The "Stays" functionality in the "CTC" menu is used to support patients' stays in the care and treatment institution. After selecting this functionality, a list of selection of care and treatment facilities operating within the healthcare facility in which the logged in user works is displayed. After selecting the care and treatment institution and clicking the "Search" button, a list of rooms in the institution is displayed in the form of bars. Clicking on the bar with the name of the room results in displaying a list of beds in the room. Each bed has either the patient's name on the bed or information that the bed is empty. Above the name of the patient there is his photo (if it has been inserted into the patient's card). There are indicators under the patient's name, below them there may be icons of planned activities and next to the name of the icons of all activities that can be registered. If the payment for the stay in the care and treatment institution is taken in advance, then next to the patient's name there are only two icons: green, opening the "Patient" tab of the patient's card in a new window, and red, opening the "Payments" of the patient's card in the new window.

If the patient has only the two icons mentioned above, then to start servicing the patient's stay in the care and treatment institution, click this icon and settle the payment. Handling payments for a stay in a care and treatment institution takes place as described in the chapter "Registration" in the subsection "Patients (active cards)" in the sub-chapter "Payments".

After accepting the payment, the patient's card should be closed by clicking the "Close" button at the bottom of the patient's card (only then the patient view in the care and treatment facility will be refreshed). Do not close the patient card with the window close button.

If the payment for the stay is taken in advance and will be settled or if the payment is taken in arrears or if the stay is not charged with costs, then next to the patient's name is displayed a full range of icons enabling handling the patient's stay in the ward (after moving the mouse cursor over any icon appears a balloon with information about what the icon means).

The following icons are available to support the patient's stay in the ward:

• patient card - opens a patient card in a new window (if the logged in user has the rights to manage patient data)
• authorized / unauthorized persons - opens in a new window a form for managing authorized persons and unauthorized persons to obtain information on the patient's state of health and to visit the patient
• services - opens in a new window a form for managing services provided during the patient's stay in the facility (the icon is visible only for commercial stays and only if the logged in user has the rights to manage patient payments)
• drugs - opens in a new window a panel for prescribing drugs to be given to the patient during the stay (provided that the logged in user has the right to prescribe drugs to patients)
• menu - opens a form in a new window that allows you to assign a menu to a patient
• events - opens in a new window a viewer of events recorded during the patient's stay in the care and treatment institution
• parameters - a set of icons enabling the recording of measurements of basic patient parameters
  • observation - opens a form in a new window that allows you to register the patient observation
  • temperature - opens a form in a new window that allows you to register a patient's body temperature measurement
  • pressure - opens a form in a new window that allows you to register a patient's blood pressure measurement
  • sugar - opens a form in a new window that allows you to register the patient's blood sugar measurement
  • excreta - a set of icons enabling the recording of information on patient's excreta
  • urine - opens a form in a new window that allows you to register urine measurement by the patient
  • stool - opens in a new window a form that allows you to register the consistency assessment of the stool given by the patient
• hygiene - a set of icons enabling the recording of patient hygiene information
  • washing - opens a form in a new window that allows you to register the fact of washing the patient
  • bath - opens a form in the new window that allows you to register the fact that you have taken a bath
  • change of bedding - opens in a new window a form that allows you to register the change of bedding for the patient
  • towel change - opens a form in a new window that allows you to register the fact of changing the towel to the patient
• support - a set of icons enabling the registration of information regarding patient's (physical and mental) support
  • drugs - opens a form in a new window that allows you to register the fact that one have given drugs to patient
  • drip connection - opens a form in a new window that allows you to register the fact of drip connection to the patient
  • drip disconnection - opens a form in a new window that allows you to register the drip disconnection
  • catheter connection - opens a form in a new window that allows you to register the fact that the catheter is connected to the patient
  • catheter disconnection - opens a form in a new window that allows you to record the fact that the catheter has been disconnected
  • anti-bedsore mattress connection - opens a form in a new window that allows you to register the fact of connecting the anti-bedsore mattress to the patient
  • of an anti-bedsore mattress disconnection - opens a form in a new window that allows you to register the fact that the anti-bedsore mattress has been disconnected
  • oxygen connection - opens a form in a new window that allows you to register the fact of oxygen connection to the patient
  • oxygen disconnection - opens a form in a new window that allows you to register the fact of oxygen disconnection to the patient
  • administering sacrament - opens a form in a new window that allows you to register the fact of granting the sacrament to the patient
• moving - a set of icons enabling the registration of information regarding the relocation of a patient within a care and treatment institution and outside it
  • going for a walk - opens a form in a new window that allows you to register the fact that you are taking a walk
  • return from a walk - opens a form in a new window that allows you to register the patient's return from a walk
  • going for a pass - opens a form in a new window that allows you to register the fact of leaving the patient for a pass
  • return from the pass - opens a form in a new window that allows you to register the patient's return from the pass
  • transfer - opens a form in a new window that allows you to register the fact of moving a patient to another bed / room
• ending - a set of icons enabling the registration of information regarding the ending of a patient's stay in a care and treatment institution
  • discharge - opens a form in a new window that allows you to register the fact that a patient has been discharged from a care and treatment institution
  • death - opens a form in a new window that allows you to register the fact of patient's death
• meals and drinks - a set of icons enabling the recording of information about meals and drinks consumed by the patient
  • meal - opens in a new window a form that allows you to register the types and amount of products consumed as part of breakfast, lunch, dinner, teatime, supper or as an additional meal
  • drink - opens a form in a new window that allows you to register the amount of drinks consumed as part of breakfast, lunch, dinner, teatime, supper or as an additional drink

