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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Superior A.R.T. Application Mock up Background คลินิกมีบุตรยาก ขนาดจํานวนคนไข้ 100-150 คนต่อเดือน (คนไข้ไม่ค้างคืน) ต้องการโปรแกรมสําหรับการบริหารคลินิก ที่เป็นไปตามความต้องการของทางคลินิก ได้แก่ - ไม่ใช่โปรแกรมสําเร็จรูป เป็น web base สามารถใช้งานได้ทั้งบน window, mac, tablet (ทั้ง android และ iOS) - ใช้บริหารจัดการตั้งแต่ การนัดหมายคนไข้ ลงทะเบียนคนไข้ บันทึกข้อมูลโดยพยาบาล บันทึกข้อมูลโดยหมอ ตรวจสอบข้อมูลการรักษาก่อนการส่งต่อไปแผนกอื่น การจ่ายเงินค่าบริการ การบริหาร stock การสั่งซื้อยาและเวชภัณฑ์ การทํา report - แต่ละ function ต้อง link ข้อมูลและ report กันได้หมด Service Flow from Internet Customer

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Service Flow for Internet Customer Description 1. User sends inquiry to Superior Website within 5 cases below a. Inquiry message only b. Registration information only c. Inquiry message with registration and make an appointment d. Only name and appointment e. Others that waste 2. Response automatically by Website a. Send auto reply mail to customer to acknowledge the request b. Create new record of information such as name, inquiry message, registration information, appointment date c. Email to staff with inquiry message and reference link to browse 3. Response by Staff a. Browse inquiry message and information followed by link or open in inquiry module page to browse a full list of inquiry in Website or Application b. Checking data in website and reply message to customer directly c. Duplicate patient registration data from Website & register to Superior ART Application (only can do in Application) d. Make an appointment in Superior Application e. Response to Internet Customer Sample of Inquiry Form and Application Form on website

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Overseas Patient Details Form Female Partner (Patient) Family name

(Surname)

Given names (dd/mm/yyyy)

Date of Birth Street Address City/Suburb

State/Province

Post/Zip Code

Country Work Phone

Home Phone

Fax

Email

Mobile Phone

Male Partner Family name

(Surname)

Given names (dd/mm/yyyy)

Date of Birth Street Address City/Suburb

State/Province

Post/Zip Code

Country Work Phone

Home Phone

Fax

Email

Mobile Phone

Referrer Doctor/Contact Company

Phone

Affiliated Clinic in Country of Residence

(if applicable)

Clinic Name Street Address City/Suburb

State/Province

Post/Zip Code

Country Phone

Fax

Email

Reason for Referral

Clinical History Pregnancies

Current Relationship only Live births

Have you been diagnosed with infertility?

Miscarriages Yes

Other

(e.g. ectopic)

No

Other History Drug Allergies Other Clinical History SUPERIOR A.R.T.\\OVERSEAS PATIENT DETAILS FORM\PGD024 RELEASED: JUNE 2007 REVISED: JUNE 2007

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Superior A.R.T. Application Modules List for Application 1. Patient Information a. Patient Inquiry & Pre-registration from Website b. Patient Registration c. Patient Appointment (OPD) d. Patient Appointment (OR) e. Patient List 2. Daily Process a. Daily Patient (OPD Schedule) b. Daily Routine Lab Request c. Daily Embryo Lab & Genetic Lab Request d. OR Schedule e. Daily Medicine f. Daily Bill 3. Report (just sample will declare later after implementation) a. Marketing Report b. OR Summary Report c. Embryo Summary Report d. Genetic Summary Report e. Payment Report 4. Cashier a. Daily Payment (Patient Bill) b. Patient Credit Balance c. Payment Summary Report 5. Inventory a. OPD Medical Stock e. b. OPD Medical Stock Setting f. c. OR Medical Stock g. d. OR Medical Stock Setting h. 6. User Profile a. User Management b. Change Password c. Log out

Embryo Lab Stock Embryo Lab Stock Setting Genetic Lab Stock Genetic Lab Stock Setting

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Application Service Flow (Internal use only)

Service flow Description (For normal case) 1. Patient Registration; there are 2 cases of registration (Internet/Walk-in) 1.1 Internet Registration 1.1.1. Log in to system 1.1.2. Go to Patient Inquiry/Pre Registration 1.1.3. Search Patient 1.1.4. Add to HN 1.1.5. It will pop up there registered information & history, check with patient and confirm registration 1.2. Walk-in registration 1.2.1. Log in to system 1.2.2. Go to Patient Registration

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

1.2.3. Input required field and check with patient & interview for history and confirm registration

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

2.

Patient Appointment 2.1. At first, we will make appointment on OPD Appointment by 2 way 2.1.1. Patient Search/Make OPD Appointment

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

2.1.2. Patient/Patient Appointment OPD

With OPD Appointment Form as follow:

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Condition 1. There are only 4 rooms in concurrent time 2. OPD can book by click at book button in Action field 3. then it will pop up for information. 4. Fill up and click submit 5. Click confirm to confirm appointment 6. It will append in OPD Daily Patient automatically 3. 4.

After that OPD will do OPD Initial at Patient Profile Diagnosis by Doctor by browse Patient Profile of Visiting HN

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

4.1. Access to Patient Profile It split into 7 tabs 1. Patient Profile a. Patient Type b. Today OPD c. Patient summary d. Action by Doctor i. Add Medical Record ii. Add OR Appointment iii. Add OPD Appointment iv. Plan for Patient e. Treatment History: show all medical note records including reports of this patient f. Cycle Information: show all cycle treatment summary and pregnant result 2. Patient History: from Patient History 3. Patient Information: from Patient Registration 4. Patient Intake: from PGD intake 5. Family: Family Profile if needed 6. Donor: Donor Profile if needed 7. Surrogate: SGM Profile if need

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

4.2. Add Plan for Patient

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Action can do is Send to invoice for daily patient bill Print to keep as reference for patient Save to keep record 4.3. Add Medical Record

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Medical Record Detail 4.3.1. There are 2 windows in same screen for history and current date 4.3.2. There are 7 tabs to insert data 4.3.2.1. Clinical Note 4.3.2.2. Clinical Note (Hand writing version) 4.3.2.3. Routine Lab Order 4.3.2.4. Embryo Lab Order 4.3.2.5. OPD Medical Order 4.3.2.6. OR Medical Order 4.3.2.7. Doctor Fee

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541 4.4. Add Appointment (OPD or OR)

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

For OR Appointment will check for both Or Room and Recovery Bed (Fixed 1,6) with condition of bed-reserved time 1. Start from Previous 1 hour of booking time 2. Set duration to 3 hours 5.

After end doctor process, all request will be generated on daily process 5.1. Daily OPD Patient

5.2. Daily Routine Lab Request

5.3. OR Schedule

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

5.4. Genetic Lab Request

5.5. Embryo Lab Request

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

5.6. Daily Medical

5.7. Daily Patient Bill

6.

Embryo Record & PGD Record 6.1. Embryo Record

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541

6.2. PGD Record

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541 7.

Stock & Inventory will be mockup during development It will be stock for OPD, OR, Embryo Lab, and Genetic Lab

8.

Summary Report will be mockup during development

Approved by ………………………………………………………….. date…………………………………..

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KEEN Interactive Co., Ltd. 7 Soi. Nakniwas 48 yak 7 Nakniwas Rd. Ladphrao BKK 10230 Tel 0-2932-9225 Fax: 0-2542-4541 9.

User Management

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Sart mockup revise 2  

Mockup document for Superior A.R.T. revised 2 by KEEN Interactive Co.,ltd. All right reserved

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