ObGynPktProLite Help
Overview
Obstetrical
Patient Database
Due
Date Calculator
Coding
(ICD-9)
Core
ObGyn Reference
Patient
Teaching Images
Learn
Mode
Patient Database
Keep track of your patients prenatal care. Create Delivery notes and
Post Partum notes, as well as notes for pregnancy loss
Patient
List
Prenatal
Care Form
Delivery
Note
Early
Pregnancy Loss Note
Edit/View
Ob History
Post
Partum Note
Due Date Calculator
Replaces your "Ob Wheel" and does a whole lot more!
Dating
(patient & u/s reported info)
Inquire
(on other dating issues)
Fetus
(dimensions, teratogens)
Core Reference
Essential tables and information you need at your fingertips
Risks
of Anomalies
GDM
Testing (Gestational Diabetes)
Teratogens
(Table)
Immunization
during Pregnancy (Table)
Show
(Illustrations)
Company Information
About
the Author
About
ObTech, Inc
Disclaimer
Ob
Patient Database
Keep track of your ob patients' prenatal care with minimal input on the
PocketPC. Alerts help ensure adherence to routine prenatal care
guidelines. Prenatal Care, Delivery Notes, Loss Notes, and Postpartum
notes can be created and printed.
See Also
GDM Testing
Risks of
Anomalies
Coding
Patient
List
View your list of patients. Sort by patient type (pregnant, recent
delivery, recent loss, gyn). Search (filter) the list by entering the
first few letters of your patients last name to find her fast.
Menu Items
- New Ob Patient - Create a new Ob
patient - opens the Prenatal
Care Form.
- Edit Ob Patient - Edit an existing
pregnant patient.
- View Ob Patient - View the text
note of the prenatal care - printable note.
- Delivery Note - Create a delivery
note - printable
- Early Pregnancy Loss - Create a
note for any loss
under 20wks - miscarriages and ectopics - printable.
- Postpartum Note - Create a Postpartum note.
Many options to automate and streamline the process of writing a
complete note.
- View/Edit Ob History - set a
patient's ob
history for viewing later.
- Delete Patient - be careful, this
is permanent!
- New Pregnancy - a new pregnancy
for an existing gyn patient.
Icons
-
 Due Date
Calculator (integrated with patient database)
-
 Delete
Patient
-
 Patient
Delivery
-
 Patient
Loss (miscarriage, ectopic, - any loss of pregnancy under 20 weeks)
-
 New
Pregnancy for an existing patient in the database list.
See Also
Prenatal
Care
Ob History
Delivery
Loss
Postpartum
Prenatal
Care Form
Your mini prenatal care form (yes, we plan to add everything later! See
coming soon). We've
included a problem list and PNC labs.
- Edit Tab New Patient: Enter the
new patient's name, date of birth, and unique ID number. Select the
gestation number (singleton, twins, triplets, quads) from the drop down
list below the green button. Before you tap the green button to enter
the value, read the message and TIPS in the Ob Problem textbox. Then,
tap the green button to set the gestation number.
The green button, the drop down list, and the TIPS message will
disappear. If you find out later you have surprise twins (or more), you
can access these controls again from the patient menu.
- ObProbs: Enter your Ob problem
list here. See TIP 1 below for quick ways to add routine problems.
- LABS: Red or Yellow alerts are
displayed by colored lab names, and explained in detail on the Alerts
Tab. Yellow alerts represents items needing attention soon, while red
alerts indicate items needing immediate attention.
- TIP 1: Routine Ob Problems - Tap
and hold in the ObProbs text box to select from a list of
routine obstetrical problems to add to your patient's problem list, or
type directly whatever you'd like.
- TIP 2: Setting multiple labs
simultaneously - Tap and hold the "Initial PNC
labs" heading to get two menu options to set most labs to pending
(typical for NOB visit), and to set appropriate labs to their default
normal values.
- View Tab View your patients
prenatal record in a organized, printable note.
- Alerts Tab Read lab alerts, due or
overdue labs, other problems, and some routine obstetrical care
recommendation reminders.
See Also
GDM Testing
Risks of
Anomalies
Coding
Ob
History Form
View or Edit your patient's Ob history.
