TrakCare Solution Guide
Section 2: TrakCare Modules
2.1 TrakCare Core Components
Central to all TrakCare modules is the Electronic Patient Record (EPR). The Master Patient Index (MPI) underpins the EPR, and both the EPR and MPI are provided whenever TrakCare is implemented, be it for clinical, administrative, or departmental purposes.
2.1.1 Electronic Patient Record (EPR)
The EPR within TrakCare is designed to capture the continuum of clinical and administrative information about a patient. The record contains patient demographics, medical history, previous admission information, previous surgery information, and obstetric history. The medical history includes allergy, disease, family, and social history. Patient information can be captured from legacy systems linked via the TrakCare Connectivity Module, which utilizes the embedded Ensemble integration platform. Alternatively, the information can be obtained directly from any of the TrakCare modules. The type of data available will depend on the data sources connected but may include orders and results for laboratory, radiology, or prescribing, or generation of a discharge summary for a specific episode or linked episodes.
To access the EPR, a patient is identified by a unique identifier or name, or from an optional favorites list if seen frequently by a clinician. The EPR provides a patient-centric display of all available information.
The EPR includes:
- Allergies and Alerts allow healthcare professionals to view previously recorded allergies and alerts as well as add those that are newly identified. In addition to notifying clinicians of potential risk to the patient, information about the nature and severity of allergic reactions is also available. The severity can be color-coded to provide a visual indication of allergy sensitivities.
- Clinical Summary History allows the clinician to view previous clinical summaries (including discharge) generated for a patient. This can be viewed in text or tabular form.
- Diagnosis Entry allows the input of multiple diagnoses and their status for each patient episode, including admitting diagnosis, suspected diagnosis, final diagnosis, and discharge diagnosis. The diagnoses may be based on the WHO International Classification of Diseases and Procedures (ICD) or a similar coding system.
- Episode List and Time Line graphically displays the patient’s EPR. It also allows healthcare professionals to select one or more episodes to view patient data concurrently in the format of the defined EPR charts.
- Orders and Results History presents the results and order history of diagnostic and investigative procedures. Results are immediately available from any TrakCare module and can also be sent to the EPR from legacy departmental systems via the TrakCare Connectivity Module, which utilizes the embedded Ensemble rapid integration platform. This gives healthcare professionals access to results within the EPR. Results can be displayed in a singular or cumulative format and are presented with clinical indicators, including abnormal results, reference ranges, and criticality status where applicable. System-based highlights and icons act as alerts to abnormal and new results.
- Clinical Notes allow care providers to view and enter free text notes in the patient record with the ability to classify them according to site-definable type (e.g., doctor, nurse, theater, diet, progress). Text templates can be defined against the various clinical note type so that section headings or standard content can be defaulted making data entry faster and more accurate. Clinical notes can be entered using canned text or speech recognition for speed. A sensitivity level provides the ability to alert or restrict access and all clinical notes can be tracked by status and are fully audited.
- Patient History allows healthcare professionals to view, amend, or add to the patient’s medical, social, and family history.
Example: EPR – Clinical Assessment
2.1.2 Master Patient Index (MPI)
The TrakCare MPI enables healthcare facilities to record extensive information about a patient.
The MPI underpins the patient-centric EPR. The MPI functions are available independently, but are also an integral part of each TrakCare module (e.g., when a patient is admitted to a hospital, the MPI Search and Registration functions can be included as part of the workflow for the admission process).
The MPI can be run independently within an organization, or it can be part of a larger state or national system. In the latter situation, a patient may have a local identifier as well as a state or national identifier. The TrakCare system allows for this identifier to be assigned by the appropriate provider.
A unique organization identifier differentiates each patient. The format of this identifier is definable by the organization and may be purely numeric or a combination of alpha and numeric characters. The organization identifier can be automatically assigned to the patient or manually entered at registration time.
Typically the MPI includes:
- Fields for entering a patient’s socio-demographic details, including user-defined mandatory fields (e.g., patient title, surname, given name, sex, date of birth, address, language spoken, and birthplace), including:
- Patient photograph
- Links to other screens for entering or viewing:
- Patient photograph
- Other address details (e.g., previous addresses, postal address, and mailing address)
- Contact details (e.g., next of kin, nearest relative, or guarantor)
- Family details (including family or carer group, mother/baby)
- Alerts (e.g., medical, administrative, and clinical)
- Allergies
- Alias details (e.g., names, sex, and date of birth)
- General practitioner details
- Family doctor history
- Dental doctor details
- Medical records
- Other links (e.g., organ donor status, employment details)
- MPI Management functions such as:
- Extensive search capability
- Creating ‘aliases’ for patient name
- Merge and un-merge
- History of changes (e.g., previous addresses)
- Interfacing or integration options to national person health identifier services
- Audit details, such as who last updated the record, all changes made to the record, and who has viewed the record
2.1.3 Healthcare Modules
TrakCare offers a comprehensive set of healthcare modules that assist in the smooth functioning of healthcare facilities. By design, the system is patient-centric, managing both clinical and administrative aspects of care through the EPR. The EPR and its underlying MPI are integral to each TrakCare module, and all modules are built on the same Caché high-performance database.
TrakCare modules include:
- TrakCare Foundation CIS (Clinical Information System)
- TrakCare Foundation PAS (Patient Administration System)
In addition to Foundation CIS and Foundation PAS, TrakCare offers care environments, and departmental and add-on modules, including:
- TrakCare Community Health Management
- TrakCare Polyclinic
- TrakCare Emergency Management
- TrakCare Operating Theater Management
- TrakCare Maternity
- TrakCare Radiology and Departmental Workbench
- TrakCare Prescribing
- TrakCare Pharmacy
- TrakCare Patient Billing
- TrakCare Active Decision Support
- TrakCare Connectivity
- TrakCare Laboratory (LAB)
TrakCare Modules
TrakCare supports the entire continuum of care, providing the right information to the right healthcare professional at the right time.
TrakCare Supports the Continuum of Care
TrakCare Solution Guide
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