Nemo

1

Clinical Medicine

Active Problem List

A problem represents a medical issue with respect to an animal that a veterinarian deems is of sufficient interest that it is recorded in the system and associated with the activities (i.e., procedures, treatments, observations, etc.) performed in connection with the problem.   The decision to record a problem is subjective.    The status – “open” or “closed” of the problem is captured along with other relevant attributes.  Also see “case” below.   The relationships and distinctions between “problem” and “case” are to be determined in the analysis phase of the ZIMS project

Nemo

1

Clinical Medicine

Examination and Assessment

Examine and assess the health of an animal (group or enclosure), as a result of an observation or a request in order to support future diagnosis and treatment.

Nemo

1&2

Clinical Medicine

Immobilization

Associate the procedure with the animal that is the subject of the procedure and drugs utilized.  Associate the procedure with the equipment utilized in the procedure.   Capture the resulting depth that resulted from the procedure (e.g., mildly sedated, heavily sedated, sedated for surgery, etc.) and a rating of the overall success of the procedure (poor, fair, good, excellent).

Nemo

2

Clinical Medicine

Diagnosis and Treatment

Enter diagnosis text information and associate the diagnosis to other activities such as a case, treatment, procedure, etc.   Support the concept of differential diagnosis – create/link a series of candidate diagnosis as part of an overall diagnosis for a case.   Support the concept of a summary diagnosis – associating a group of diagnosis and creating a high-level text summary that applies to the group.

Nemo

2

Clinical Medicine

Maintain/Review Case

A case can include and/or be related to opinions, diagnoses, procedures, etc. regarding the medical care and treatment of an animal.   The definition, creation, and use of a case is currently somewhat subjective; however, a case is typically opened if the veterinarian expects to treat an animal in some manner.   The status “open” or “closed” of the case is captured along with other relevant attributes.  Also, see “problem” above.   The relationships and distinctions between “problem” and “case” are to be determined in the analysis phase of the ZIMS project.

Nemo

3

Clinical Medicine

Review Medical History

Ability to drill down and across an animal’s medical information from multiple perspectives.  This includes the ability to review cases, procedures, treatments, observations, tests, samples, etc. relating to an animal.  This also includes the ability to perform key word and character string searches of the free-form text associated with the animal and related information.  Also includes ability to search and review by signalment, phenotype, and taxonomic data/attributes

Nemo

3

Vet Reports and Permits

Permits & Reports

Print/request/access recurring standard reports on an as needed basis.  Typical/common reports include Summary of the Days Activities, Medical History, Animal Record/History Summary Reports (available to be sorted and/or filtered by various criteria), Controlled Drug Report, Active Cases Report, Scheduled Preventative Medical Treatments, Pending Treatment Report (e.g., A lab report to a third party waiting for results) Calendar of Schedule Events (e.g., looks ahead for things (treatments, etc.) scheduled).

Nemo

3

Vet Reports and Permits

Health Certificates

Print/request/access recurring standard reports on an as needed basis.  Typical/common reports include Summary of the Days Activities, Medical History, Animal Record/History Summary Reports (available to be sorted and/or filtered by various criteria), Controlled Drug Report, Active Cases Report, Scheduled Preventative Medical Treatments, Pending Treatment Report (e.g., A lab report to a third party waiting for results) Calendar of Schedule Events (e.g., looks ahead for things (treatments, etc.) scheduled).

Nemo

4

Inventory Management

Inventory Reconciliation

The animal inventory report is similar to the census report except that the inventory reflects population changes over time.

Nemo

4

Inventory Management

Maintain Inventory

Perform data quality operations related to the inventory.  This can apply to both making appropriate corrections to accessions and dispositions, as well as to making corrections in the case of duplicates, missing records or differences in opinion as to values within the individual or group record.

Nemo

4

Norm Management

Norm Management

What process should we use to submit, manage and produce normative data.  What do norms include?  Who should be involved?  What is the purpose of norms?

Team

Day

Function

Use Case Name

Use Case Description

Simba

1

Preventative Medicine

Quarantine Management

Record the date that an animal starts and ends the status of “quarantine”.  This enables numerous quarantine types of queries,  such as identifying what animals and enclosures the animal was located with and within prior to, during and after quarantine.

Simba

1

Preventative Medicine

Pre-Shipment

The zoological institution transferring/shipping an animal to the receiving institution may specify to the receiving institution certain types of medical procedures/treatments/etc. that need to be performed upon receipt.  The specification could be based upon a regulatory requirement, unique need of the animal, etc.  The transaction should be associated with the transfer transaction and enable a Veterinarian to schedule the appropriate procedure/treatment/etc. 

Simba

1&2

Preventative Medicine

Parisitology Control Program

Initiate the diagnostic procedure to identify the parasite, schedule treatment and diagnostic activities for an animal or group of animals or enclosure.

Simba

2

Preventative Medicine

Vaccination

Plan and initiate the procedure to vaccinate an animal or group.  Record the status and results.

Simba

2

Preventative Medicine

Annual Routine Exams

Plan, Schedule, Perform and Record results from Annual Routine Exams.

Simba

3

Preventative Medicine

Necropsy Processing

Medical examination of dead animal’s body including internal organs to determine the cause of death.  In the process physiological and morphometric data is collected and anatomic diagnosis and comments are recorded.

Receive tissue sample, record the sample details and match slide order. Examine tissue slides, request or conduct the tests. Provide detail analysis, diagnostics, history, comments and images. Review and revise the information if required.

Simba

3

Multimedia Management

Multimedia Management

Maintain multimedia information for an animal or group of animals and associate the image to a source or activity. The image can come from a number of sources such as: Digital/scanned photographs and video clips, or as a result of some activity such as: Ultrasonography and MRI Scan.

Simba

3

Scheduling

Service Request Processing

Record a request from internal parties, external institutions and third parties for morphometric/physiological data. The request can be for an animal, group of animals, taxa or enclosure. Process the request and record the status.

Simba

4

Scheduling

Schedule Procedure or Activity

Schedule Tests, Procedures, activities and coordinated activities.

Schedule the test type, date/time, method type, instrument type, and expected date to receive results.  For each completed test record the instrument settings, unit of measurement, and measurement values.  Note: Many lab tests are performed by an outside lab.  Lab test results can be communicated to the veterinarian/institution in a number of ways such as email, voice and fax.   In the short run, the test results will be manually entered into ZIMS.  ZIMS should enforce a number of validation rules to help ensure accurate data entry.  In the future, the veterinary community would like to have lab test data automatically captured and entered into ZIMS (and associated with an animal record) via some type of data interchange with the machine conducting the test

Simba

4

Scheduling

Resolve Schedule Conflicts

Review the schedule conflicts, review available resources and re-schedule or cancel a medical activity.

Simba

4

Enclosure Management

Enclosure Maintenance (Planning and Scheduling)

Review the scheduling requirements for enclosure maintenance.