WebMED handbook

Transcription

WebMED handbook

WebMED
Manual for use
WebMED, Manual version 1.01
Page 1 of 20
Contents: How to….
First Steps ................................................................................................................................................ 3
General procedure .................................................................................................................................. 4
Update visit & drug information ............................................................................................................. 4
Visit information .................................................................................................................................. 4
ART information .................................................................................................................................. 4
No changes of drug entries ............................................................................................................. 4
State more precisely drug frequency .............................................................................................. 4
Change starting drug frequency ...................................................................................................... 5
Insert dosage change....................................................................................................................... 5
STOP drug entry............................................................................................................................... 6
DELETE STOP drug entries ............................................................................................................... 6
Intermediate STOP of drug .............................................................................................................. 6
Reactivation of stopped drug .......................................................................................................... 7
Specify NON-ART information ............................................................................................................. 7
Enter vaccination ..................................................................................................................................... 8
Select a new medication ......................................................................................................................... 8
Delete a medication ................................................................................................................................ 9
Add a new patient ................................................................................................................................... 9
Best use of the date picker .................................................................................................................... 10
Select other date ............................................................................................................................... 10
How to specify uncertainty of drug start/stop .................................................................................. 11
How to overcome challenges ................................................................................................................ 12
Trouble shooters for WebMED starters ................................................................................................ 13
Contact information .............................................................................................................................. 14
Contact for questions, suggestions and problems: ........................................................................... 14
Contact for addition of trial drugs: .................................................................................................... 14
Appendix A: Orphan drugs .................................................................................................................... 15
Appendix B: Available Vaccinations for basic immunization................................................................. 16
Appendix C: Available Vaccinations for immunization of risks ............................................................. 19
Page 2 of 20
First Steps
To log in to WebMED you need an access to the internet. We recommend a newer browser
like CHROME (download for example from
https://support.google.com/chrome/answer/95346?hl=de )
This chapter shows you:
 How to start WebMED
 Overview of WebMED
WebMED start
1. Open your browser and
enter the address:
https://www.shcsweb.ch
2. Enter your User-ID and
password and press
‘Senden’.
Enter the ID of your patient
Overview of WebMED
Filter and sorting options
Patient information
Visit/adherence information
Information about drugs
and time
Hint for all browsers: Empty cache from time to time!
Page 3 of 20
General procedure
1. Information about visit and adherence
2. Check current ART
3. Enter current additional drugs with real start date.
CAVE: Change current categorizing drug entries to specific drug name at last visit
a. Stop ‘One or several lipid lowering drugs’ at last visit.
 Start eg. with Crestor 40mg 1-0-0-0 and/or Pravastatin 40mg 1-0-0-0 at
date of last visit.
b. Stop ‘Antiplatelet drug(s)’ at last visit
 Start eg. with ASS100 1-0-0 at date of last visit.
4. Do not check medication which is not current.
GENERAL AIM:
Catch actual situation of drug use. You are free to adjust the whole drug history
accordingly if known.
Update visit & drug information
Visit information
1. Check date  click on date picker to change if necessary
2. Decide whether visit as cohort visit or visit between two cohort visits
3. Enter ADHERENCE and MISSED DOSE information (for cohort visits this info is required)
4. Press
CAVE: Program issue, which will be solved in the next release!
If you want to enter an additional visit with adherence information only between two past
visits, you do the following:
1. Temporarily create a change in any drug (eg. Insert ‘dosage change’) at that date.
2. When the visit information is entered you delete the ‘dosage change’.
3. The additional date is stored but will appear only when you refresh the screen!
ART information
No changes of drug entries
 Continue all others (your inputs have been saved successfully)
State more precisely drug frequency
 Select drug to change
1. Define dosage: click on frequency
2. Click on
(at right of screen) under FREQUENCY (if applicable)
3. Enter frequency detail: number of pills per day or otherwise
Page 4 of 20
4. Enter frequency details per day:
5. Click
 Result:
and then
Change starting drug frequency
 Select drug to change
1. Change dosage: click on frequency
2. Click on
(at right of screen) under FREQUENCY (if applicable)
3. Enter frequency detail (at right): number of pills per day or otherwise

4. Press
5. Press
 resulting (example given)
Insert dosage change
 Select drug to change dosage
1. Click on line on selected drug timescale
2. Select (at right)
3. Change dosage (example given)


4. and frequency details:
Page 5 of 20
Please note due to space problems:

STOP drug entry
 Select drug to STOP
1. Click on last possible entry on timescale
2. Click on
CAVE:
pick date from
date picker
only!
3. Select stop date from date picker:
4. Select stop reason:
5.  Drug might disappear from the screen depending on your view
DELETE STOP drug entries
 Select drug to DELETE STOP: View of „All drugs“ must be selected
1. Click on timescale on stop of drug
2. Click (at right) on
3. Confirm deletion
Intermediate STOP of drug
 Select drug for intermediate stop
1. Click at right
2. Select stop date from date picker
3. Select restart date from date picker
4. Press
Page 6 of 20
Decision at CLC:
Intermediate stop of 10 days of no lipid lowering drugs
non-ART
Intermediate stop of An expanded weekend without ART
ART
(<7 days)
Intermediate stop >= 7 days
Ignore ‘Temporary stop’
Ignore ‘Temporary stop’
Enter ‘Temporary stop’
Reactivation of stopped drug
 Select stopped drug (eg. REYATAZ) for reactivation
1. click at right:
2. Enter date from date picker and new frequency (if necessary)
3. Press
Specify NON-ART information
 Select unspecific non-ART like „one or several lipid lowering drugs“
1. Stop this non-ART with stop reason „WebMED start“ or „unknown“
2. Add a new specific non-ART like (example given) „Crestor“ and/or „Zocor“
3. Add frequency details
4. Press

5. Press
 resulting in (example given)
Page 7 of 20
Enter vaccination
1. Chose a vaccine in the field ‚Add drug‘ (upper left):
2. Select from the drop down Menu the specific vaccine
3. Enter month and day of last injection from datepicker:
4. Click
from


5. You can add additional dates before the last vaccination: press (at right)
Select a new medication
1. Enter your drug in the field ‚Add drug‘ (upper left):
2. Select from the drop down Menu the specific drug
3. Enter frequency details:
4. Click

5. Press

resulting in:
CAVE: If you need to add a new trial drug, call the administrator.
Page 8 of 20
Delete a medication
1. Select a drug to delete:
2. Select „Remove drug“ from the drop down menu of Medication (upper left):

3. Click on trash
to select drug to delete:
4. Click on
(above the drug list)
5. Confirm deletion:
Add a new patient
1. select „Add new patient“ from dropdown menu at upper right:
2. Add details of new patient:
CAUTION:
Patient’s information
must coincide with the
information on the
COVER SHEET of the
SHCS questionnaire!!!
Page 9 of 20
Best use of the date picker
Select other date
1. Select date to change
2. On date picker click on month/year (eg July 2008) to first select correct year if not actual
year, click again if year to select is far away (eg 2001)