To access the data of authorized / unauthorized persons to obtain information about the patient's health and to visit the patient, click the "Authorized / unauthorized persons" icon. A new window will open with the data of authorized persons. Any number of authorized / unauthorized persons can be entered in the form. By default, fields with data of persons already entered are displayed. If you want to enter more people, use the "More" button - each click will display the fields for entering the next person. If all fields intended for entering the personal data of an authorized / unauthorized person are left blank, they will be ignored when saving the data. After modifying the data of authorized / unauthorized persons or entering data of new persons, they should be saved by clicking the "Save" button.

From the level of the authorized persons management window, it is possible to provide authorized persons (and those having an e-mail address) with access to the history of activities performed for the CTC patient and activities planned for the CTC patient. To do this, check the "portal" box next to the persons who are to have such access and click the "Send to credentials for portal to marked persons" button. Then, an e-mail with a token (link) to the place on the patient's portal will be sent to the selected persons with a preview of the list of recorded events and the list of events planned in the near future for the patient in the form of a view as below.

To manage commercial services provided during the patient's stay in the care and treatment institution, click the "Services" icon. A form will be opened in a new window, divided into two sections. The first section is available services, i.e. services from the price list that can be provided during your stay. To demonstrate the implementation of some services, select the appropriate services and click "Add". The second section is the services already provided during the stay. If any services have been incorrectly listed as completed (due to an error or other circumstances), then such services can be removed from the list of completed services by selecting them and clicking the "Delete" button. After clicking this button, services that have not yet been paid will disappear from the list of services performed and services that have been paid will remain on this list (after the patient's stay in the care institution is over, it will be necessary to issue a corrective financial document for such services).

