Healthy Athletes System

(HAS) OpenMRS
Training Guide

Special Olympics
1133 19th Street NW, Washington, DC 20036–3604, USA Tel +1 202 628 3630 Fax +1 202 824 0200
www.specialolympics.org Email [email protected] Twitter @specialolympics
Created by the Joseph P. Kennedy Jr. Foundation for the benefit of persons with intellectual disabilities
 Full User Guide
Healthy Athletes System (HAS)

Contents
Start 3
Follow up Tracker 6
Event Dashboard 6
Fit Feet Screening 7
FUNFitness Screening 10
Health Promotion Screening 17
Healthy Hearing Screening 21
Opening Eyes Screening 25
Special Smiles Screening 30
Strong Minds Screening 32

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 Full User Guide
Healthy Athletes System (HAS)

Start
Open a tab in the Chrome
Step 1 browser. Type in the url:
Login with has.specialolympics.org

browser
If you are using a Tablet
Step 1 select the HAS icon from
Login with the desktop of the tablet.
tablet Username and Password
is on the back of the
tablet.

SONA & SOLA SOMENA, SOA, SOEE SOEA & SOAP Select the place holder in
Step 2 the geographic region
Select that your Program is
Region located.
For example, if you are in
United States, click on
placeholder in SONA
Region.

Type in username and

Step 3 password. Note:
Passwords are case
Sign in sensitive to uppercase
letters and special
characters. If you are
unable to login Email
[email protected]

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 Full User Guide
Healthy Athletes System (HAS)

Step 4 Select Program, then

select Healthy Athletes
Select Event.
event

Step 5 Search for an athlete by

clicking Find Patient
Search for Record.
athlete

Type athlete’s NAME or ID

Step 6 Number. Select the
athlete from the drop-
Select down list.
athlete’s
record

If you are unable to find

Step 7 the athlete in the drop-
down list, Register them.
Register
athlete

Fill out registration form

Step 8 and select Confirm.

Complete Explain to the athlete or

Registration coach that Special
Olympics collects phone
numbers for follow up
care only. The number will
not be used for any other
purpose.

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 Full User Guide
Healthy Athletes System (HAS)

Step 9 Select the correct athlete

record,
Start
Screening Review the information in
athlete the Athlete Header to
ensure it is accurate.

Then, Start Visit under

General Actions.

Step 10 You will be directed to the

Visits page and can select
Select the discipline you are
Discipline screening for e.g. Fit Feet.

Return to Select Special Olympics

Landing icon or Home on the
header to go back to the
page landing page.

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 Full User Guide
Healthy Athletes System (HAS)

Follow up Tracker
On the Landing Page,
Referrals
check the Follow up
Tracker for a list of
referrals that Athletes
have received during
screening.

Click on the survey, use as

Referrals
a guide when reaching out
Worklist to an Athlete. Send SMS to
athletes’ mobile phone
directly from here.

Event Dashboard
Step 13 Keep track of event
screening numbers with
Event Event Dashboard.
Dashboard

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 Fit Feet User Guide
Healthy Athletes System (HAS)

Fit Feet Screening

1. Athlete Questions 2. Foot Sizing 3. Foot Exam
7 Stations 4. Gait Analysis 5. Biomechanics 6. Distribution
Click on a number to
open the screening form.
7. Education, Review of Findings and Check out. The circles show
screening station status:
Numbered Red = Active screening.
circles are Black = Completed
color coded screening.
White = Not screened.

Station 1 Document athlete

concerns and previous
Athlete treatment or surgeries.
Questions
Save before proceeding
to next station.

Station 2 Current Shoe Size

Select (Child or Adult).
Foot Sizing
Measurement:
Select one of (USA, Euro,
UK, or Asia).
Current
Shoe Size Length must be a value
greater than or equal to
0.5 and width must be a
letter.
If you do not select the
shoe size and
measurement, you will
receive an error message.

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 Fit Feet User Guide
Healthy Athletes System (HAS)

Station 2 Measured Shoe Size

Select (Child or Adult).
Foot Sizing
Measurement:
Select one of (USA, Euro,
UK, or Asia).

