The Medical tab provides designated team members with the ability to add, edit, delete, and view 

the Medical Evaluation and follow-up information for a particular CAC case. Access to this tab can 

be limited to read-only, edit/full access or none at all.


This will depend on the role granted to your account in NCAtrak and can be configured by your CAC’s 

Security Officer under Administration – Roles in NCAtrak. When you only have ‘View’ privileges for 

this tab, there are no text boxes or pick list options enabled on the page and all else are 

read-only.



The Medical tab has the different sections divided into the “Incoming Referral”, Medical Services 

Overview”, “Session Log/Appointments”, “Medical Exam Records”, “Outside Referrals”, “Additional 

Points of Contact” and the “Document Upload”.

The Save and Cancel buttons for the tab are located just below your CAC’s logo at the top left 

section of the Medical tab. These buttons lock and are accessible as you go down to the bottom of 

the page so you do not need to scroll all the way up when you want to save changes when you are 

editing at the bottom section of the tab.


Figure 1. “Save,” and “Cancel” buttons on the Medical Tab


Layout of the Medical Tab


Incoming Referral


The “Incoming Referral” section is used to record the agency and personnel who referred the case 

for medical services and the date referred.


Figure 2. “Incoming Referral” section on the Medical Tab


STEP 1: Enter Date


Start by entering the date the referral is made in the “Date” field.


STEP 2: Enter the Referring Agency


Enter the agency referring the client for treatment. Select the agency that made the referral from 

the “Referral Source” drop down list. The agency may be an outside agency but also may be your own 

agency. If the agency is not in the list, you can add/create it.


Figure 3. Referring Agency


To add a new Agency, click on the “Add” button next to the Referral Source field. A “New Agency” 

dialog box will appear with a list of existing agencies at the top. Check to make sure the agency 

you want to add is not in the list. If it is on the list, select it there and return to the 

Incoming Referral section. If it is not on the list, enter the agency name, address and phone 

number in the open fields. Click “Save” to add the new agency or “Cancel” to forego adding a new 

agency.


Figure 4. “New Agency” dialog box


STEP 3: Enter the Individual Making the Referral


Once the agency is selected, the Person dropdown list will be populated with available personnel 

from the chosen agency. Select the individual who made the referral from the “Person” drop down 

list.


Figure 5. Referring Person


To add a new Person, click on the “Add” button next to the Person field. The “New Personnel” dialog 

box will appear with a list of existing individuals associated with the agency at the top. Check to 

make sure the person you want to add is not in the list. If they are on the list, click cancel to 

return to the Incoming Referral section and select them from the Person drop down box. If the 

individual does not appear in the list, enter the individual’s name, credentials, job title, email 

address and phone number, if known. First and last names are required. Click “Save” to add the new 

person or “Cancel” to forego adding a new person.


Figure 6. “New Personnel” dialog box


Medical Services Overview


The medical service overview section is used to record key information about who provided the 

medical services and the date when all services were completed.

Figure 7. Medical Services Overview section


STEP 1: Enter the Medical Case Number


Enter the Medical Case number, if applicable.


STEP 2: Enter the Primary Care Provider


Enter the client’s Primary Care Provider, if known.


STEP 3: Enter the Provider Agency


Enter the agency providing the medical evaluation. If the Agency is not listed, click “Add.”


To add a new Agency, click on the “Add” button next to the Referral Source field. A “New Agency” 

dialog box will appear with a list of existing agencies at the top. Check to make sure the agency 

you want to add is not in the list. If it is on the list, select it there and return to the 

Incoming Referral section. If it is not on the list, enter the agency name, address and phone 

number in the open fields. Click “Save” to add the new agency or “Cancel” to forego adding a new 

agency.


Figure 8. “New Agency” dialog box


STEP 4: Enter the Individual Providing Medical Services


Select the “Person” providing the medical evaluation from the Person pick list. This list will be 

populated with the available personnel from the chosen Provider Agency. If the person is not in the 

list, click “Add.”