To prescribe what drugs should be given to the patient, click the "Drugs" icon. A new window will then open with the prescription form and the list of prescribed drugs. In the prescription form, start entering the name of the drug, after entering at least three characters, a list of suggestions will appear. The correct drug should be selected from the list of hints and the cursor will be automatically moved to the field of the drug form and the list of hints will also be automatically displayed. The correct form of the drug should be selected from the list of hints, in which case the cursor will be automatically moved to the dose field of the drug and the list of hints will also be automatically displayed. The correct dose should be selected from the list of suggestions. Next, the time of administration should be determined for the selected drug. There are three variants here: administration of the drug at fixed seasons (morning, noon, evening), administration of the drug at fixed hours (e.g. administration of the antibiotic three times a day every 8 hours), immediate administration od the drug. If the drug is administered at fixed seasons, specify the dose, indicate at what seasons the drug is to be administered, specify the time of administration of the drug relative to the meal, if it matters (if any of the options "before meal" / "during meal" / "after meal "option can be unchecked by clicking the checkbox again). If the drug is administered at fixed hours, the fields enabling one hour of administration are displayed by default. To indicate more application hours, use the "More" button. Each click of this button displays additional fields for adding the next serving hour. In the case of immediate drug administration, fields enabling indication of one date of administration are displayed by default. To indicate more application dates, use the "More" button. Each click of this button displays additional fields for adding another application date. After entering all data, confirm them by clicking "Add". The added drug will appear on the list of prescribed drugs below the form.

To modify the prescribed drug data, click the "Edit" button next to the drug on the list of prescribed drugs. The prescription form will then be filled in with the prescribed drug details. After modifying the data, confirm it by clicking "Save".

To delete a prescribed drug, click the "Delete" button next to the drug on the list of prescribed drugs and confirm your intention to delete the drug by clicking "OK" in the prompt window that appears.

To assign a menu to a patient, click the "Menu" icon. A form will then open in a new window that allows you to assign (or change the assignment) of a menu. After selecting the appropriate menu, save the data by clicking the "Save" button.

To register an event related to the patient's stay in a care and treatment institution, click the appropriate event icon. A new window will open with the event adding form. Each event form specifies its date, time and person performing / registering. During the patient's stay in the ward, two events cannot be registered at the same time - the hours must differ by at least one second as they form the basis for determining the correct order of events. Depending on the rights, one can only add events for which one is the person performing / registering or one can add events on his own behalf as well as on behalf of other users. For some events, in addition to the date, time and person performing / registering, other information is also recorded:

• the events "temperature", "pressure", "sugar" require entering the result of measuring the value of a given parameter

  

   

• “urine” and “drink” events require the amount of fluid to be entered
• the “observation” event requires entering observations
• the "stool" event requires stool consistency to be determined
• the "meal" event requires determining the quality of meal consumption and possibly indicating the menu from which the meal was served to the patient (if the patient is assigned a menu, then it is selected by default; the quality of consumption, depending on the system configuration, can be defined descriptively or by selecting a single option for the entire meal or by selecting a separate option separately for each meal component)

  

  

  

   

• the events “washing”, “bath”, “bedding change”, “towel change”, “catheter connection” require an indication of the store resources (hygienic materials) used in carrying out the activity
• the “drip connection” event requires an indication of the store resources (drips) consumed as part of the activity
• the "drugs" event requires an indication of the store resources (CTC drugs) used as part of the activity

  

   

• the event "administering sacrament" requires a definition of the type of sacrament awarded / types of sacraments awarded and an indication of the minister

  

   

• events such as "going for a walk" or "going for a pass" require an indication of the patient's guardian on the walk / pass
• the "transfer" event requires an indication of the bed to which the patient is being moved

  

   

• the "death" event requires the identification of the person declaring death

For events that require the indication of inventory, the current inventory of the resources appropriate for the event is displayed. A text box is displayed above the resource list in the warehouse - when you enter the resource name in this field, the list of resources automatically narrows to those that match the name you enter.

