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MediBase

Possible configurations

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This page discusses the following hardware and software configurations :


Basic configuration

The basic configuration for using MediBase consists of the computer and the printer.

The configuration can be placed on the secretariat, where it will be used for signing in patients and for exchanging letters. Additional printers can complement the configuration. They are used for printing labels (labels with patient ID's to be stuck on different application forms or address labels) and for printing RIZIV certificates. A printer for RIZIV certificates will always be a Matrix printer, since a carbon copy of the text needs to be present on the certificate's duplicate.
If there is no secretariat present, this configuration can also be placed in the cabinet where the consultations themselves take place. During consultation, the medical data can be filled in and used as a base for directly creating a letter, a prescription and other certificates (incapacity for work, consultation application forms,...). Additional printers are also useful in this case, for instance for printing certificates.

When MediBase is mainly used for registering clinical data, one can opt for a portable thus enabling working independently from a single cabinet and enabling usage on consultation round or in the operating room.

When a lot of letters have to be generated by means of MediBase, it's best to opt for a laser printer. When different formats (prescriptions, certificates) apply besides regular A4, a printer with 2 trays is advisable.
When RIZIV certificates for multiple doctors have to be printed, we advise connecting a different printer for each doctor (unless certificates are printed based on a partnership, in which case the name of the doctor is printed as well on these certificates).

Hardware
computer, screen and keyboard
printer for A4-format and small formats where applicable
(label printer)
(certificate printer)
backup (tapestreamer, CD-rom, DVD, extra harddisk or external harddisk)

Software
MediBase basic licenses

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Transfer in a practice

When consultations take place in two (or three) different places, one can ensure the data input on, for instance, the cabinet at the hospital is transferred to the consultation place and vice versa by means of the MediBase transfer module.

On both consultation places a computer configuration is set up and communication between both places is usually done by regular disk or USB stick. Instead of disk or USB stick the transfer of data can also be done by modem or classic mail programs that allow transmission of data.

According to the practical needs and organisation one can opt to install additional printers in different cabinets. This way, it's possible for instance to print only certificates in the private practice and not in the hospital practice, because there's a central administration.

Furthermore it's possible to type the consultation of a patient in one location while a letter from the same patient in a different location is created by the secretary at a later time.

When transferring, all data in both places are synchronized, under condition that one and the same patients is only created in one and the same place. Regular transfers between practices is an absolute must to avoid a patient who has been created in one place turning up in another place before the data between the different practices has been exchanged.

Hardware
See Basic configuration MediBase
Since the complete patient file is stored in both locations, a backup system is automatically in place and there is no direct need for a backup disk, although we still strongly recommend it.

Software
MediBase basic licenses, transfer module, additional users optional.

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Network transfer

When two or three places within the same department are equipped with a computer, the MediBase transfer module can be used to change the patient files of different computers through the network. Each computer contains all the patient data. The changes made on one computer are sent to the other computers in the network at regular intervals.

Network transfer is a lower investment than a server network because there is no investment in a computer that acts as a server or in purchase of server software is not included. Usually the data input on each station is transmitted to the other stations every 5 minutes and is then read by the other stations. Thus, the data of the other stations is available albeit with a small delay in time. The everyday situation however rarely requires a server network with a multi-user environment (where the data is instantly available), due to the redistribution of tasks in most departments where each station is only responsible for part of the work. All the benefits of a portable in this network environment through transfers are maintained; the portable can be pulled from the network and you can continue working in other places (without network provisions). Once the portable is hooked back up in the network, the data of the different stations that has changed will be synchronized again.

Hardware
For each station the basic configuration is installed, complemented by one or several printers depending on the practical organisation

Software
MediBase basic licenses, transfer module
additional MediBase users

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Client-Server

As soon as four or more computers within the same department have to use the same patient file, it's best to switch to a server network. The complete patient file is placed on the central computer and the data are sent to the server through the different workstations. Depending on the practical organisation, some workstations are provided with an extra printer or a link with other equipment (e.g. for reading images). The data input on the different stations is instantly available to the other users.

In hospital situations the question may rise to integrate a number of departments in one server network. The advantage of this is that this way the different clinical data, introduced on other departments, is easily accessible.

The unique character of each department usually demands a program concept towards a specific department though. Each department has a number of typical demands in terms of data capacity and reporting of typical research. To this end standard reports, different choice lists, standard protocols, different schemes and drawings which are part of the department's character are designed. Furthermore, MediBase is used for the creation and follow-up of different bills (ambulatory, hospitalised, consultations, day clinic,...) where the typical achievements and surgeries are present and communication with one's own private practice is possible. On top of that, the MediBase possibilities are so advanced that the program can be used for many personal tasks as well (address file, mailing,...). So there is also room besides the typical variables per department for the personal aspect of the content. Accordingly, the server network of the different departments also has a number of disadvantages because the unique character of the department might be lost. That's why it's advisable to set up communications with a global results server in the entire hospital which globalises all the patient data.

Hardware
Server computer, screen, keyboard and backup
see Basic configuration MediBase
on each werkstation: each workstation has to be a powerful computer which can take care of other tasks locally when necessary.

Software
MediBase basic licenses, second and following users
4D Server software

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Information in this document is subject to change without notice.
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