| EMR solutions Frame work – Clinical Charting Module |
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| The objective of this Charting module is to record finer details of a patients visit to the practice covering all aspects of data recording including those related to the current illness as well as the history of illnesses, recording of vitals, diagnostics, medications and doctors orders including prescriptions, labs requests and diet etc. |
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| The seat of an EMR is the electronic charting which serves as a purpose to automate your practice and maintains a complete patient record based on input templates. It allows the provider to customize templates according to their requirements to help complement your practice-specific workflow and define treatment protocol as well. Covering aspects like history, vitals, diagnosis, medication, allergies, physical exam, etc, some of the vital features that an EMR comprises are as follows: |
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Patient Search |
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Security and privacy maintained through electronic signature of the charts |
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Integration with Labs, Pharmacy, Billing sub-system, etc |
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Document and image management |
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Alerts for health maintenance |
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Built in templates and protocols |
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Extensive Configurations |
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E and M coding |
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| In nut shell, it ensures a comprehensive coverage of features for the Subjective, Objective, Assessment and Plan segments of a Chart (The SOAP Note) namely, |
| S- Patients current condition in descriptive form i.e. CC, RFC, and HPI |
| O- Vital signs, physical exam, results from Labs |
| A- Diagnosis |
| P- Treatment plan |
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| The list of functions available in charting module are CC/RFC/HPI, Vitals, Medications, Histories, Review of Systems, Allergies, Immunizations, Health maintenance, Physical exams, Diagnosis, Patient Plan, Lab order, Problem list, etc. |
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