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 |
|
|
|
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|
| 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. |