- Summary Tab - Lists a summary of
your patients prior pregnancies. The icons designate whether a delivery
or loss, and the icon color designates the sex of the baby for quick
reference. The universal leaf is used for the loss. There are also
unique icons to designate multiple gestations.
- Detailed View Tab
- Delivery Tab
- Loss Tab
Delivery
Form
Write a delivery note. Print out a note. Record information to be
available for your postpartum visit.
Early
Pregnancy Loss Form
Write a note for a loss under 20wks, including miscarriage, ectopic,
etc. Surgical note as appropriate. Record information to be available
for your follow up visit.
Post
Partum Note
Write a Postpartum note. Records from delivery or loss automatically
migrated. The assessment and plan can be automatically generated by
setting the "Autofill Assessment/Plan" in the Tools menu. You can make
any direct final edit changes. You can also select individual automatic
entries by tapping and holding in the Assessment or Plan textboxes. You
can also customize the program to have your own routine comments
attached to the 6 customizable buttons.
- Review (Loss or Delivery) Tab -
Simply a review for your reference of the Delivery (or Loss)
- Edit PP Tab - Enter your chief
complain, HPI, and physical exam. Use the 3 exam buttons to quickly
enter normal values. You can also enter your own personalized text for
each item examined. The most recent entries you use will be available
the next time you use the form in the drop-down list of entries.
- A/P Tab
- Tap and Hold - Tap and Hold in
either the assessment or plan text box to see a list of automatic
entries
Customizing Buttons: You have 6 customizable buttons on the A/P Tab.
Select "Set Your Buttons" under the tools menu to change into
Customizing Mode. Push the button you want to customize. Then, enter
the name you want to assign to the button in the textbox on the middle
right of the screen labeled "Type Btn Name Here". Then, enter any
personalized text you want in the assessment and plan. When you like
what you've typed, press the green save button. You can repeat this
process for all 6 buttons. Once you've finished, then select "Set Your
Button's" in the Tools menu to uncheck it and return to the using mode.
- Clear Buttons - Press these to
clear out either the assessment or the plan.
- View PP Tab - See your final note
as it will appear when you print it out or save it on your Desktop PC.
Due Date
Calculator
Replaces your "Ob Wheel" and does a whole lot more! Including
determining the "Best Dates" between the patient's first ultrasound and
the LMP, fetal dimensions and quick inquiry into other dates. It's also
a metric to English weight converter, and shows teratogen
susceptibility.
Due Date Calculator Tab Details
- Dates
Tab: Enter patient's LMP, EGA, or EDD, or even EFW
and get the rest (including DOC- Date of Conception). Also converts
lbs-oz to grams.
Enter the ultrasound data and determine dates, including "best dates"
using the 10% rule for ultrasound error.
- Inquire
Tab: Find out when she's at a certain gestational age, or
what gestational age she was on a certain date (useful for scheduling
and triple screens).
- Fetus
Tab: See fetal dimensions (FL, BPD, etc...) based on EGA, and
organ susceptibility to teratogens based on gestational age.
See Also
GDM Testing
Risks of
Anomalies
Coding
Dates Tab
(patient reported info & ultrasound info)
This tab allows you to enter any Patient Dating
information and Ultrasound information. Also, you can enter an
Estimated Fetal Weight to get dating as well as convert between metric
and English weights. The best dates between the ultrasound and the LMP
are framed in blue based on an assumption of 10% error margin for the
ultrasound. This represents an APPROXIMATION of the true accuracy of an
ultrasound. Always use sound clinical judgment to choose your own final
best dates. Your own assessment of the patient's own accuracy of her
historical dating, and other clinical information may give you
different final "Best Dates".
Patient Dating - Enter patient dating
information. Framed in a blue "Best Dates" label if best dates compared
to ultrasound (using 10% rule).
- LMP - Change the Last Menstrual
Period using the calendar date picker. Type directly, or use the down
arrow to see a calendar. Click on the month to quickly chose the month,
click on the year, to quickly change the year.
- DOC - Change the Date of
Conception by using the calendar date picker (see LMP instructions).
