Suspected Diabetes type 2
In this scenario, the patient is suspected of having diabetes 2. After selecting the patient (not shown), we hit the "Issues" button and get a selection of issues. One issue has sub-issues, which would be typical of main issues being rather broad symptoms, leading to the workup of several candidate diagnoses.
Tapping the second line in the popup list, Diabetes type 2, closes the list and opens the clinical guideline for establishing a diagnosis of diabetes type 2:
As you can see, the text shown is a clinical guideline, but equipped with interactive features. Through these elements, we can see actual lab values, we can order lab tests, enter comments using the keyboard or the microphone, look up other clinical guidelines, add
diagnoses, and eliminate diagnoses. In the example, we can see two diagnoses that have been eliminated, pancreas carcinoma and MIDD. We can see that there are seven text or voice entries in the first diagnosis section and next to it we also see the last two glycemia values. Next to the remark about DISS, we have a link that allows us to immediatly send that report to DISS simply by hitting the rightmost button. The plus-signs allow the adding of the suggested differential diagnoses as top level issues in their own right.
In the example, we can see that there are seven comments on the first line. Hitting that button gives you a popup with the comment texts:
When you enter comments, you can either tap once to use the built-in keyboard, or tap and hold to talk into the microphone. The last three comments you can see on screen here have been dictated into the machine and not yet converted to text by a secretary, so hitting the play button will play back the voice recording for this one field.
Please note that the clinical guideline is equipped with links and tools to allow you to quickly check off the things that need to be done, but the clinical guideline does not enforce a certain order of working and does not even enforce conclusions. It does not automatically confirm or eliminate diagnoses according to values; you have to do that yourself. Just as a pilot's checklist, it is not taking over the decisionmaking, it is simply presenting the alternatives and prodding your memory. For more on this, see Evidence vs Experience'.'
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