To add a new Person, click on the “Add” button next to the Person field. A “New Person” dialog box 

will appear with a list of existing individuals associated with the agency. Check to make sure the 

person you want to add is not in the list. If they are on the list, click cancel to return the 

Incoming Referral section and select them from the Person drop down box. If the individual does not 

appear in the list, enter the individual’s name, credentials, job title, email address and phone 

number, if known. First and last names are required. Click “Save” to add the new person or “Cancel” 

to forego adding a new person.


Figure 9. “New Personnel” dialog box


STEP 5: Enter Peer Review Information


Enter the “Date” of Peer Review and type in the name of the “Reviewer” who conducted the peer 

review, if applicable.


Figure 10. Peer Review data fields


STEP 6: Custom Fields


Enter information into any custom fields your CAC may have added to the Medical Services Overview 

section. There are up to 9 custom fields available for use by each CAC in this section. When not in 

use, these fields are hidden.


Figure 11. Adding “Custom Fields” in the Medical Services Overview section



Session Log/Appointments


The session log is used to schedule and record the details of each medical visit, including 

attempted exams as well as completed exams and follow-up visits.


To add an entry into the Session Log/Appointments table, click on the “Add New Session Log” button.


Figure 12. “Add New Session Log” on the Session Log / Appointments table



This will open the Edit dialog box for adding a new session log. The Date field defaults to today’s 

date and note that the Session ID is set to 0. Once you have saved the session log, NCAtrak 

automatically assigns a session ID for this session log which you will need if you want to run the 

Medical Report from the Reports – Management on the left-hand side menu of NCAtrak. See the help 

file for Management Reports for more information.



Figure 13. Session ID on the session log


STEP 1: Schedule an Appointment


To schedule a future appointment, enter the date in the “Date” field, as well as, anticipated start 

and end times in the “Start” and “End” fields. Select “Scheduled” from the “Status” drop down list.


Figure 14. “Date,” “Start” and “End” times and appointment “Status”


STEP 2: Enter Appointment Details


Select the appropriate “Provider Agency” and “Provider Personnel” who will conduct the medical 

evaluation/session from the dropdown menus. If you need to add a new Provider Agency and a new 

Provider Personnel, just click on the “Add” buttons beside these fields and you will get the “New 

Agency” and “New Personnel” dialog boxes.


Select “Onsite” or “Offsite” from the “Location” dropdown.


Type in who is bringing the client to appointment in the “Brought By” text box. 


Select the type of session from the “Type” dropdown list.

If applicable, specify funding source by selecting an option from the “Funding Source” dropdown 

list. The Funding Source options are specific to each CAC. Contact your CAC Administrator/Security 

Officer to add to, or to modify this list.


Figure 15. “Providing Agency,” Provider,” Location” “Brought by,” “Type” and “Funding Source” 

fields


Click “Update” to save the record. Click “Cancel” to forego adding a new record.


STEP 3: Review and Edit Appointments


Once a scheduled appointment has been attended or the scheduled appointment date has passed, select 

the “Edit” button to update the appointment record. Attended appointments (or any appointment on 

the list) can be updated at any time by selecting the Edit button. Note that your assigned role in 

NCAtrak must have Update rights for the Medical General and Medical Details sections to be able to 

see the Edit and Delete buttons.


Once changes are made, select “Update” to save your changes and return to the list of session logs.


Figure 16. “Edit” and “Delete” buttons in the session log


The Session Log/Appointments section in the Medical tab will also allow a user to view more details 

about the client’s medical history, medical evaluation and other pertinent medical data. Once you have saved 

a session log, new functionalities will be available. The “View Details” and “View Historic” buttons are now 

accessible and you will be able to add observers to the session by clicking on the “Add New 

Observer” button. Please see the Medical Details help file for a more comprehensive set of 

information for this section.


