In this tutorial, you will learn about Action Day Report

View the tutorial video.

Action review is not specifically linked to the current action day.  On the upper section of the interface, the analyst may choose the date interval.

 

The Action review allows selection of multi criteria in order to accomplish sophisticated analysis.

The first part consists in choosing actions interval date.  The age and date displayed indicate all dates when data were entered for this patient. If this age is convenient, just leave the selection as is.  It is possible to select one or several action dates. The action dates may be selected by using windows standard selection function keys (Shift+left mouse click for interval start end end,  CTRL+left mouse click for individual line)


Then, up to seven (7) variable may be selected from any of the three panels:
•    Clinical Lab Values
•    Anthropometric Values
•    Nutrient


You may complete the reporting by checking or unchecking some few additional tags:
•    Show intake formula name
•    Show remarks
•    Draw marks
•    Draw lines
•    X axis Age selection between
o    Real Age and Corrected age

If any variables are chosen from the nutrient panel, a reference may be selected.  The display unit may also be configured and the choice of intake value (Enteral, IV or Both).

If you choose Anthropometric Data as the type of information you wish to list or graph, a Selection Window will open listing the choices of anthropometric variables. When you choose this option, you will see variables such as Analysis Weight, a second Wt Fr Yesterday (g/kg), and Surface Area that can be selected as variables on the Review Screen. Move your cursor and highlight all desired variable to accomplish your selection.


X axis:
X axis Age selection between Real Age and Corrected age.  The plotted unit dots are weeks.


Show intake formula name:

When checked, this will display all formula names per action day.

 


Show remarks:

Finally, the bottom section allows selection of the remarks to the list. 

 

Draw marks:

The Draw mark flag allows the visualization of the monitored values inside the graph.


Draw line:

The data will be shown by individual data points.  The Draw line flag allows the generation of a firm line that will connect the data points.



 
Here are some samples:

With Draw line flag checked
 

With Draw line flag un-checked
 

With Draw line flag un-checked and Draw marks un-checked
 
With Draw line flag checked and Draw marks un-checked
 

Choosing Nutrient variables will allow new parameters to configure:
•    Reference
•    Basis (Configure, Absolute)
•    Display unit (Standard, Equivalent, Mole, Percent)
•    Category (Enteral, IV, Both)

 
 
References

In this field, select the set of Reference values to use when evaluating the infant’s nutrient intake. Press Insert to see the list of recommendations currently maintained in the Reference Database. A Reference does not need to be selected to perform a nutrient analysis.
An analysis can be done with a Reference or without one. You can see Enteral, IV, and Total as amounts or percentages, or you can compare the Totals against recommended values as amounts or percentages.

The lookup reference window selection:
 

Basis

The filter section allows you to choose from the available choices of Absolute or configure.

The Basis option is the same Basis that appears on the Review Screen. It is a means of changing nutrient intake units for nutrients that are expressed on a per-kg or per-100-Cal basis (of which there are only a few) in Configure.


Display unit selection

The filter section allows you to choose from the available choices of Standard, Equivalents, Moles, and Percent.

Standard
Standard uses the units that were defined in Configure.
Equivalents
Electrolytes (Na, K, Cl), calcium, and magnesium will be shown as mEq/kg because they have both Atomic Weight and Valence in Configure.
Moles
Electrolytes, calcium, magnesium, and phosphorus will be shown in mM/kg.
Percent
If no Reference is selected, Enteral and IV intakes will be shown as % of Total intake, which will always be 100%. If a Reference is selected, Total intake will be shown as % of Low and High (if available) to the right of the Total column.


Category

The filter section allows you to choose from the available choices of Enteral, IV or both.


Other buttons descriptions:
 


Print screen button sends the screen display to the Windows print service.

Report button launches the Analysis report.

Close button closes the analysis mode and returns control to the Main Patient Window.


Then, the next window permits special supplemental graph visualization configurations:
 




Unit
The Unit column lists the unit for the variable selected. Units are automatically displayed from Configure for the variables selected, and expressed according to the Basis selected above.

Constant
The value entered in this field will appear as a solid horizontal line on a graph. If you are listing data, the Constant value will be displayed with the data statistics.
The Constants initially set on the Clinical Lab Values Screen in Configure are typical values that can be changed to reflect low cut points for the range of normal values in your laboratories. If you are concerned about high values for a variable, select the high value and type the desired value in this field. See Configuration  Clinical Lab for modifying and adapting NEONOVA, to change these values.

When providing a constant, this value will appear on the statistical summary

 

and will be drawn on charts:
 

A Constant line may not be apparent if it coincides with the top of the graph or the age scale axis. This can be remedied by inserting values in the High or Low column on the Review Screen. Return from the graph to the Review Screen and type zero or another value that is less than the lowest data point and Constant. Return to the graph to observe the effect. This process can be repeated until the desired effect is achieved.

Key Point Changing the Constant on this screen will not change the value in Configure or the Reference Database. Try graphing data with different Constants to see how this feature of the program can be used to illustrate points you wish to emphasize.

Key Point Constants will not appear for nutrient variables unless a Reference has been selected and entered into the Constant column or a value has been typed into this column. This is also true for clinical lab values. The default for Constant is blank. Constants will not appear for anthropometric values.


Plot
This field determines whether or not you want the variables to be plotted on a graph.  By double clicking a variable, you may select/un-select variables being plotted.

Up to seven (7) variables can be graphed at one time. If you check in the Plot column for several variables, all these checked variables will be graphed, each of them on a separate chart.   All unchecked variables will not be graphed.

The following statistics are calculated and displayed for numeric variables:
•    Minimum value (Min)
•    Maximum value (Max)
•    Number of data points (N)
•    Standard deviation (SD)
•    Mean
•    Constant (if selected)

All statistics apply to the selected patient over the defined age range. NEONOVA does not calculate statistics for groups of patients because the program is designed to facilitate monitoring and management of individual patients.

Low and High
Initial scaling is automatically done by the program. However, you can change the graph’s appearance by entering your Low or High values for each variable. For example, you may want to show only values within a certain range. Or, you may want to separate overlapping curves of two variables.
A Low value determines the lowest scale mark on the graph’s Y axis, and any values below this mark will not appear on the graph. Similarly, a High value determines the top of the Y axis, and any values above this value will be ignored.
Low
The Low value determines the lowest value to be graphed and
the low end of the Y axis scale.
High
The High value determines the highest value to be graphed and
the top of the Y axis scale.
Dec
This field determines the number of decimal places that will be shown for each value displayed. The default value is defined in Configure but can be temporarily changed here for a particular list or graph.


Key Point High, Low, and Constant are closely related in terms of their effect on scaling. Experiment with changing them until you have achieved a suitable graph.



 
 
The report
 


 




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