In the event of a "drugs" event, information about the drugs that have been prescribed to the patient is displayed under the event form (omitting immediate drugs with a past administering date). Information on prescribed drugs is, if possible, arranged in the order in which they should be administered in the near future. The date / time / season of drug administration and the current time are taken into account and a certain margin is taken due to possible delays in drug administration. Medication times are highlighted (colors for the medication given in the morning are the same as the color of the meal and drink icon for breakfast, the color for the medication given at noon is the same as the color of the meal and drink icon for the dinner, the color for the medication given in the evening is the same as the color of the meals and drinks icon for supper, the color of the distinction for medicines given at other times is the same as the color of the icons for meals and additional drinks). Medication times with respect do meals are highlighted with different types of underlining (double line for before-meal drugs, single line for during-meal drugs, dotted line for after-meal drugs).

In the event of a “meal”, it is possible to indicate the menu from which the meal was served to the patient. If a meal has been defined for a given day in a given menu, then the meal data will be automatically copied to the data of the "meal" event.

For each event, with the exception of "discharge" and "death" events, after entering event data in the form and confirming them with the "Save" button, an appropriate message is displayed, and the event adding window closes automatically. At the same time, the indicators under the patient's name are updated.

The following indicators may appear under the patient's name:

• temperature - the value of the last temperature measurement today
• pressure - the value of the last pressure measurement today
• sugar - the value of the last sugar level measurement today
• drugs - the time of the last drugs administration today
• meal - the time of the last meal served today (the color of the icon changes depending on the type of the last meal served and corresponds to the color of the last meal icon)
• drink - the time of the last meal served today (the color of the icon changes depending on the type of last drink served and corresponds to the color of the last drink event icon)
• drip connection - the icon is displayed when the patient has a drip connected
• catheter connection - the icon is displayed when the patient has a catheter connected
• anti-bedsore mattress connection - the icon is displayed when the patient has an anti-bedsore mattress connected
• oxygen connection - the icon is displayed when the patient has oxygen connected
• on a walk - the icon is displayed when the patient is on a walk
• on a pass - the icon is displayed when the patient is on a pass

When you hover over the pointer icon, a balloon appears with information on what the pointer means. The indicator icons are identical to the icons of the corresponding events.

Access to all events recorded during the patient's stay in the care facility is provided by the "Events" icon. Clicking it opens a new window in which the event filter is visible. In the filter, the event types are marked with the same icons as the icons next to the patient's name used to record events. The filter also has an "admission" event icon, meaning that the patient has been admitted to a care facility. By default, all event types are selected, so just click the "» "button to display a list of all events. The range of displayed event types can be limited:

• by checking / unchecking boxes next to given event types
• by clicking the selected event type icon - clicking the event icon works in such a way that only this event is selected in the filter and all others are deselected (it is useful to quickly select a specific event to display)
• by checking the "all", "meals", "drinks" boxes - checking the "all" box selects all event types, unchecking the "all" box deselects all event types, selecting the "meals" box selects all types of meals, unchecking the " meals "deselects all types of meals, selecting the" drinks "box selects all types of drinks, unchecking the" drinks "box deselects all types of drinks (selecting here is additive, i.e. checking the" meals" box does not deselect other types of events)
• by specifying the dates and times of the beginning and end of the period from which the events are to be displayed, the time given in the filter can be specified in one of three formats hh, hh: mm, hh: mm: ss and it only makes sense with the date (otherwise it is ignored)

After specifying the criteria in the filter and clicking the "» "button below the filter, a list of events that match the search criteria is displayed. If the user has the right to register only events performed / registered by himself, then each of such events on the list (except for the "admission" event) displays icons for editing and deleting the event. If the user has the right to register events both on his own behalf and on behalf of other users, then icons for editing and removing the event are displayed next to each event on the list (except the "admission" event).

If only one type of event is selected in the filter and the event is of a measurement nature, then a chart showing the measurement values may appear under the list of events. In case of "temperature", "pressure", "sugar" events, if the number of recorded measurements is greater than one, a chart of changes in value over time will be displayed (in the case of pressure for both systolic and diastolic pressure).