Figure 17. “View Details,” “View Historic,” and “Add New Observer” in the session details


To delete an appointment record, select the “Delete” button. A dialog box will come up to ask you 

to confirm if you want to delete the session log. It is important to know that if you decide to 

delete a session log, it will also delete all the medical evaluation details that were recorded in 

that session.


Figure 18. “Delete” confirmation dialog box Select “OK” to delete or “Cancel” to forego deleting 

the record.


STEP 4: Print Medical Report


If you need a hard copy of the details in all the subtabs in the Medical tab, you can use the 

“Print Medical Report” button from the Session Log/Appointments section. This will give you a 

clinical report with all the findings/results noted during the selected session. This report 

includes all data recorded in the different subtabs for the Medical tab. Previously, these subtabs 

can be accessed from the Medical tab. With the NCAtrak upgrade, the subtabs can be accessed by 

clicking on the “View Details” button


You need to have at least View access to the Medical Details to be able to use this feature.


NOTE: This option is also available by choosing Case Medical Report in Reports – Management on the 

lefthand side menu of NCAtrak. You will need to provide the specific case number and session ID for 

which you want to run the report for.


Figure 19. “Print Medical Report” button


Sample of the report:


Figure 20. Sample Medical Report



Medical Exam Records


The medical exam records table is used to record what type of medical records you have for the case 

and where they are stored.


Figure 21. Medical exam records table


STEP 1: Add a New Medical Exam Record


Click “Add New Record” and select the “Type” of record from the drop down list, type in the 

“Storage Location,” and enter a “Media Number” to catalogue the record.


Click “Update” to add the record or “Cancel” to forego adding the record.


STEP 2: Edit or Delete a Medical Exam Record


To make changes to a medical exam record, select the “Edit” button next to the record in the table.


Once changes are made, select “Update” to save your changes and return to the list.


To delete a record, select the “Delete” button. A pop up box will ask, “Are you sure you want to 

delete this record?”


Select “OK” to delete or “Cancel” to forego deleting the record.


Figure 22. “Edit” and “Delete” buttons in the medical exam records table


Outside Referrals


The outside referrals table provides CACs the ability to keep additional information about services 

a child/family might need that are outside of the scope of services provided by the CAC or the MDT. 

The pick list is customizable to meet your community needs.


Figure 23. Outside referrals table


STEP 1: Add an Outside Referral


Click “Add New Referral” and a pop up box will appear.


Enter the date of the referral in the “Date” field, select the agency the referral was made to in 

the “Referral To” drop down list and enter any comments, if applicable, in the “Comment” box.

Click “Update” to add the referral or “Cancel” to forego adding the referral.


STEP 2: Edit or Delete an Outside Referral


To make changes to a referral record, select the “Edit” button next to the record in the table. 

Once changes are made, select “Update” to save your changes and to return to the list.

To delete a record, select the “Delete” button. A pop up box will ask, “Are you sure you want to 

delete this record?” Select “OK” to delete or “Cancel” to forego deleting the record.


Figure 24. “Edit” and “Delete” buttons in the outside referrals table


Additional Points of Contact


The Additional Points of Contact is a table that provides a place to record information about other 

people who may be contacted throughout the course of the investigation and follow-up services. All 

of the fields in the table are text fields and all are optional.


Figure 25. Additional points of contact table


STEP 1: Add a New Point of Contact


Select “Add a New Point of Contact” and a pop up box will appear. Enter information into the 

“Agency,” “Name,” “Phone Number,” and “Email” fields.


Click “Update” to add the contact or “Cancel” to forego adding the contact.


NOTE: All of the fields in the table are text fields and all are optional. To enter the phone 

number you can enter 7 or 10 consecutive numbers and the system will format the number like this: 

(xxx) xxx-xxxx. To add an extension, enter an “x” immediately after the last number and then up to 

a 4 digit extension.