The DOC is simply calculated by adding 2 weeks to the last menstrual
period. This assumes a 28 day menstrual cycle. It is most useful for
IVF, IUI, or when patient is certain of date of conception.
- EGA - Estimated Gestational Age in
weeks and days. The EGA button must be pressed to calculate the dates.
Notice the button changes color indicating you need to press it after
you alter the EGA weeks or days.
- EDD - Change the Estimated Due
Date using the calendar date picker. Type directly, or use the down
arrow to see a calendar. Click on the month to quickly chose the month,
click on the year, to quickly change the year.
- EFW - Enter the Estimated Fetal
Weight in lbs-oz or grams, and get equivalent dates as well as the
metric-English conversion. The EFW button must be pressed to calculate
the dates and make the conversion
Ultrasound - Enter ultrasound
information. Framed in a blue "Best Dates" label if best dates compared
to patient info (using 10% rule).
- DOU - Date of Ultrasound. Invalid
dates are prevented.
- UGA - Ultrasound Gestational Age
– the gestational age at the time of the ultrasound, as
determined by the ultrasound. Push the button to enter the altered
values
- EGA - Estimated Gestational Age
today based on ultrasound.
- EDD - Estimated Due Date based on
ultrasound.
- EFW - Display of Estimated Fetal
Weight for the ultrasound dating (cannot be entered directly).
See Also
Inquire Tab
(on other dating issues)
Fetus Tab
(dimensions, teratogens)
Inquire
(on other dating issues)
This Tab allows you to use the patient’s dates
or ultrasound information to inquire about other dates or gestational
ages. It is helpful in determining gestational age at time of an event
(e.g. exposure to a teratogen, draw of triple screen), or the date of a
certain required gestational age (like a planned repeat cesarean at
38-39 weeks).
- Radio buttons allow you to inquire
on the LMP or the ultrasound dates - pick one. Notice the dates summary
in the bottom so you don't have to switch back to another tab to remind
yourself of the details.
- ?GA - Gestational age of interest.
don't forget to push the button.
- DOI - Date of Interest.
See Also
Dating Tab
(patient & u/s info)
Fetus Tab
(dimensions, teratogens)
Fetus
(dimensions, teratogen susceptibility)
- Radio Buttons allow you to pick
the dates based on LMP, Ultrasound, or your date of interest.
- Teratogen table of organ
susceptibility based on gestational age. A general table of teratogens
is listed (to be elaborated)
- Fetal dimensions
- CRL - Crown Rump Length
- BPD - Biparietal Diameter
- FL - Femur Length
- LEN - Fetal Length
- EFW - Estimated Fetal Weight
See Also
Dating
(patient & u/s info)
Inquire (on
other dating issues)
Risk of
Anomalies
Anomalies Risk based on Maternal Age.
References: Hook EB, et al, Chromosomal
abnormality rates at amniocentesis and in live-born infants. JAMA
1983;249:2034-2038.
See Also
Due Date
Calculator
GDM
Testing
(Gestational Diabetes Mellitus)
Antepartum - 1 Hour Glucola
(50g Glucose Load)
Threshold of 140 has 10% less sensitivity then 130, but fewer false
positives. (I use 135)
Antepartum - 3 Hour GTT
(100g Glucose Load)
| Draw Time
|
New Cutoff_Value
|
Old Cutoff_Value
|
| Fasting |
95 |
105 |
| 1 Hour |
180 |
190 |
| 2 Hour |
155 |
165 |
| 3 Hour |
140 |
145 |
The table above contains cutoff values for the 3 hr,
100g glucose load, glucose tolerance test. If two or more out of four
values are elevated, than the patient has gestational diabetes. If the
fasting is elevated, then insulin is warranted. The newer stricter
values are on the left, while the older, less strict values are
also listed (and still widely used). ACOG guidelines advise
either (ACOG Practice Bulletin No 30, Sept 2001)
Postpartum - 2 Hour GTT
(75g Glucose Load)
For patients requiring insulin (GDMA2), a postpartum test is
appropriate to determine if they have newly acquired Type II Diabetes
Mellitus, or Glucose Intolerance. The 2 Hour GTT should be performed at
6-8 wks postpartum.