In the case of drip / catheter / anti-bedsore mattress / oxygen connection events, and walk / pass events, a chart showing the time of drip / catheter / anti-bedsore mattress / oxygen connection or walk / pass events will be displayed. The value of "1" in this chart means the period of connecting the drip / catheter / anti-bedsore mattress / oxygen or staying on a walk / pass, the value of "0" means the period of disconnecting the drip / catheter / anti-bedsore mattress / oxygen or staying in the building of a care and treatment institution.

For "urine" and "drink" events, a bar chart of daily urine collection and daily fluid intake, respectively, is presented. To ensure that the results are not falsified, the data are presented only for those days when the patient was in the care and treatment center all day (so admission and discharge days and days on the pass are omitted).

To modify event data, click the edit icon next to the event in the list. A new window will then open with the event data form almost identical to that when adding an event, except that it is filled with data and with a check box next to the menu field in the event of a "meal" event. The check box next to the menu is used to indicate whether the meal data should be updated or not: if the box is checked then the meal data at the event will be updated, otherwise the data will not be updated. This solution is dictated by the fact that if a meal is removed from the menu, its unconscious update would also result in its removal from the event. After making changes in the event editing form, save them by clicking the "Save" button. After modification of the event, the indicators under the patient's name are updated according to the new current state.

To delete an event, click the delete event icon next to the event on the list and confirm your intention by clicking "OK" in the prompt that appears. When deleting the "drip connection" / "catheter connection" / "anti-bedsore mattress connection" / "oxygen connection" event, the corresponding "drip disconnection" / "catheter disconnection" / "anti-bedsore mattress disconnection" / "oxygen disconnection" event is also automatically deleted. When deleting the "going for a walk" event, the corresponding "returning from a walk" event is automatically deleted. If the "going for a pass" event is deleted, the corresponding "return from a pass" event is also automatically deleted. After deletion of the event, the indicators under the patient's name are updated according to the new current state.

It is not always possible to add / modify / delete an event. This operation is not possible if it disturbs the order of events, e.g. it is not possible to connect oxygen or measure the temperature when the patient is on the pass, it is not possible to take a bath while the patient is on a walk, it is not possible to delete the drip disconnection event if it is followed by the next event drip connection, since in such a situation, after the drip disconnection event was deleted, there would be two consecutive drip connection events, etc.

As part of the functionality of handling stays in a care and treatment institution, the "Find patient" button is visible above the list of rooms. Clicking it opens a search engine for patients in a care and treatment institution in a new window. Searching is possible by patient's name. After entering the search criteria and clicking "Find", a list of patients matching the search criteria is displayed. If the patient is currently on a walk or leave, then appropriate information appears next to his name indicating that he is not in the building. In addition, information is displayed in which room and on which bed the patient resides, and who is authorized and who is not authorized to obtain information about his health and to visit. All this information can be helpful, especially if a person is trying to get information about the patient's health or wants to visit the patient - then it is easy to check whether the person is authorized and whether the patient is currently in the room and if so indicate the room and bed number. The "Go" button for a given patient allows to quickly go to patient service - clicking this button closes the patient search window and displays the view of rooms and beds with the patient visible.

As part of the functionality for handling stays in a care and treatment center, the "Plan events" button is also visible above the list of rooms for authorized users. It is used to schedule events to be performed on behalf of patients. When one click it, a new window opens with a list of event types and a list of already planned events.

To schedule a new event, click the appropriate event type icon. The event planning form will then be displayed. The event can be scheduled as a one-time or cycling event. To schedule an event as a one-time event, indicate the date and time when it is to be recorded and indicate the patient / patients for whom the action is to be performed. In order to schedule an event as cyclical, indicate the start date and time, end date and time, and the frequency of repetition, and also indicate the patient / patients for whom the activity is to be performed. Additionally, it is possible to indicate specific personnel who will be responsible for performing a given activity. The list of CTC patients in the form is divided into rooms. There is a checkbox next to each room that allows you to quickly select / deselect all patients in the room. After completing the form, save the data by clicking the "Save" button.

