Select Partner button allows you to search your data base and select this patient's partner so that they can be linked. The partner must be a patient in your data base in order to use this function.
The Deselect Partner button allows you to unlink the currently linked partner.
Tools
Open Current Pregnancy: This will open the current pregnancy record for the patient where Antenatal visits and Birth & Postnatal information can also be recorded.
The only extra features for practices with an orthopaedic specialty, are the questionnaires available in Open> Tools. By selecting any of those, Genie will open the questionnaire response record for the patient. This window will also allow you to complete a new questionnaire using the blue plus icon. The options available are:
- WOMAC
- Harris Hip Score
- Oxford Hip Score
- HSS Knee Score
- Lysholm Knee Score
- Ankle Hindfoot Scale
- Midfoot Scale
- Hallux MTP IP Score
- Constant Shoulder Score
- Mayo Wrist Score
All options will open a window similar to below:
Selecting the blue plus icon will allow you to add in a new assessment for the patient.
The Ophthalmology Module allows you to record information for Eye Examinations and Lasik PostOp, as well as graph any recorded information. The additional fields that appear for this specialty module are available in the Open> Tools menu.
Graph VAS IOP
Eye Examination
Lasik PostOp
The only tool available for the dermatology module that is specific to this specialty is PhotoTherapy. In this window you can record the relevant information for treatment. This option is Accessible through Open> Tools.