Normal
Fasting < 110mg/dl
2hr <= 140 mg/dl
Impaired Glucose Tolerance
Fasting 110-125 mg/dl
2hr 140-199 mg/dl
Diabetes Mellitus
Fasting >= 126
2hr >= 200
-or-
Symptoms of DM and random
plasma glucose > 200 mg/dl
See Also
Due Date
Calculator
Coding
- IDC-9 (CPT®
in full version )
The necessary evil of
all physicians. This is not intended to be a reference for all codes,
but rather a source for quick access to the majority of codes needed
for practicing Ob/Gyn.
- The [+] and [-] symbols allow you to expand or
collapse the tree of information.
- The scroll bars allow you to view arrays beyond the
screen.
Future plans: Editing of information will be provided,
allowing you to enter, for example, charges - see full version!
Show
(Illustrations)
Patient Education
illustrations as listed. Where possible, the top photo is the normal,
and the bottom is the anatomic defect.
Use these illustrations to educate and inform your
patients - my patients find them very helpful!
Send me an email if you'd like an illustration you don't
find
support@obtechcorp.com
Immunizations
during Pregnancy
Teratogens
Modified from ACOG
Educational Bulletin, No 236, April 1997, Table 1
Core
ObGyn Information
Essential Tables
Current tables include Gestational Diabetes testing (GTT values, etc),
Risk of fetal anomalies, Teratogens, Vaccinations in Pregnancy. We will
be expanding the tables an information in the core reference. If you
have a pertinent table or reference you would like to see included,
please send to support@obtechcorp.com
and we will seriously consider including it.
Internet Auto-Update
These tables are automatically updated via internet sync (just have
your PocketPC cradled while your computer is connected to the
internet).
Learn
Mode
You will be started in
"Learn Mode", where you will see many helpful tips and hints on how to
use the program. As you grow familiar with the program, they will be an
intrusion. You may turn Learn Mode off at anytime by un-checking the
Learn Mode menu item under the Tools menu.
About
the Authors
- Robert Lalouche, MD, MS, FACOG -
President and CEO
- Education and Training
- Board Certified, Ob/Gyn, Residency - Duke
University Medical Center
- Doctor of Medicine - University of
California, Los Angeles
- Masters, Computer Science - University of
California, Los Angeles
- BS, Electrical & Computer Engineering
- University of California, Davis
- Professional Activities
- Ob/Gyn Multi-Specialty Group Practice
- Professor of Ob/Gyn, Family Practice Residency
- Indigent Care Maternal Health Clinic
- President, ObTech, Inc
- William Albert - Vice President,
Engineering
- Education and Training
- BS - University of California, Davis
- Paul Madoff, BA - Webmaster
- Education and Training
- BA - University of California, Davis
Other Participants
- Rose-Hulman Ventures - Many thanks to their support,
investment, and assistance
- Dr. James R. Eifert - President, Rose-Hulman Venture
- Dr. Brij M. Khorana - Executive Vice President for
Rose-Hulman Ventures and Chief Operating Officer
- Brad Kelsheimer – Vice President
– Administration and Business Affairs
- William F. Mathies – Manager, Software
Development
- Mary Kay Huse – Technical Business Analyst
- Mark Garringer, RHIT student
About
ObTech, Inc
ObTech is a growing small company with two hard working,
dedicated employees and a lot of outside support. We welcome your
suggestions for improvement and new features. We would also like to
here from you if you have interest in investing in our company. If you
want to join our mission to revolutionize medical care using mobile
devices, we'd love to here from you.
email:
support@obtechcorp.com
www.obtechcorp.com
- Development of PocketPC Medical Software
- Development of products for Obstetrics and Gynecology
Incorporated September, 2001
Disclaimer
ObTech has made every effort to make this program
useful, accurate, and medically correct. However, we cannot guarantee
it is without errors in function or in the information it provides.
This program is no substitute for sound clinical judgment. Please read About the Authors
to see our qualifications. Please notify us (Email: Support) of
any programming errors or errors in medical information, and we will
correct the error as soon as possible. Thank you for your patronage.
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