Genie has made it easy to keep all the relevant information for your bariatric patients in the same place. If you are regularly entering bariatric information, then the Bariatric Module may be for you.
Before you begin
The Bariatric Module is a paid module that is only available in Version 8.2.4 or above of Genie.
If you are interested in the Bariatric Module, please contact our Sales team to organise this. This module is available as an add on cost to the program. Your Genie registration will need to be updated at the time of purchasing. You may be given a new registration code, which can be entered into Genie via File > Register. Alternatively, you can update your registration from within Genie via Special > Update Genie Registration. You will require internet access on this machine to update from the special menu.
Your practice type must be set to Other Speciality to access the Bariatrics Module.
To record bariatric data, open the patient's clinical window by highlighting the patient in the Appointment Book or Patient List and clicking on the Clinical Window button. Navigate to Tools > Bariatrics to open a new bariatric record.
Recording Baseline Weight
If weight and height have not previously been recorded, they must be manually entered in the top area of this window. Once they have been recorded, Genie will automatically calculate the remaining fields (Excess Wt, Ideal Wt, BMI, etc)
If you have previously recorded a baseline measurement in the patient's clinical file (either through Add Consult or Tools > Add Measurement), you can click on Import From Measurements to populate these fields automatically. If you have not marked these measurements as the Baseline Weight then you will receive the following message:
To rectify this, you will need to open the measurement record you wish to use as the baseline and tick the Make This the Baseline Weight checkbox. After making this change, return to the bariatric record and click on Import From Measurements again.
After the initial baseline measurements have been recorded for a patient, subsequent visits can be added via the Visits tab in the bariatric record. The Visits tab is selected by default when opening a bariatric record.
To add a visit click on the blue plus button.
Record the patient's weight into the Weight field. Once added Genie will automatically calculate the following fields:
- Weight Change
The Volume Adjustment field must be entered manually. This amount will be deducted from the Current Volume field.
To add a recall, enter a number in the Next Visit field and choose between either Months (default) or Weeks and click on Create a Recall. Alternatively, you can enter a specific date in the field to the left of Create a Recall.
Additional notes can also be recorded in the Notes field.
To utilise a checklist for this visit, select the desired checklist from the Select checklist drop-down.
When you have finished entering information in the checklist, you can select either the usual Save button to save this checklist to the patient's clinical record, or the Save Only to Bariatric Notes button to avoid saving the checklist to the patient's clinical record.
Selecting either of these options will return you to the Bariatric Visit window with your checklist information populated in the Notes area.
To add a consultation record for this visit click on the Create Consult Record button and a new consultation window will open. Genie will automatically transfer the information recorded within the Visits tab into the consultation record. This will then be saved in to the patient's clinical record. If a consultation record is not created then all notes regarding this visit can be accessed on through the Tools > Bariatrics.
Once you have finished adding the necessary information into the Visits window click OK.
Genie will record this information as below:
Each subsequent visit will be added to this list.
Double-clicking on a visit within the table will reopen the record, allowing you to make any changes or corrections where appropriate.
The Comorbidities tab record the comorbidities and their current status.
Comorbidities can be added to the Select drop-down menu by selecting Add to Menu. Enter a name for the Comorbidity and click OK.
To add a Comorbidity to a patient's bariatric record, select it from the drop-down list.
Selecting a Comorbidity will populate it into the table below.
Text can be added to the Comment and Resolved columns by slow double-clicking in the relevant field and typing. Alt + Click the resolved field to automatically populate today's date.
To delete a comorbidity from this table, highlight the entry from the table and click on the Trash Can button .
To add a bariatric operation to a patient's record click on the Operations tab.
To add a new record, click on the blue plus button. This will open a blank operation window.
Once the required fields have been completed, click on OK to save this new operation record. This information can be edited at any time by double-clicking on the record from the Operations table.
To delete an operating record, highlight the record from the table and click on the Trash can button .
Operation Field Descriptions
|Date||The Date field will automatically populate with today's date. This field can be overwritten with a different date, if required.|
The weight field will automatically populate the base weight previously entered for this patient. This field can be overwritten at any time with new information.