Measured
Length must be a value
Foot Size greater than or equal to
0.5 and width must be a
letter.

If you do not select the

shoe size and
measurement, you will
receive an error message.

Check all boxes that apply

Station 3 to athlete.

Foot Exam

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 Fit Feet User Guide
Healthy Athletes System (HAS)

Station 4 Check all the boxes

that apply and Save
Gait Analysis page.

Station 5 Check all the boxes

that apply and Save
Biomechanics page.

Review the data

Station 6 entered, especially
shoe size, and type in
Distribution any helpful comments.

Review screening
responses by toggling
Station 7 through the stations.
Answer the ‘Education,
Checkout Review of Findings,
and Checkout’
questions before
pressing Save and
Finish to complete this
process.

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

FUNFitness Screening
6 Stations 1. Pre-screen 2. Flexibility 3. Strength Exam Click on a number to
4. Balance 5. Aerobic Fitness 6. Referrals. open the screening
form.
Numbered The circles show
circles are screening status:
color coded Red = Active screening.
Black = Completed.
White = Not screened..

Document athlete
Station 1 concerns.
Save and proceed to
Pre-screen next station.

Station 2 Data validation restricts

values users may enter.
Flexibility Negative values must
have a negative sign (-)
before the number.
Positive values do not
have a positive sign
(+). A value outside the
range results in a red
error message.

Station 2 Hamstring –Supine

(passive) knee
Flexibility extension:

Values must be less

than or equal to 20 and
greater than or equal to
-90 (x=<20 or x>=-90).

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

Station 2 Calf – supine (passive)

ankle dorsiflexion:
Flexibility Values must be less than
or equal to 15 and
greater than or equal to
-70 (x=<15 or x>=-70).
For example, 16 is not
an acceptable value and
-71 is not an acceptable
value.

Station 2 Anterior hip – Modified

Thomas Test:
Flexibility
Values must be less than
or equal to -90 (x=<-90).
For example, -91 is not
an acceptable value and
1 is not an acceptable
value.

Station 2 Shoulder – Apley’s Test

(Functional Shoulder
Flexibility Rotation):

Any value is acceptable,

but please refer to the
reference sheets
provided at the station
for further guidance.

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

If Education is given,
check appropriate box.

Station 3 Strength Exam

Strength Check all boxes that

apply.
Exam

Station 3 LEG MUSCLES

Strength Check all boxes that

apply.
Exam
If Education is given,
check appropriate box.

ABDOMINAL MUSCLES

If Education is given,
check appropriate box.

Station 3 FOREARM AND HAND

MUSCLES -
Strength
Perform test for Right
Exam arm and repeat for Left
arm. If Education is
given, check appropriate
box.

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

Station 3 UPPER EXTREMITY

MUSCLES
Strength
Check all boxes that
Exam apply.

If Education is given,
check appropriate box.

TANDEM or MODIFIED
Station 4 TANDEM
Balance
Please note the
updated Balance test
battery includes
assessments for seated,
standing, and mobility-
based balance.

EYES OPEN
Station 4
Check all boxes that
Balance apply.

If Education is given,
check appropriate box.

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

EYES CLOSED OR
Station 4 COVERED
Balance Check all boxes that
apply.

If Education is given,
check appropriate box.

TIMED UP AND GO
Station 4 (TUG)
Balance Check all boxes that
apply.

If Education is given,
check appropriate box.

SEATED FORWARD
Station 4 FUNCTIONAL REACH
Balance Check all boxes that
apply.

If Education is given,
check appropriate box.

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

SEATED LATERAL
Station 4 FUNCTIONAL
REACH
Balance
Check all boxes that
apply.

If Education is given,
check appropriate
box.

Aerobic Fitness
Station 5
Check all boxes that
Aerobic apply.
Fitness

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 FUNFitness Screening Guide
Healthy Athletes System (HAS)

HEART RATE

Check all boxes that

Station 5 apply.

Heart Rate If Education is given,

check appropriate box.