3. Click on year (eg 2001) and select month (eg. September) and day.

Page 10 of 20
How to specify uncertainty of drug start/stop
1. Select date to change
2. If date is not clear you can change the default selection (=) to another sign. However,
only changing the sign doesn’t show properly, even when the green sign ‘Your
changes have been saved’ appears. It is properly stored but doesn’t appear when
changed. After a refresh (F5) it is shown correctly.
Examples:
Startdate
=
̴
comment
<
(default)
01.07.2005
13.08.2005
01.07.2005
13.08.2005
15.07.2008
01.01.2005
=
15.07.2005
18.03.2003
15.07.2005
=
accurate date
At that date the patient was already on ART for sure.
However, the exact start date is unsure.
<
*ART start in 2005, however, the exact day and
month are unknown.
Accurate date
̴
ART start in July 2005, however, the exact day is
unknown.
ART start in October 2014, however, the exact day is
unknown.
15.10.2014
̴
Stopdate
01.07.2005
=
=
01.07.2005
13.08.2005
15.07.2008
̴
>
Accurate date
At that date the patient was seen in the cohort the
last time. Afterwards he/she didn’t appear anymore
but the therapy continued.
>
̴
*ART stopped 2005, exact day and month are
unknown
Accurate date
̴
ART stop in October 2005, the day was unknown.
31.12. 2005
15.07. 2005
18.03. 2003
31.12. 2006
15.10. 2005
=
The sign = and < and > always indicate an exact date.
The sign ~ is always linked with 1th , 15th or 31st of a month.
*CAVE: The strategy is new for the case when only the year is known!!!!!
Page 11 of 20
How to overcome challenges
problem
Intermediate stop of
non-ART
Intermediate stop of
ART
Exact metering of
Heroin
 register mg
Heroin (calculate)
*Exact metering of
insuline
 register IE
example
10 days of no lipid
lowering drugs
An expanded weekend
without ART (<7 days)
Intermediate stop >= 7
days
Methadon Streuli Inj. Lös
10mg/ml i.v.
Methadon Streuli
10mg/ml Tropfen per os
DIAPHIN
Trockensubstanz 10 g
i.v
Lantus SoloStar Pen
Insulin NovoRapid
Humalog Inj Lös
100IE/ml
Insulin but unknown Look for ‚Insulin or
derivative hereof‘
or individualized
dosage
Kokaïne and Heroin
from dealers
Marcumar
Marcumar changes
every day
Oxynorm 10 mg/ml 3*0.7ml
Nebido Inj Lös
Once every 10 weeks
1000 mg/4ml
**Drugs in reserve
Seresta in reserve
Unusual
0.5 several times a day
frequencies
Renal insufficiency
and ART
Vitamin D3
Enalapril and
Diuretika
Orphan drugs
Truvada: 1 pill every
second day
Look for ‘Vitamin D3’;
select Vit D3 Wild
500IE/Trpf: 4mal daily. 3
drops or 20 drops/week
Look for ‘Vitamin D3’;
select VITAMIN D3
Streuli Inj Lös 300000
IE/ml every 3 months
CO-ENATEC Tabl
20/12.5 mg not for sale
anymore
Nitazoxanide
solution
result
Don’t enter
intermediate stop
No intermediate stop
Enter ‘Temporary
stop’
insert ml i.v.120mg
Methadon
insert 10 ml per os
100mg Methadon
500mg/d
12-0-0-0
10-0-0-0
1*1.5/month
insert units per
application
insert units per
application
10IE per meal
0-0-0-30
Unknown dosage
‘unknown’
10-0-0-15
10-10-10-0
Never enter
Enter Marcumar with
unknown dosage
0.7ml=7mg
Select Nebido from
druglist
Select 1x per day i.r.
Enter exact frequency
0.5-0.5-0.5-0. It will be
stored correctly.
Reduce the frequency
per day
enter frequency per
day or week
‘unknown’
enter frequency per
year
4x1 per year
Look for ‘Enalapril’
and choose another
drug with the same
substances
Select Nitazoxanide
from druglist (see also
orphan drug list for
1-0-0-0
7-7-7-0
10*1/year
as approximation
„in reserve“
„other“
0.5-0-0-0
3-3-3-3 or
1x20/week
1-0-0-0
Page 12 of 20
Chemotherapy
several drugs
R-CODOX-M, R-IVAC
Hospitalisation
with several
additional drugs:
Look for several
HOSP/ICU entries
alternative drugs
available)
Enter ‘Cytostatic
treatment
(mult.drugs/cycles)’
Enter HOSP/ICU
(several additional
drugs)
