Tolven PHR 2008 Review

From GPLMedicine

Contents 1 History and Trademark of Tolven 2 TolvenPHR.... an Overview 3 Main Interface 3.1 Activity 3.2 My Family 3.2.1 Overview 3.2.2 Problems 3.2.3 Medications 3.2.4 Allergies 3.2.5 Results 3.2.6 Appointments 3.2.7 Encounters 3.2.8 Diagnoses 3.2.9 Observations 3.2.10 Reminders 3.2.11 Plans 3.2.12 Procedures 3.2.13 Personal Events 3.2.14 Trials 3.2.15 Share 3.3 My Providers 4 Common Clinical Tasks with Tolven PHR 4.1 Scheduling 4.2 Tracking Patient Data in Tolven 4.2.1 Creating a patient record 4.2.2 Vitals 4.2.3 Accessing patient record 4.3 Billing

History and Trademark of Tolven

The Tolven Institute in collaboration with Open Source developers around the world. Tolven is a Californian based corporation founded as Tolven Incorporated in February 2006. Tolven trademark is owned by Tolven Inc.

TolvenPHR.... an Overview

TolvenPHR looks similar in options to TolvenCHR.

Main Interface

The main interface after login has only 3 tabs which are 'Activity', 'My Family', 'My Providers'. Let see each of the tabs in detail. No of tabs increase depending on the status of opened options in the main tabs.

Activity

Activity tab shows all the deeds of the person who logged in. Activities listed here for eg are encounters, adding new patient, adding observations, adding new physician or nurse etc... All the activities are listed and will show details like status(completed or incomplete), Importance/preference and Due(by time). Under the sub-tab menu, it will show an option called 'Received Shares' which shows any Patient Health Record received/shared from other provider.

My Family

"My Family" tab is where we can see the list of all the family members of the user. Option to add new family member is available here.Patient Health Record is accessible by opening an existent patient in the patient list or by creating a new one. Patient PHR contains all the information about Problems, Medications, Allergies, Results, Appointments, Encounters, Diagnoses, Reminders, Procedures, Sharing, Personal details of the patients.

Overview

This tab gives the general idea about the patient with main information like encounters, diagnoses, active medications, Observations, etc... in tables. The default view can also be changed to a Colorful Timeline View or a Calender View which presents the total scenario of the patient in a single screen shot.

Problems

All the complaints/problems that the patient had, are listed here in chronological order with status(active/ inactive). An option to add new problem is available in sub-tab menu. A search tool and a messaging tool(for feedback) are also available.

Medications

Patient's current Medications are listed here. You can order new drugs from a list of drugs here.

Allergies

Current active allergies are listed here with options to add new substance or to make one inactive.

Results

All the requests for Clinical Lab and Radiology with reports can be collected from here.

Appointments

All the appoinments scheduled for a particular patient can be seen here.Two types of appoinments(Regular Office Visit or Personal ) for the patients can be scheduled. For Office Visits, the personnel who will be assisting the patient should be mentioned.

Encounters

Encounters with physicians are updated here. We can view all the past encounters or add new encounter for the patient. Three types of encounters such as Ambulatory(Office Visit), Emergency Room Visit and Inpatient Visits can be scheduled. To schedule an Inpatient encounter, the physician who admits the patient and physician who will attend the patient after admission should also be at hand. After adding encounters here, they can be accessed when entering any observations regarding the patient.

Diagnoses

List of the Diagnoses with date, status and encounter are present here.

Observations

Observations like vital measurements are added here. Along with regular vitals, other forms like Breast Cancer Evaluation form, CALGB (Cancer and Leukemia Group B)form are also available. Graphs like Diabetes(blood glucose), Lipids and Peak flow charts are also available.

Reminders

Reminders like the tasks to be done for the patient can be found here(not working with online demo)

Plans

Present day Treatment Plan or the future Plans are accessible here.

Procedures

Chemotherapy, Surgical Procedures and Radiational Therapies for the patient are listed here. We can also add a new procedure for the patient other than the above ones.

Personal Events

Looks like the same as Appointments tab with Office Visits and Personal Events listed.

Trials

Induction Treatment Trials and Evaluation(for cancer patients) forms are present here.

Share

Most interesting feature of Tolven is Sharing the Health Record of the patient with other physician or Clinic. In this tab, the information received and information sent is present. We can limit the kind of information to be sent(such as past/active diagnoses or problems or treatments). This feature makes Tolven suitable for interoperability among the physicians cutting down the expenses for repetitions of Lab investigations and Saving time in the encounter (details about past problems).

My Providers

Options for adding a new physician or a nurse to the existing Health Provider are here. But to add new Provider, you have to go to Preferences menu. Preferences menu also provides the way to configure your menus and tabs. Once you configure your options, you can choose to not view unnecessary tabs which make your desktop cluttered.

Common Clinical Tasks with Tolven PHR

Scheduling

Scheduling Appointments with Physicians and Personal Events are possible. Appointments with Physicians would be for typical Encounters and Personal Events can be anything like lab, collecting reports etc... Appointments and all the events(encounters and problems) for a patient can be seen in a time line view.

Tracking Patient Data in Tolven

Creating a patient record

Creating patient is straight forward in Tolven PHR. Goto family members tab --> 'new' button and enter the details.

Vitals

Vitals like Blood Pressure, Pulse, Respiratory Rate, Temparature, Weight can be accessed from the Observations menu. In addition to these BMI, Blood Glucose, Peak flow and Rash are also present. Neurological Evaluations like Glasgow Coma Scale and Cognistat are also available. The recording of the vitals can be done as a part of a particular encounter or without mentioning the encounter. But Plotting Graphs with the vitals is not available. (Graphs are only available for Blood Glucose, Lipids and peak flow)

Accessing patient record

Accessing the Patient record is very easy. Patients tab--> Select from the list or Search for part of name--> Click on the name to see all the details and data.

Billing

Billing forms are not available in the present version.