Referrals
Station 6
Review the athlete’s
Referrals record to check if any
stations are
incomplete. If an
athlete has not
completed a station,
you can direct them
back to the station they
missed.

Answer all the Referrals

questions before
pressing Save and
Finish.

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 Health Promotion Screening Guide
Healthy Athletes System (HAS)

Health Promotion Screening

1. Body Composition 2. Bone Density 3.
9 Stations Blood Pressure 4. Nutrition 5. Physical Activity
Click on a number to open the
screening form.
6. Hand Washing 7. Sun Safety 8. Tobacco Use
9. Summary and Check out The circles show screening
status:
Numbered Red = Active screening.
circles are Black = Completed.
White = Not completed.
color coded
Height and weight are
measured using the metric
Station 1 system (cms and kgs) or
the Imperial system (inches
Body and pounds). Select one
Composition system and be consistent
throughout. If the
measurement system is not
selected, the user will not
be able to save the data.
Height and weight readings
should be entered up to
one decimal place (e.g.
63.5 inches or 165.6lbs).

If a decimal is not entered,

an alert will pop up as in the
example, and the user will
not be able to save the
data.

The system will

Station 1 automatically calculate the
BMI for Adults and the BMI
Body Mass Percentile (for children
Index (BMI) under age 20). In this
example, the athlete BMI
status is overweight.

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 Health Promotion Screening Guide
Healthy Athletes System (HAS)

Always check “Yes” or “No” to

BMI indicate a referral.
Make sure to check Urgent or
Referral Non-Urgent. This question
must be answered for Special
Olympics to follow up with
athletes referred for further
care.

Bone mineral density (BMD)

Station 2 readings should ONLY be
recorded for athletes who are
Bone 20 years old and older.
Mineral
When entering the values for
Density the left and right heels, you
(BMD) must enter a zero before the
decimal point for any non-whole
numbers (e.g., 0.3). For negative
values, you must enter a
negative sign (-) before the
value, but for positive values, do
NOT include a positive sign (+).

If you are unable to test the

athlete’s heel, or the athlete is
under 20, check the Unable to
Test box and select reason for
not testing). Enter the BMD for
both heels.

Always check “Yes” or “No” if a

BMD referral was recommended or
Referral not. Make sure to check Urgent
or Non-Urgent.

This question must be answered

for Special Olympics to follow
up with athletes referred for
further care.

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 Health Promotion Screening Guide
Healthy Athletes System (HAS)

Station 3 If clinical protocol calls for re-

measuring the blood pressure,
Blood have their blood pressure re-
Pressure checked and re-entered. This
(BP) will overwrite the previously
entered blood pressure.

The system will automatically

calculate the Blood Pressure
categories. The example on the
left is “Stage 2a Hypertension.

Always check “Yes” or “No” if a

BP referral was recommended or
not. Make sure to check
Referral Urgent/Non-Urgent.

This question must be answered

for Special Olympics to follow
up with athletes referred for
further care.

Station 4 Check all boxes that apply.

Nutrition Save and continue to next

Station.

Station 5 Check all boxes that apply.

Physical Save and continue to next

Station.
Activity

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 Health Promotion Screening Guide
Healthy Athletes System (HAS)

Station 6
Check all boxes that apply.
Hand Save and continue to next
Washing Station.

Station 7 Check all boxes that apply.

Sun Safety Save and continue to next

Station.

Station 8 Check all boxes that apply.

Tobacco Use Save and continue to next

Station.

Station 9 Review the athlete’s record by

toggling through the stations. If
Summary an athlete has not completed a
and Check station, you can direct them
back to the station they missed
out before submitting the data.

It is important to answer the

follow up care referrals
questions before pressing Save
and Finish to submit the athlete
data and complete this process.

Type in any relevant comments.

These questions must be

answered for Special Olympics
to follow up with athletes that
have been referred for further
care.

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 Healthy Hearing Screening Guide
Healthy Athletes System (HAS)

Healthy Hearing Screening

8 Stations 1. Athlete Questions 2. Ear Canal Screen/ Otoscopy 3. Click on a number to
Otoacoustic Emission Screen 4. Tympanometry 5. open the screening form.

