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5. Add data to the record tree

Once the patient record has been entered, the Record Tree will be displayed.

CAP record tree

For all sections below, clicking Submit will generate a You have successfully added a record message and will add the record to the record tree for that section.

See the end of the NICE Processes of Care Data section for an example. This same functionality applies to all sections. You can edit or delete records from the record tree, and the most recent entry will appear at the bottom of the list.


Add NICE processes of care data

Click on Add record next to NICE Processes of Care which will open up the options to enter data for the 5 NICE Care Guidelines. 

NICE processes of Care add record

Click on the Serum Creatinine tab, enter the Level and click Submit. Enter date of observation and click Submit.

The Serum Creatinine Level must be between 20 and 1000.

Serum Creatinine tab

Click on the Urinary Albumin tab and enter the Level (which will bring up the date field). Select the testing method and stage from the drop down options and click Submit.

Urinary Albumin Level must be in the format: 0000.0.

Urinary Albumin level

Click on the Eye Examinations tab and select whether a review was carried out using the drop-down option. Enter the Observation Date if selecting 'Carried out' and click Update.

Eye Examinations tab

Click on the Foot Examinations tab and select whether a review was carried out using the drop-down options. Enter the Observation Date if selecting 'Carried out' and click Update.

foot examinations tab

Click on the Smoking Status tab and choose the most appropriate option from the drop-down list, enter the Observation Date and click Update. 

smoking status tab

Once you have submitted any or all of the 5 items, it will display the message below.

You have successfully created a NICE processes of care record

The observation dates of the records you created will appear on the Record Tree. You are able to edit or delete this record if necessary.

NICE processes of care add record

If you wish to add a new record for all items or just an individual process, the record(s) will be displayed with the most recent update at the bottom of the list:

Observation dates - most recent at the bottom


Add HbA1c information

Click Add record to add HbA1c information.

NICE processes of care HbA1c

Add the HbA1c Level and Observation Date and click Submit.

HbA1c Level must be between 3.9 and 195.1.

HbA1c Level field


Add blood pressure information

Click Add Record to add Blood Pressure information.

NICE processes of care - Blood pressure

Add figures for Systolic and Diastolic Blood Pressure and the Observation Date, and click Submit.

Systolic BP must be between 70 and 300, Diastolic BP must be between 20 and 150.

NICE process of care  - blood pressure field


Add BMI information

Click Add Record to add BMI information.

NICE processes of care BMI

Add the BMI value and the Observation Date and click Submit. 

BMI must be between 16 and 70. 

BMI record


Add cholesterol information

Click Add Record to add Cholesterol information. 

NICE processes of care Cholesterol Level

Add the Total Serum Cholesterol Level and the Observation Date and click Submit. 

Cholesterol level must be between 1 and 40. 

NICE processes of care Cholesterol Level


Add Clarke and Gold information

Click ‘Add Record’ to add Clarke and Gold information.

Clarke and Gold information

Add Clarke Score and Observation Date and click Submit. 

Clarke and Gold

Add Gold Score and Observation Date and click Submit.

Gold score and observation date

 

 


Last edited: 5 July 2024 3:51 pm