Provides researchers the ability to dynamically create queries supporting unlimited combinations of demographic data, clinical data, drugs, results, diagnoses, procedures and any user defined codes.
Provides a rich medical library where physicians can seek knowledge related to their patients or research topics.
Medical guideline follows the medical care process of recognition, assessment (root cause analysis), treatment (based on assessment), and monitoring. Be able to make the case for unavoidable situations and conditions.
The system can search for a more effective treatment. It also uses certainty algorithm and come with the treatment for the identical/similar cases which have the shortest length of stay.
With the EMR can easily see how the care team is involved in the management of health issues. By seeing all of the test results and medications on the screen; patients have a much greater sense of involvement in and accountability for their own well-being.
- Track data over time
- Identify patients who are due for preventive visits and screenings
- Monitor how patients measure up to certain parameters, such as vaccinations and blood pressure readings
- Improve overall quality of care in a practice
THE EMR Support the discharge summary report for each patient visit when he is discharge signed by the attending physician, there are main list to choose what is the patient data want to view in the report like ( admission history, admission physical exam, laboratory test, allergies, chief complains, condition on discharge, etc
Clinicians will use the information obtained from microbiology labs to make clinical decisions and initiate treatment options best suited for that particular patient.
To facilitate the process, it is of the utmost importance that clear communication exists between the clinician placing the order and the laboratory professionals performing the tests.
This communication is critical because it facilitates efficient use of laboratory resources, as well as improving turnaround time for test results.
It is a tool used by managed care plans, and may include both general preventive education or health promotion and disease or condition specific education. Patient education involves helping patients become better informed about their condition, medical procedures, and choices they have regarding treatment.
Clinical Reminders are powerful tools that enable to improve patient care by tracking medical needs to patients and allowing providers to view when specific tests or evaluations were performed and to track and document when care was delivered. The primary goal is to provide relevant information to providers at the Point of Care.
Clinical Reminders are based on age, gender, diagnosis, and other health factors.
Reminders can also be created for Informational purposes.
Ability to store more than one identifier for each patient record.
Shall use key identifying information to identify (look up) the unique patient record.
Provide more than one means of identifying (looking up) a patient.
Provide the ability to maintain and make available historic information for demographic data including prior names, addresses, phone numbers and email addresses.
Provide the ability to modify demographic information about the patient.
Capture and store lists of medications and other agents to which the patient has had an allergic or other adverse reaction.
Ability to specify the type of allergic or adverse reaction in a discrete data field.
Ability to deactivate an item from the allergy and adverse reaction list.
Give the user alarming to warning that patient has critical data.
Capture structured data (Personal, complaint, Present illness, Past, Family, medications) in the patient history.
Update a patient history by modifying, adding items from the patient history as appropriate.
Provide the ability to create and display a summary list for each patient that includes, at a minimum, the active problem list, current medication list, medication allergies and adverse reactions.
Capture patient vital signs, including blood pressure, heart rate, respiratory rate, height, and weight, as discrete data.
Shall be capable of recording comments by the patient or the patient's representative regarding the accuracy or veracity of information in the patient record (henceforth 'patient annotations').(By Voice, Scanning document,…etc)
Ability to graph height and weight over time and calculate and graph body mass index (BMI) over time.
Display patient annotations in a manner which distinguishes them from other content in EMR(Archiving).
Ability to create prescription or other medication orders with sufficient information for correct filling and administration by a pharmacy.
Alert the user at the time a new medication is prescribed that drug interaction and allergy.
Ability to update drug interaction databases (Drug to Drug master file).
Display the associated problem or diagnosis (indication) on the printed prescription.
Ability to order diagnostic tests, including labs and imaging studies (Radiology orders).
Associate a problem or diagnosis with the order.
Capture the identity of the ordering provider for all test orders.
Display user created instructions and/or prompts when ordering diagnostic tests or procedures.
View of active orders for an individual patient (Patient Medication Profile).
Route, manage, and present current and historical test results to appropriate clinical personnel for review, with the ability to filter and compare results.
Provide the ability to link (by order number which is unique identifier) the results to the original order.
Consultant physician can’t edit or view patient medical record unless the attending doctor asked for his consultation and attached patient’s medical record to him.
Provide different levels of security (through user ID &password), allowing different service providers (doctors, assistants, nurses…) to only access the information that is granted through the level of security.