Pure Tone 6. Pure Tone Threshold Test 7. Extra

The circles show
Services 8. Check out. screening status:
Red = Active screening.
Black = Screening
Numbered completed.
circles are White = Not screened
yet.
color coded

Station 1 Check all boxes that

apply.
Athlete
Save and continue to
Questions next Station.

Type in screener’s
Station 2 name.

Otoscopy Start screening for

Right ear.

If athlete does not

allow screening to be
performed, type in
comments.

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 Healthy Hearing Screening Guide
Healthy Athletes System (HAS)

Check all boxes that apply.

Station 2
If Yes, or Yes, Partially is
Otoscopy selected, check boxes that drop
down for Otoscopy after
cleaning.

Check all boxes that apply.

Repeat screening for Left ear.

Start screening for Right ear. If

Station 3 Screener is not able to test,
check boxes that apply from
OAE Screening drop down options.

Repeat screening for Left ear.

Save and continue to next
Station.

Start screening with Right ear.

Station 4
If Screener is unable to test,
Tympanometry check boxes that apply from
drop down options.

Repeat screening for Left ear.

Save and continue to next

Station.

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 Healthy Hearing Screening Guide
Healthy Athletes System (HAS)

Station 5 Start screening with

Right ear.
Pure Tone
Screening
If Screener is unable to
test, check boxes that
apply from drop down
options.

Repeat screening for

Left ear. Save and
continue to next Station.

Station 6 Responses are limited

to the appropriate
Pure Tone ranges for each test: 0-
Thresholds 120 (AC) and 0-80 (BC

Check all boxes that

apply.

Save and continue to

next Station.

Station 7 It is important that all

services provided are
Extra documented.
Services Type in comments if
“Other” is selected. Save
and continue to next
Station.

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 Healthy Hearing Screening Guide
Healthy Athletes System (HAS)

Station 8 Review the athlete’s

record by toggling
Check Out through the stations.

Answer the Follow up

care questions before
pressing Save and Finish
to submit the athlete
data.

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 Opening Eyes Screening Guide
Healthy Athletes System (HAS)

Opening Eyes Screening

10 Stations 1. Eye Care History 2. Current Prescription 3. Start screening at Opening

Visual Acuity 4. Cover Test 5. Color Vision Eyes stations by selecting
and Stereopsis 6. Autorefraction 7. Eye any of the numbered circles
at the top of the page.
Health 8. IOP 9. Refraction 10.
Checkout and Recommendations. The color of the circles
shows screening status:
Numbered Red = Active screening.
circles are Black = Completed.
color coded White = Not completed
screening.

Check all boxes that apply.

Station 1
Eye Care
History
Check all boxes that apply.

If “Difficulty seeing” and or

“Double Vision” are selected,
check boxes that drop down
for Far or Near.

Check all boxes that apply. If

“Yes” is selected, check boxes
that drop down for Rx
options. Save and continue to
next Station.

Special Olympics
1133 19th Street NW, Washington, DC 20036–3604, USA Tel +1 202 628 3630 Fax +1 202 824 0200
www.specialolympics.org Email [email protected] Twitter @specialolympics
Created by the Joseph P. Kennedy Jr. Foundation for the benefit of persons with intellectual disabilities
 Opening Eyes Screening Guide
Healthy Athletes System (HAS)

If a value outside the

ranges specified is
entered, user will get red
Station 2 error message.
Sphere values are
Current limited to numbers
Prescription between -40.0 and 40.0.
Cylinder values are
limited to numbers
between -0.25 and -14.0
with increments of 0.25.
Cylinder values must be
negative numbers.
Axis values are limited to
numbers between 0 and
180.

Check all boxes that

Station 3 apply.

Visual If “Other” is selected,

Acuity ensure to type in
comments.

Phoria and Strabismus

Station 4 values are limited to
values between 2 and
Cover Test 99, inclusive (x>=2 and
x=<99). For example, a
value of 100 or 1 will
not be accepted.