Additionally if
needed:
- HOSP/ICU
(additional
antiviral drugs)
- HOSP/ICU
(additional AB)
- HOSP/ICU
(additional TB
drugs)
- HOSP/ICU
(antimycotic
drugs)
- HOSP/ICU
(antiparasitic
drugs)
* metering of Insulin will be decided at CLC meeting
** in reserve will be added at next release. Until then use ‘unknown’.
Trouble shooters for WebMED starters
Problem
Truvada has been
stopped for a few days a
month ago
Kaletra was taken 2*3
Kps and later on
changed to 2*2 Tbl. In
WebMed this appears as
2*2 since the beginning:
Step1
Click on drug
Step2
Temporary
stop
Do NOT
change the
old entry
although it is
not correct.
Kaletra 5.33/d starts at
wrong date. How to enter
earlier years at different
dosage.
“Viramune – comprim”
= Viramune 200mg
change to 200mg and/or
400mg
change start
date
Enter a
dosage
change at the
day of Tbl.
start to 2-0-2-0
(eg)
put dosage
change e.g
5.33/week at
start of 5.33/d
Attention1:
200mg: 1 - 1
do not equal
to 400mg: - - 1
200mg 0-0-2
treat
equivalent to
400mg 0-0-1
Step3
Step4
change dosage at
initial start to
unknown
change dosage
at 5.33/d back
to right info
Page 13 of 20
if
instead of =, <, > or ~
Trial drugs: very often
wrongly registered
Sevre Long changed
from 200mg/d 
720mg/d  100mg/d
Calcimagon since many
years, several dosage
changes:
If no date of birth and no
medication is visible:
Uncertainty about past
date
Unreadable/unfindable
medication in the KG
Warning „Discard
changes‘
Nothing can be
changed. This is mostly
due to a drug entry
mistake in the DB
(missing stop)
Change to
one of signs
in drop-down
menu. Line
must be
selected
exactly
Make exact
list and send
it to
administrator
1*200mgTbl
Enter start
date with
dosage
“unknown”
new login
needed.
Give some
letters into
‘Add drug’
field
No meaning;
your data is
registered
Look for
interrupted
line
Attention1:
Line must be
selected
exactly
Attention2:
Make another
artificial change.
Only change in
sign not
registered!
3*200mgTbl
AND 1*120mg
Tbl.
Enter ‘Insert
dosage
change’ last
change with
current dosage
0.5*200mg Tbl
Empty cache
from time to
time
Change if
verified
Add if clear
(dosage?)
System
doesn’t ask
you when you
are on any visit
date.
Delete this
drug period
Result:
Ignore if not
found
Ignore if not
found
Make the
necessary
changes
Contact information
Contact for questions, suggestions and problems:
Franziska Schöni-Affolter, Datacenter: [email protected] +41 79 518 58 74
Contact for addition of trial drugs:
Franziska Schöni-Affolter, Datacenter: [email protected] +41 79 518 58 74
Bruno Ledergerber at USZ, [email protected]
Page 14 of 20
Angiostrongyliasis
x
x
x
Artesunate
x
x
x
x
Melarsoprol
x
Pentamidine
x
Praziquantel
x
x
Diethylcarbamazine
x
Ivermectin
Herbal drugs
Homeopathic drugs
Anabolid drugs (anabolics, carnitine
etc.)
Supplements (vitamines etc.)
Other non-listed drugs
Filariasis
Schistosomiasis
x
Chinin
Oxamniquine
Pneumocystosis
ORPHA507
ORPHA3386
ORPHA3385
ORPHA723
ORPHA1247
ORPHA3386
ORPHA2034
ORPHA74
x
Nitazoxanide
Benznidazole
Meglumine
antimoniate
Nifurtimox
African trypanosomiasis
P01CB01
P01CC01
P01CD01
P01CX01
P02BA01
P02BA02
P02CB02
P02CF01
x
Eflornithine
Miltefosine
Malaria
133-51-7
23256-30-6
494-79-1
140-64-7
55268-74-1
21738-42-1
1642-54-2
70288-86-7
Paromomycin
Chagas disease
ORPHA507
ORPHA733
ORPHA507
ORPHA3386
ORPHA673
ORPHA673
ORPHA3386
Familial adenomatous polyposis
orphanumber
A07AA06
D11AX16
L01XX09
P01AX11
P01BC01
P01BE03
P01CA02
Leishmaniasis
ATC
1263-89-4
70052-12-9
58066-85-6
55981-09-4
130-95-0
88495-63-0
22994-85-0
Orphan drugs
CAS number
Appendix A: Orphan drugs
Page 15 of 20
Appendix B: Available Vaccinations for basic immunization
J07AJ52
J07D5
J07AM01
J07BD52
J07BD51
J07AJ52
J07CA02
J07BB02
J07BM02
J07D9
J07AM51
J07AM51
J07BC01
J07BC01
J07BD53
