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Input screen
Description: This screen is the INTERMED input screen. It is used to score the variables and to describe the information.
The schema on top of the screen contains the 16 health risks and the 4 variables describing the prognoses and the related actions needed. They are organized according to the biopsychosocial- or integrated model of disease.
The vertical axis reflects the 4 systems: biological, psychological, social and health care.
The horizontal axis reflects the time axis (Past, Present and Prognoses).
The past covers the last 5 years. There is only one variable (Psychiatric dysfunctioning) which is a lifetime variable.
The risk- and prognostic variables are scored on a 4-point scale. All variables are constructed with the following logic:
There is no risk and no action needed
There is a risk. It is good to know, however no direct action is needed. The risk can be monitored
There is a serious risk and action is needed
There is a serious risk and either immediate action or intensive action is needed
Adding colors enhances the transfer of information
| 0 | Green |  |
| 1 | Yellow |  |
| 2 | Orange |  |
| 3 | Red |  |
To enhance the reliability of the scoring all items of the different variables are described with clinical anchor points in the lower left field ("Items and their clinical anchor points").
Scoring: By clicking on a field of an INTERMED risk-variable, the variable is selected. The field colors darker blue. At the same time the clinical anchor points which support the scoring of each risk appear in the box at the lower left side of the screen ("Items and their clinical anchor points").
On the lower right side there is a blank field ("Remarks"). In this field the clinical information, which is used for the scoring, is documented. This information is formulated in sentences for communicational reasons, as they are used for report functions. It is recommended to score the history and current state variables first and then the prognoses.
The rating of the prognostic risk is based on the risks and clinical reasoning. Therefore their scorings are no addition sums of the variables of each of the systems (biological, psychological, social, health care).
In the blank fields ("Remarks") of the several prognostic risks the outline of an integrated care plan can be described including the required level of coordination.