STEP 2: Edit or Delete a Point of Contact


To make changes to a point of contact record, select the “Edit” button next to the record in the 

table.


Once changes are made, select “Update” to save your changes and return to the list.


To delete a record, select the “Delete” button. A pop up box will ask, “Are you sure you want to 

delete this record?” Select “OK” to delete or “Cancel” to forego deleting the record.



Figure 26. “Edit” and “Delete” buttons in the additional points of contact table


Document Upload


To upload documents related to the information entered on the Medical Tab, scroll down to the 

“Document Upload” section towards the bottom of the page. Files uploaded in the main/general 

Medical tab are not available in the document upload section of the subtabs. Please see the Medical 

Details help file for more information.


Refer to the “Document Upload” help file for details on uploading and managing documents.


NOTE: NCA does not recommend the storage of evidentiary documents as part of this case record. Any 

copies of evidentiary materials should be retained by the appropriate law enforcement and 

prosecution partners.


Data Field Details


The table below contains information about the data fields on the Medical tab. Red data fields are 

used to tabulate statistics for the NCA Statistics Report.

 

Case Tab Section

Data Field Name

Information about using the field

Referral

Date

Select the ‘Date’ this referral was made by either selecting the date from the calendar or typing a date in the mm/dd/yyyy format. To display the calendar, click the down arrow on the pick list. To delete, click in the text box and delete text.

Referral Source and Person

Enter the agency and personnel that made the referral for a medical exam.

Medical Services Overview

Provider Agency and Person

Enter the agency and personnel providing the Medical Evaluation

Medical Case Number

This is the assigned Medical Case Number for the client, if applicable.

 

Primary Care Provider

Used to record the client’s primary care provider, if known.

Date Closed

Enter the date all medical services are completed for this case.

Peer Review

Enter the date of the peer review and person doing the peer review under the Reviewer field.

Custom Fields

There are up to 5 custom fields located here that can be utilized by your CAC. When not in use, they are hidden.

Ready for MDT Review

Check this box to indicate that you would like to review this case with the team.

Session Log

Date

Enter the date of the visit.

Start Time/End Time

Enter visit start and end times if you want to use as a schedule or track time spent with the client.

Type

Used to indicate if this is an initial or follow-up visit.

Location

Used to indicate if this visit is at the CAC (on-site) or at another location (off-site).

Status

Select the current status of this visit.

Funding Source

Used to indicate the funding source, if applicable. This is customizable per CAC.

Session

This indicates the session ID of the session. NCAtrak will automatically assign this ID after you save a session log.

Brought By

Used to enter who brought the client to for the visit/session.

Provider Agency and provider

This field will default to match the name of the provider listed in the Medical Services section of this tab. You can select a different agency and/or provider if necessary.

Observers

  1. To access this section you will have to save a session log first. When you click on Edit for the session you just saved, the ‘Observers’ section will display.
  2. You will be able to enter all ‘observers’ one at a time. Enter the agency and person who is observing or participating in the Evaluation.
  3. Click ‘Update in the dialog box that comes up.

 

 

 

 

 

4. Repeat until all are added.

Medical Exam Records

Type, Storage Location, Media Number

This table provides a way for you to log what types of records that you have for this case and where they are located.

Outside Referrals

Referral Date, Referred To, and Comments

Outside Referrals is a table that provides CACs the ability to keep additional information about services a child/family might need that are outside of the scope of services provided by the CAC or the MDT. The pick list is customizable to meet your community needs.

Expand /Collapse the size of the Comment field – click the (+) or (-).

 

Additional Points of Contact

 

Name, Agency, Phone, Email

Additional Points of Contact is a table that provides a place to note information about people that are significant to the investigation. All of the fields in the table are text fields and all are optional. To enter the phone number, you can enter 7 or 10 consecutive number and the system will format the number like this: (xxx) xxx-xxxx. To add an extension, enter an “x” immediately after the last number and then up to a 4 digit extension.