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 Opening Eyes Screening Guide
Healthy Athletes System (HAS)

Color Vision (CVME)

questions are limited to
Station 5 values between 1 and 9
Color listed in the drop-down
bar.
Vision
and If the first test values are
less than 8 plates, then
Stereopsis test again.

The Color Check and

Stereopsis questions are
limited to values
between 0 and 6 listed in
the drop-down bar.

Sphere values are

Station 6 limited to numbers
between -40.0 and 40.0.
Auto- Cylinder values are
refraction limited to numbers
between -0.25 and -14.0
with increments of 0.25.
Cylinder values must be
negative numbers.
Axis values are limited to
numbers between 0 and
180.

Start screening for Right

Station 7 eye.
Type in brief description
Eye Health of abnormalities.
You may upload a photo
of the abnormality.
Repeat screening for
Left eye.
Save and continue to
next Station.

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 Opening Eyes Screening Guide
Healthy Athletes System (HAS)

Station 8 The IOP question is

limited to values less
IOP than or equal to 60 and
greater than or equal to
-5 (x=<60 and x>=-5).

For example, the system

will not accept a value of
-6 or a value of 61.

Sphere values are

Station 9 limited to numbers
between -40.0 and 40.0.
Refraction Cylinder values are
limited to numbers
between -0.25 and -14.0
with increments of 0.25.
Cylinder values must be
negative numbers.
Axis values are limited
to numbers between 0
and 180.

Station 10 Review the athlete’s

record by toggling
Check-out clicking on the athletes
“Current Prescripton”,
Autorefraction,
Retinoscopy, and
Refraction tabs.

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 Opening Eyes Screening Guide
Healthy Athletes System (HAS)

Station 10 Sphere values are

limited to numbers
Check-out between -40.0 and 40.0.
Cylinder values are
limited to numbers
between -0.25 and -14.0
with increments of 0.25.
Cylinder values must be
negative numbers.
Axis values are limited to
numbers between 0 and
180.

Station 10 It is important to answer

the follow up care
Referrals referrals questions
before pressing Save
and Finish to submit the
athlete data and
complete this process.

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 Special Smiles Screening Guide
Healthy Athletes System (HAS)

Special Smiles Screening

3 Stations 1. Screening 2. Mouthguard 3. Fluoride

Click on a number to
open the screening form.
The circles show
Numbered screening status:
circles are Red = Active screening.
color coded Black = Completed
screening.
White = Not screened.

Station 1 Check all boxes that

apply.
Screening

Edentulous: Check “No”

box to proceed to the
rest of the questions for
Special Smiles Teeth
Screening.

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 Special Smiles Screening Guide
Healthy Athletes System (HAS)

Station 1 Check all boxes that

apply and type in
Teeth comments in the Notes
Screening text box.

Note: There is no Check

Out station for Special
Smiles. The Athlete may
leave when they are
finished with the
stations. Don't forget to
direct them to pick up
their Goody Bag!

Station 2 Check all boxes that

apply.
Mouthguard
Save and proceed to
next station.

Station 3 Check all boxes that

apply.
Fluoride
Save and Finish.

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 Strong Minds Screening Guide
Healthy Athletes System (HAS)

Strong Minds Screening

2 Stations 1. Check-In / Intake 2. Check Out .
Click on a number to
open the screening form.

Numbered The circles show

circles are screening status:
Red = Active screening.
color coded Black = Screening
completed.
White = Not screened.

Station 1 Check all the boxes that

apply.
Check-in / Once the screening
responses are complete.
Intake select Save and Finish to
submit the athlete data
and complete this
process.

Station 1 Once the screening

responses are complete.
Check-in / select Save and Finish to
submit the athlete data
Intake and complete this
process.

32 | Special Olympics
 Strong Minds Screening Guide
Healthy Athletes System (HAS)

Station 2 Review the athlete’s

record by toggling
Check Out between the stations. If
an athlete has not
completed a station, you
can direct them back to
the station they missed
before submitting the
data.

Station 2 Check all boxes that

apply.
Check Out Once the screening
responses are complete.
select Save and Finish to
submit the athlete data
and complete this
process.

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