Cost of the Electronic Medical Record system

There are many variables to consider to estimate the installation cost of an EMR system.

These are the standard questions about the final users, which we usually ask in order to quote an installation and a maintenance service. The answer will give us an idea of the intensity of use, of user diversity, of the amount of data to be managed and of the complexity of the initial installation and subsequent adaptations and configurations.

For a fast automated quote see our calculator and you will know how many hours of a technician will be needed to install the software.  Continue reading “Cost of the Electronic Medical Record system”

Inpatient module for OpenEMR – Ongoing project

The OpenEMR was originally for outpatients, but many claimed a new feature that allows the monitoring of hospitalizations. We are developing an Inpatient Module, including location, type of bed, floor, room, bed number, additional room , such as TV and oxygen, etc.

The reports include: Free beds – Inpatient days – Standard Inpatient  Number – Released patients – Accumulated cost for bed use

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What OpenEMR usage statistics reveal

There is a variety of data that can be obtained by analyzing the OpenEMR clinical history system, and at this moment we have in sight the use data of an important clinic in Southern Argentina, where we installed the system 3 years ago.

We can see how much each doctor uses the system, if they do it well or with errors, and which aspects can be improved. When several users committ the same mistakes, it is obvious that a global strategy needs to be implemented.

We see that less than 10% of the system’s features are actually being used. Most users ignore the available features, and prefer typing instead of selecting options from a menu. Apparently there is no local leader that can guide the rest of the users in taking true advantage of the available system. There is no effective coordination of the data entry and processing tasks. Continue reading “What OpenEMR usage statistics reveal”

Installation of OpenEMR in a medium size clinic in Southern Argentina.

We have installed OpenEMR in a medium size clinic, in the province of Chubut, Argentina, in September 2016. So far, 7 months later, there are 100 registered users and almost 10,000 patients. There were no problems so far.

The administration asked us for some reports, beyond those programmed in the OpenEMER system. For example, a list of patients without health insurance. We solved it with a customized MySQL query.

A Gynecology form was implemented with some standard questions.

Continue reading “Installation of OpenEMR in a medium size clinic in Southern Argentina.”

Legal issues concerning digital medical records in Argentina

I see on Facebook Alejandro Abraham’s initiative for the country to adopt the Digital Clinical History, and I have already adhered. Public request

Law 26.529 that regulates the rights of the patient, in terms of the autonomy of the will, the information and the clinical documentation, specifies certain guidelines that a clinical history must meet. Among these guidelines, there is the confidentiality of information between the doctor and the patient, and any health professional who may have access to it. Article 14 specifies that the patient is the owner of the clinical history and that at its simple request a copy of it must be provided. But in turn, article 17, indicates the uniqueness of the clinical records by establishment. That is, each health facility must have a particular clinical history, completely isolated from any other institution.

Relevant in Law 26,529, articles 2 (sections C and D), article 13, article 14, article 17 and article 18 are relevant. I believe that all health professionals waste a lot of time and effort trying to understand the handwriting of colleagues in all types of clinical documents, which causes delays and sometimes serious errors.

The forums of biochemists and pharmacists are full of queries about what the doctor meant in such a doodle. And as it remains mandatory that prescriptions be MANUSCRIPTS, the responsible is the same State and its adherence to archaic legislation. Added Nov.2018 : the new legislation on electronic signature says that this modality can replace previous methods of signature, which authorizes to sign recipes digitally. But the body of the recipe is still subject to the letter of the law, which requires it to be handwritten. By not repealing or changing the Law of Exercise of Medicine, the issue remains confused and subject to controversy.

New features in version 4.2.2

This new release of OpenEMR has several interesting new features. Check them out in our demo site at www.medical-records.net

 

  • 2014 ONC Certified as a Modular EHR
  • Compatible with PHP7
  • Compatible with most recent versions of MySQL and MariaDB
  • Added a modern user interface
  • Added full support for right to left languages
  • Added an About link/page
  • Numerous Bug Fixes
  • Supported in 30 languages
  • Numerous Security Fixes and Security Improvements

Contact us for any inquiry.

