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     << WHAT IS LEHIPEDS? >>

        LEHIPEDS is an easy to use Medical Office Management System. The
        program is designed for use in primary care (e.g. pediatric,
        family practice, internal medicine, etc.) solo or small group
        practices up to 4 or 5 doctors. 

        This program was developed by a business manager nurse, Marilyn S.
        Holt, R.N. and pediatrician Roger N. Holt, M.D. It has been under
        continuous use and development in Dr. Holt's pediatric medical
        office for over 5 years.

        The program features separate files for each family member with a
        capacity for 100,000 patients and 1 million transactions. Fees,
        diagnosis codes, and CPT codes are user defined. You can print
        HCFA 1500 insurance forms, patient billing statements, collection
        letters, daily log, and numerous financial reports. There is a
        regular database, an inactive database and a database for patients
        with specific needs or problems. The program handles group or mass
        payments such as capitation payments. Pop-up help screens and
        detailed 87 page manual included. Electronic claims submission for
        Florida users. 

        Registered users get search utilities, additional practice
        management reports, and a Managed Care Module.

        THERE IS ONE VERSION OF LEHIPEDS: IT RUNS EQUALLY WELL AS A SINGLE
        USER PROGRAM OR ON A NETWORK. 



     << SYSTEM REQUIREMENTS >>

        IBM compatible 386, 486, or Pentium with 640K memory. Extended
        memory helpful, but not required. DOS 3.x or higher. This is a DOS
        program although it will run well within Microsoft Windows
        environment. Video monitor: Mono, EGA, or VGA.  Dot matrix (or
        Laser) printer. 











     
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     << INSTALLATION >>

        This file describes the necessary procedure to install the
        LEHIPEDS Program if it was downloaded in the form of a single
        zipfile named lhpeds31.zip. 
       
        The entire program files; auxiliary files; and manual files are
        included within the zipfile, lhpeds31.zip.

        To install, proceed with the following steps:

          - Using the DOS mkdir (md) command, create a directory named
            PEDBASE off the root directory of your hard drive.

          - Log onto the PEDBASE directory. Copy the file lhpeds31.zip to
            the PEDBASE directory. 

          - Using the pkunzip utility (this utility is available on most
            bulletin boards and on-line services), unzip the files in
            lhpeds31.zip into the PEDBASE directory.

          - One of the files included in lhpeds31.zip is SETDIR.EXE. Run
            this mini-program to set-up the necessary directory structure
            for LEHIPEDS. After running SETDIR.EXE, you will have the
            following directory structure:


                   C:\
                   ³
                   ³
                   ÃÄÄÄ PEDBASE
                   ³      ÃÄÄÄÄÄ LEDGER
                   ³      ÃÄÄÄÄÄ INSFRM
                   ³      ÃÄÄÄÄÄ FINANCE
                          ÃÄÄÄÄÄ OLDINS
                          ÀÄÄÄÄÄ BKLDGR

            **************************************************************
            KEY POINT: It is absolutely imperative that you create this
            directory structure and do NOT modify it. The program will not
            function properly without this specific directory structure. 
            **************************************************************


            You have now installed the program! However, before you will
            be able to run the program you will need to configure your
            computer properly. See the following discussion regarding
            configuration. 




     
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     << CONFIGURATION >>

        This will be done by entering the files, buffers, and ansi.sys
        commands in your CONFIG.SYS file. If you do not know what the
        CONFIG.SYS is, refer to your DOS Manual. 

        Your CONFIG.SYS file should include the following commands; you
        should edit the file accordingly:

          - You need to reference your ANSI.SYS device driver. If this
            driver is in your DOS directory. use the command
            "device=c:\dos\ansi.sys" (no quotes).

          - You need to set your buffers and files statements. This is
            somewhat of a trial and error process. If you are running
            the program from a single user machine, try setting
            buffers=32 and files=50. Some systems may require more
            buffers and files to be open.

            If you are running the program on a network, you will need
            to set files=100 (or more). Consult your LAN Manual for a
            buffers recommendation. In addition, some LANs may require a
            FCBS setting; consult your LAN Manual.

            REMEMBER: These settings are read into the computer during
            the boot-up sequence. Therefore, after any changes or
            additions are made to your CONFIG.SYS, you MUST re-boot your
            computer. If, after one group of changes, you need to make
            additional changes, you will again need to reboot, etc.