J07BC02
J07BJ01
J07BM01
J07BC01
J07BC01
J07BC01
J07BC01
J07BC01
J07BC01
J07BC01
J07BC01
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Page 16 of 20
Pneumokokken (PCV)
Meningokokken C
HPV
Pneumokokken 23
Varizellen
Röteln
Mumps
x
x
Masern
x
Hepatitis B
x
Hib
Acel Immune
Acel P
Act-Hib
Almevax
Anatoxal Di
Anatoxal DiTe
Erwachsene
Anatoxal DiTe
Kinder
Anatoxal
DiTePer
Anatoxal Te
Anatoxal Te N
Attenuvax
Biviraten
Boostrix
Boostrix Polio
Celtura
Cervarix
Di Anatoxal
Ditanrix
Ditanrix
pediatric
Engerix-B 10
Engerix-B 20
Eolarix
Epaxal
Ervevax
Gardasil
Gen H-B-Vax 10
Gen H-B-Vax 5
HBVAX DNA 10
HBVAX DNA 40
HBVAX DNA 5
HBVAXPRO 10
HBVAXPRO 40
HBVAXPRO 5
Polyomyelitis
Pertussis
J07AM51
Tetanus
J07AM51
Diphterie
J07AJ52
J07D9
J07D3
J07BJ01
J07D9
Ergänzung
Vaccination
Im Kompendium
ATC
Basis
J07BC01
J07BC01
J07BC01
J07CA
J07AG01
J07CA
J07CA
x
J07CA
J07CA
J07CA06
J07CA02
J07CA09
J07CA12
J07BD52
J07AH07
J07AH07
J07AH08
J07BJ01
J07BD51
J07BD52
J07BD52
J07BD52
J07
J07BD53
J07BE01
J07BE01
J07AH
J07AG01
J07CA
J07CA
J07BD
J07AL01
J07AL01
J07BF01
J07BF
J07BF
J07BF
J07BF03
J07BF
J07AL02
J07A L02
x
x
x
x
x
x
x
x
x
x
Hebrecomb
Hebrecomb
Kinder
Hevac B
x
Hexavac
Hiberix
x
Infanrix
x
Infanrix DTPa
Infanrix
x
DTPa+Hib
Infanrix DTPax
HBV
Infanrix DTPAx
IPV+Hib
Infanrix DTPAx
IPV
x
Infanrix hexa
x
Infanrix penta
Measles vaccine
live
Meningitec
Menjugate
Menveo
Meruvax
MM Vax
MMR-I
MMR-II
MMRVaxPro
Moraten
MoRu-Viraten
Mumaten
Mumpsvax
NeisVac-C
Pedvax
x
Pentacoq
x
Pentavac
Pluserix
Pneumovax-23
Pnu-Immune
Polio Lilly
Polio Sabin
Polio Salk
Poliomyelitis Impfstoff
Berna
Poliorix
Poloral
Prevenar-13
Prevenar-7
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Page 17 of 20
J07BD52
J07BD54
J07D3
J07CA
JO7CA01
J07BD51
J07BH01
J07BJ01
J07BJ01
J07BJ01
J07AM01
J07AM51
J07AM
J07AM
J07AM
J07AM01
J07CA
J07CA
J07CA02
J07BG01
J07BD52
J07BD54
J07BC20
J07BC20
J07BX
J07E2
J07E2
x
x
x
x
x
x
x
x
x
x
x
Priorix
Priorix-Tetra
ProHibit
Prohibit DTP
Revaxis
Rimparix
Rotarix
Rubeaten
Rubevac
Rudivax
Tanrix
Td-pur
Td-Virelon
Te Anatoxal
Te Anatoxal N
Tetanol pur
Tetracoq
Tetramune
Tetravac
Tollwut Impstoff
Mérieux
Trimovax
Triviraten
Twinrix 360/10
Twinrix 720/20
Vaccin variole
Varilrix
Varivax
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Page 18 of 20
Appendix C: Available Vaccinations for immunization of risks
J07E1
J07BL01
J07AN01
J07AN01
J07AF01
J07BB02
J07AE01
J07BA01
J07BA01
J07BA01
J07BC02
J07BJ01
J07BB02
J07BB02
J07BB02
J07BA01
J07BA01
J07BA01
J07BC02
J07BC02
J07BC02
J07BC02
J07BB02
J07BB02
J07BB02
J07BA02
J05AX02
J07BD52
J07AH04
J07AH07
x
x
x
x
x
x
x
x
x
x
x
x
x
Agrippal
Arilvax
BCG
BCG SSI
BCG
Mérieux/Berna
Celtura
Dukoral
Encepur
Encepur N
Encepur N
Kinder
Epaxal
Ervevax
Fluad
Fluarix
Focetria
FSME-Immun
0.25 ml Junior
FSME-Immun
CC
FSME-Immun
Injektion
Havrix 1440
Havrix 360
Havrix 720
Havrix junior
Inflexal V
Influvac
Influvac plus
Ixiaro
Lyssavac Berna
Measles vaccine
live
Mencevax
ACWY
Meningitec
Janpanisch Enzephalitis
Pocken
Influenza A/H1N1/09
Rotavirus
Zoster
ETEC
Meningokokken ACWY
Gelbfieber
Turberkulose
Typhus
Tollwut
Cholera
Grippe
Hepatitis A
FSME
Vaccination
Im Kompendium
ATC
Risiko
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Page 19 of 20
J07BD52
J07BB02
J07BB02
J07AP01
J07AP01
J07BB02
J07BG01
J07BG01
J07BH01
J07B L01
J07BG01
J07BC20
J07BC20
J07BX
J07BX
J07E2
J07D4
J07D4
J07E2
x
x
x
x
x
x
x
Meningokokken-Impfung A+C
Mérieux
x
Mutagrip
x
Optaflu
Orochol
Orochol E
Pandemrix
Rabipur
Rabique
Mérieux
Rotarix
Stamaril Pasteur
Tollwut Impstoff
Mérieux
x
Twinrix 360/10
x
Twinrix 720/20
Vaccin variole
Variola
x
Vaqta
Vivotif
Vivotif L
Zostavax
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Page 20 of 20

WebMED handbook

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