Ask us

How to see X Ray images in the computer

In order to record X rays  a Pacs – Dicom server is usually needed. A demo for a DICOM reader is located at:

http://medical-records.net/dicom3/

This is a tomography (X Ray in multiple layers), and can be enlarged, reduced, brightened, darkened, and moved around.

This is quite a complex issue, the readers usually work together with PACS  servers. PACS mean: picture archiving and communication system. They provide security, compression, backup, instant communication (the radiologist notifies the clinician about the imagen availability), etc. There is also a wide price margin, from free to multimillion dollar figures.

There are many options for advanced users, and they can be installed gradually by end user request.  We always suggest separate servers for systems and data, because images are very demanding in terms of gigabytes.

Ask us about PACS server installation in your site or ours.

Some FAQ for advanced features

Q.: I want it to be easy to find providers by Specialty, so that the patient who looks for a Pediatrician finds it right away.

A.: It is not foreseen. You can put the specialty after the surname, in the function of Administrator – Users. For example, Dr. Blanca Pérez Pediatra.

Q.:  I want to see an example of Provider schedule (doctors) In the system www.Medical-records.net I created Dr. Blanca Pérez Pediatra, who works on Thursday, all day (light blue). See the Calendar.

Q.: I want the patient to be able to see their data and provide new information.

A.: The patient portal allows the patient to see their information. You can enter as a patient to the system at , and for the case of the patient Alvaro Alvarez you can enter with the user: Alvaro159 and the password: demo11    We created for this patient an appointment on November 1, 2019, as can be seen from the patient portal. For the patient to provide data, such as pressure, diet, feelings in case of psychiatry or psychology, etc., we must add a handler of Wordlpress content. Ask us about it.

Q.: Can a national system of coding practices and medical prices be used?

A.: I see that the RIPS for use in Colombia uses the ICD10, International Classification of Diseases. At this moment our demo has the ICD9 and SNOMED in English. If necessary, special databases can be adapted to replace existing ones.

Q.: Can a national system be used to transmit data to an insurer?

A.: The RIPS system used in Colombia is not foreseen in the system and must be programmed. The system used in the USA is the X12, comes by default in the system, and is not the same, but can be used as a basis for programming.

Q.: How to recover password?

A.: For now there is no way to recover a forgotten password.

Q.: I need a series of questions for a specialty that should be available

A.: You can incorporate templates to structure the questions that the doctor asks the patient, thus facilitating the task of data entry.

Q.: I want a graphic with the human body or an organ, to indicate a pain or event.

A.: For example, I added a ” Graphic form of pain “as an example of a form. At our demo site, patient Alvaro Alvarez, at the meeting on May 19, I recorded a pain in the abdomen. You can see it in the Summary of Visits. A new tab appears in the Current Visit form, called Miscellaneous – Graf.Dolor Map, where you can find the form to record graphic data.

Health Insurance FAQ

How are the health insurance providers already admitted published?

First of all, each country has a different health system and denomination, but the most common is Health Insurance. In Argentina there are Obras Sociales (obligatory for all workers) or Prepaid Insurance o Prepagas (of voluntary affiliation). In Administration – Practice – Health insurance companies there is an editable list. Continue reading “Health Insurance FAQ”

Legal value of the Electronic Medical Record (Argentina)

This issue always arises in medical areas, especially hospitals. Sometimes, the possible unfavorable legal implications of computerization are an excuse for not computerizing, although increasingly weaker. Sometimes the subject highlights the inadequacy of the current legislation, still several decades behind reality.
For example, at a recent symposium in the Italian Hospital of Buenos Aires, a doctor from this advanced pioneer center in Medical Informatics, complained that as a result of a court case, a lawyer asked to seize the patient’s medical history, for which the judge wanted to take a complete server from the Data Center of the Hospital. This, regardless of the damage caused to the tens of thousands of patients whose stories resided on that same server.
Continue reading “Legal value of the Electronic Medical Record (Argentina)”