Sunday, 05 Sep 2010
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Chart Management

Chart Management, a built in module of OrbitEMRx, provides a comprehensive set of easy-to-use tools to manage patients' medical record. This is a physician centric approach of creating and managing charts by providing customizable templates, single screen to make navigation easier, and look-and-feel similar to conventional paper charts to which physicians are accustomed.

Features

Accessibility

  1. Securely access charts from any where in the world via Internet
  2. Well organized charts within each patient's record provides easy viewing of all sections of the chart from one single window.
  3. No need to switch from one screen to the other to view different sections of the chart.
  4. Access scanned documents and images from one single area.
  5. Efficient search engine to search charts based on commonly used industry standard keywords.
  6. Access charts on desktop PC, laptop, tablet PC, PDA, Palm, and BlackBerry.

Ease of Use

  1. User-friendly design and consistent icons allow users with limited computer knowledge to navigate the software quickly.
  2. Chart looks very similar to the conventional paper layout making it easier to complete in a short time
  3. Choose-and-Click, drop down menus, and customizable templates minimize keyboard typing

Comprehensive Charting

  1. Conforms to CMS guidelines for Clinical Documentation
  2. Maintain clinical history -- Past Medical, Past Surgical, Allergies, Medication, Master Problem list, Family, and Social history
  3. Immunization History - The Immunization History dialog is used in General Medicine to complete a immunization record for the patient.
  4. Encounters are chronologically organized within the patient chart
  5. Encounter template is designed in a way that it expands dynamically by creating new fields/rows when needed.
  6. Prescription and Orders (Lab, Radiology and General) writing template to import information in the encounter without switching screens.
  7. Generate Progress Notes with just one click of button.
  8. Lab results, Signed Medication, and Radiology orders organized and accessible from within the patient's chart.

Coding

  1. Support of ICD-9 and CPT-4 codes for billing and insurance
  2. Auto E/M calculation based on encounter entries and consultation time

Efficient Workflow

  1. Integrated with Appointment and Scheduling, Messages and Alerts, and Insurance and Billing modules automate the entire practice workflow.
  2. Different portions of the chart can be filled by different users -- patients, reception, nurse -- before it comes to the physician for final preparation and signature. This reduces the time for physicians to create a chart.
  3. Share chart with fellow physicians
  4. Add charts in favorite for quick viewing

Security

  1. Encrypted transmission over Secure Socket Layer (SSL )to protect clinical data
  2. Role based access allows users with appropriate authority to view/edit only those portions of chart data which they are authorized to.
  3. Charts are locked to prevent accidental modification or editing. To edit chart, user has to explicitly click "edit" button to turn the chart into editable mode.
  4. Signed encounters become non-editable to prevent editing. However, addendum could be added to a signed encounter.

Graphs

  1. Graphical representation of vital signs to report trends
  2. Graphs of Lab data over time to report trends
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