        Another important aspect of configuring your system involves
        setting certain files to "read-only" status. This will prevent
        accidental deletion or modification of important program files.
        Furthermore, some LANs (e.g.Lantastic) will not run properly
        unless the program files are read-only. If necessary, you can
        always later remove the read-only attribute. Use the following
        commands to set the read-only attribute (no quotes):

          - "c:\dos\attrib +r *.exe"
          - "c:\dos\attrib +r *.bat"
          - "c:\dos\attrib +r *.def"
          - "c:\dos\attrib +r *.com"

        Before continuing, be sure to read the Introductory sections and
        the Getting Help and Getting Started sections of the manual. See
        instructions below on printing the manual.






     
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     << PRINTING THE MANUAL >>

        From the PEDBASE directory issue the command LHMANUAL. This will
        bring up a menu allowing you to print the entire (or parts of) the
        Manual. You should print the full Manual which is 87 pages.
        Options to print specific sections of the Manual are handy in case
        of a paper jam. You do not have to restart printing from the
        beginning of the Manual. 


     << RUNNING THE PROGRAM >>

        You are now finally ready to run the program. The program is
        comprised of several interrelated Modules. 

        The first time you run the program you will want to install
        certain default data files that come with the program. To do this,
        you should initially run the Main Module, LEHIPEDS; and then the
        Customization Module, LEHICSTM. When these modules load, they will
        automatically install the default files.

        There are two ways to run the modules:

          - You can enter the name of the appropriate executable files. In
            the present example, you would first type "LEHIPEDS" (no
            quotes) to load the Main Module. When you get to the Main
            Menu, exit the module. Then type "LEHICSTM" (no quotes) to
            load the Customization Module. When you get to the opening
            menu of this module, you may then exit. 

          - We supply an integrated batch file menu, called EDMENU.BAT,
            which allows you to choose among the various program modules. 
            Type "EDMENU" to get this menu. By pressing the appropriate
            function key, first run the Main Module. After exiting this
            module, press the function key to run the Custom Module. Exit
            the Custom Module. 

        You are now ready to browse and explore all the modules in the
        program. Make liberal use of the online help screens and manual. 


     << LLOAD >>

        You may find with certain versions of DOS and with certain
        configurations using upper memory blocks, that some of the modules
        will not run. You may get an error message stating "packed file
        corrupt" or "illegal format in loadable file" or something
        similar. This is a DOS problem, not a problem with LEHIPEDS. 

        To solve this problem, use the DOS command loadfix (if it is
        present in your DOS directory) or the LLOAD utility supplied with
        LEHIPEDS. This problem is discussed in detail in the Manual. 
     
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     << WINDOWS >>

        As noted above the LEHIPEDS Modules run quite well in the Windows
        environment. We even supply PIF files for use in Windows 3.x.
        Refer to your Manual for more information on running LEHIPEDS in
        Windows. 

        We have briefly looked at LEHIPEDS in Windows 95, and it appears
        to run without problem. Refer to the text file WIN95.DOC provided
        with the program.


     << SHAREWARE >>

        This program is a copyright program that is being distributed by
        the shareware concept. 

        The program is in no way crippled. You receive the fully
        functional network version (the only version!). You may use the
        program for a reasonable period to determine if it is suitable for
        your medical practice. If you continue to use the program beyond
        this evaluation period, you must register the program.

        The shareware file lhpeds31.zip may be freely distributed to
        colleagues or uploaded to any electronic bulletin board or
        internet site. In fact, we encourage you to do so. However, you
        must distribute the file in its original, unaltered condition.

        The registered program disks which you receive after registering
        the software cannot be distributed. 

        Refer to the Manual for further information on the shareware
        concept and registering the software. 


     << TO CONTACT THE AUTHORS >>

        By Mail:    Marilyn S. Holt
                    1140 Lee Blvd. Suite 108
                    Lehigh Acres, FL 33936

        By Phone:   (941) 368-3810 
                    Call between 10:00 AM and 4:00 PM (EST or EDT)

        By E-mail:  lehipeds@peganet.com


        We hope you enjoy the program.

        Marilyn S. Holt, R.N.
        Roger N. Holt, M.D.