Note: Selecting either Reset Base Date to This Date or Reset Base Wt to This Wt will result in the information currently entered into these fields being set as the base Date and Weight values respectively for this patient
|Provider||The Provider field will automatically populate with the User logged into Genie provided they are not set to Reception in the User Preferences. This can be changed to another doctor in the Practice or Other can be selected to record the name of a Provider not belonging to your practice.|
|Hospital||The Hospital field allows you to record where this procedure was performed. This list will display the names of all rooms currently entered in the Column Order and Rooms tab (Appts > Appt Preferences > Column Order and Rooms).|
|Operation||The Operation field allows you to record the type of operation being performed (e.g LAGB-Lapband, Sleeve Gastrectomy).|
|Approach||The Approach field allows you to record the type of approach you are taking with the operation (e.g Open or Laparoscopic).|
|Category||The Category field allows you to allocate this operation to a specific category (e.g Primary Bariatric Surgery or Reversal).|
|Group||The Group fields allows you to allocate this patient into a certain group (e.g Lapband/Sleeve or AMI Band).|
|Reservoir||The Reservoir field allows you to record the position of the reservoir which was used in the operation (e.g Sternum, Anterior to Rectus Sheath).|
|Band Type||The Band Type field allows you to record the type of band used during the operation (e.g SAGB, Vangard Band).|
|Band Fill Volume||The Band Fill Volume field allows you to record the volume of fluid.|
|Band Size||The Band Size field allows you to record the size of the band being used for this patient.|
|Flag||The Flag drop-down allows you to add flags to a patient record to make custom searches more simple. It is possible to add multiple flags to a patient record.|
|Complications||This area allows you to list any complications which may have occurred during the procedure (e.g Band slip, bowel obstruction).|
Any measurements that have previously been added via the clinical window (Tools > Add Measurement) or in a consultation window will automatically appear in the Measurements Tab.
Adding New Measurements
To add a measurement, click on the blue plus button .
Enter the required information and click OK.
To delete a measurement record, highlight this from the table and click on the Trash Can button .
To graph measurements for this patient, click on the Graph icon available from the Measurements tab. This will open a drop-down list. From this list, select the desired measurement to be graphed.
This graph will automatically open on your screen displaying the selected measurements in graph format.
To save your graph as a picture file, click on the Save Graph button. You can also print your graph by clicking on Print Graph.
Genie will graph the weight recorded for each Bariatric visit. To view or print this graph, click on the Graphs tab. Genie will automatically graph the information contained within the visit records for this patient.
Note: If you do not have any information recorded in the Visits tab, this window will appear blank.
To save your graph as a picture file, click on the Save Graph button. In the browse window, select your desired file formation from the Save as type drop-down menu. Click on the Save button to save the file in your chosen location.
Alternatively, you can print your graph by clicking on Print Graph.
Bariatric Reports allows you to summarise your patient bariatric data in the following formats:
- Operations Lists
- Written Reports
To access the bariatric reports, go into Open > Bariatric Reports from any window in Genie.
The various drop-down menus in the Operations tab allow you to refine your operation list to a particular subset of patients.
To view all operations, ensure each drop-down menu has All selected and the appropriate date ranges have been entered in the Operation Date field.
Alternatively, to reduce the list of operations by certain parameters, you will need to choose the appropriate section from the relevant fields. For example, you may wish to view the patients whose primary procedure was a LAGB-Lapband using the laproscopic approach. In this example, you would need to make the following selections:
- Operation: LAGB-Lapband
- Approach: Laproscopic
- Category: Primary Bariatric Procedure
To access further information about one of these records, right-click on the record within the table. Selecting Edit Operation will open the bariatric operation record. Selecting Edit Patient Info will open this patient's complete bariatric record.
Display Patients by EWL%
To display patients who have reached a certain weight loss percentage enter a value in the %EWL field. The minimum post-operative period is 12 months by default; if you would like to view more recent surgeries, you can modify this value.
To search only operations currently displayed in the list, choose Find in Selection, otherwise choose Find All to perform your query on all bariatric operations.
Your results will be displayed in the operations list.
Click on the Printer button to print the operation list with its current refinements.
The Graphs tab will graph any operations that meet the criteria listed at the top of the bariatric window. These criteria can be refined using the same instructions in the above Operations section.
By default, the Graphs tab will display cumulative BMI change per month.
To view a different graph, drop down the menu that defaults on Change in BMI and make a new selection.
If there are operations that meet the selected criteria, Genie will automatically graph this information.
To save your graph as a picture file, click on the Save Graph button. In the browse window, select your desired file format from the Save as type drop-down menu. You can also print your graph using the Print Graph option.
The Reports tab displays your bariatric information in a written report format. The criteria at the top of this window can be redefined as explained in the above operations section.
Before printing, any changes you might like to make to the formatting in this document (e.g. fonts, font sizes, spacing etc) can be made using the word processing interface. These changes are not permanent, so you should only put time into this if you are planning on printing the report now.
To print the report, go into File > Print.
Note: Please select the File menu in the word processing area as above, as there is no printer option in the Genie File Menu.
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