To modify the data of a scheduled event, click the edit icon for a given event on the list of scheduled events. A form will then be displayed, which is the same as in the case of planning a new event, but filled with the data of the scheduled event. After making appropriate changes to the data, save them.

To delete a scheduled event, click the delete icon next to the event on the list of scheduled events. You will then be prompted to confirm that you want to delete it. After confirmation, the event disappears from the list of scheduled events.

Activities scheduled for the next twelve hours and activities scheduled for the last (past) hour are displayed below the patient's name in the form of a list of hours and event icons. If the scheduled activity's execution time has already passed, it is displayed in red. If there are less than ten minutes left to complete the planned activity, the time of its execution is displayed in orange. If there is less than an hour left to execute the scheduled activity, then the time of its execution is presented in yellow. If there is at least one hour left to carry out the planned activity, it is displayed in green. Scheduled activities are recorded in the same way as all other events, with the difference that in order to register a planned activity, click the event icon in the "Scheduled activities" section below the patient's name - only such a recorded activity will disappear from the list of activities scheduled to be performed.

Two special types of events are „discharge” and „death”. After registering any of these events, the patient's stay in the care and treatment facility is terminated (the patient disappears from the view of the rooms and beds and "empty" appears next to the bed he occupied). In addition, when registering any of these events, the event registration window is not automatically closed, and the appropriate buttons are displayed in it. When registering an "discharge" event, if the stay is commercial and the user registering the discharge has the right to handle payments, after registering the event, the "Go to patient payments" button is displayed, which click displays the "Payments" tab of the patient card in the same window, enabling same payment for the stay.

In the event of registration of the event "death", if the stay is commercial and the user registering the extract has the right to handle payments, after registering the event the "Go to patient payments" button is displayed, which click displays the "Payments" tab of the patient card in the same window, enabling same payment for the stay. Next to it is also the "Go to patient death card" button, which, when clicked, displays the "Documents" tab of the patient's card in the same window, enabling the issuing of the death card. The order of activities on the patient card (acceptance of payment and issuing of a death card) does not matter.

In addition to the above-described process of recording events performed for the benefit of the patient in CTC, there is also an event recording interface dedicated to mobile devices. The URL address providing access to such functionality is visible in the "Event recorder in CTC for mobile devices" item in the "Information" section under the "Configuration" functionality from the "Administration" menu. After entering the indicated address, a page with the list of CTC staff is displayed (only people with a PIN in the user data in jHIS) - for each person there is a photo (if it has been uploaded to the staff data form) and the name and surname.

When you click on a person's photo, the system asks you to enter their PIN number. The "▶" button is used to confirm the entered number, and the "⤫" button allows you to return to the list of staff.

After entering the PIN number and clicking the "▶" button, if the PIN has been entered correctly, a list of patients in the CTC and a link to log out (in the upper right corner) are displayed. For each patient, a photo is displayed (if it has been entered in the patient's card), name, surname, room, bed and the time of the next scheduled activity (if any has been scheduled for the next twelve hours or in the last hour). If the scheduled activity's execution time has already passed, it is displayed in red. If there are less than ten minutes left to complete the planned activity, the time of its execution is displayed in orange. If there is less than an hour left for the scheduled activity, the time of its execution is displayed in yellow. If there is at least one hour left to carry out the planned activity, it is displayed in green.

After clicking on the selected patient, a list of activities planned for the next twelve hours and in the last (past) hour is displayed (highlighting the hours with colors is consistent with the principle described in the previous paragraph), a list of all activities that can be registered and a list of all registered activities. In addition, the navigation panel at the top allows you to return to the patient list and log out.

Clicking on the scheduled event icon or on the icon of any event or on the icon for editing a registered event displays the event registration form that looks and functions identically as described earlier in this chapter. Clicking on the icon of deleting a recorded event displays a prompt with a request for confirmation of the intention to delete the event - after confirmation, the event disappears from the list.