Additional tasks to the Inpatient Module, by client request.

Inpatient Module
Creation of a script to whiten the hospitalization tables within the database.

Screens with individual patient data, sorted by Area / floor and by Surname.
Facility to view or print all the data of a single patient at once. More patient data can be added, upon request.

PowerPointPoint file, descriptive of the hospitalization procedure.

Granting of admin permissions for the hospitalizations and of doctor (medical user, medical supervisor) for the hospitalization reports. That way the the bosses can intern, register, change beds and create beds. Common doctors can see the listings, but not change them.

Added fields to the Inpatient List report. Telephone, room, social work, date of internment, doctor in charge, etc. Sort by Floor, Room and Bed. Prepared to print to PDF.

Downloadable or online forms. Inclusion of Health Insurance Provider in all pre-printed downloadable forms with patient variables. The original set of keywords (keywords) was limited, and we had to resort to PHP programming to add data on medical insurance, hospitalization, date, age, etc.

Clinical data form of hospitalization, with internist physician, diagnosis, purpose of the hospitalization, etc. Then it will be complemented with Surgery, Evolution or Epicrisis.

Correction of documents and forms to adapt them to digital environment.
Adding  missing fields, standardization of terminology. Classification according to its stage of use.

Added 70 disposable items and medications to online and downloadable forms, to meet audit requirements.

Added current date and time to online forms and downloadable forms. PHP and MySQL programming. Change of date format, from the original YYYY-MM-DD to DD-mm-YYYY. (PENDING)

AGE field, which did not exist in the system. It was incorporated into online forms and downloadable forms.

Simplification of insurance data loading forms, with only 2 of the 10 existing fields.

Correction of the necessary forms to intern a patient: General and Common Informed Consents, Obstetrics, Indications, Identification Sheet, Sanitary Bill. Alignment of the fields for better use of space.

Demography: When creating a new patient, check of duplicates in ID and Clinical History. More than one form of patient identification, by Clinical History, ID or other document. Newborns without documents, or foreigners with documents or passport are taken into account.

Translation and simplification of 12 possible relationships between RESPONSIBLE and PATIENT (relative, employer, employee, partner, etc.)
A new online system was prepared to continue testing and teaching, prepared for when the current system is used in production.

Completing English to Spanish translation. Done in a 75%

PowerPoint document with use of disease codes and treatments, Word document loaded on this site.

Video conference with members of the Sanatorium to introduce the use of the system.

Counseling users on how to use the Digital Signature in OpenEMR.

Preparation of users with different levels of permission: accountant, receptionist, doctor, medical coordinator and administrator.

Pending Stages:
• Loading data from laboratory shipment
• Loading diagnostic image data
• Visit to Jujuy for training Personalized staff (2 or 3 days)
• Accounting and Billing
• Stock management

Digital clinical data for Occupational Medicine companies

Most Occupational Medicine companies perform periodic examinations where doctors record the data in blank paper forms. This practice represents a waste of time, because the doctor must question each patient about old episodes of work accidents and diseases that the company already knows. Employees may also omit important records. And it is known that this type of control is done against the clock, because the labor doctors have little time to review all the employees of a company. The digital clinical history would solve this problem.

The ART in Argentina and other countries are providers of Labour Insurance, covering work accidents and occupational diseases. These ART run periodical checkups of every worker, looking for work-related health problems. These companies are starting to request that the occupational medicine companies inform them in real time about the work accidents and the results of the periodic exams. This also implies to record all the data in a fast way, that both companies agree on the format and on the interconnection norms of both servers. Usually the HL7 standard is used, but this is not implemented in all the digital systems used in our environment. OpenEMR is ideal for this purpose, because it can also be used in a tablet or even a cell phone, whether the system runs in the cloud or in a local server of the company. It is required to program some simple forms for the most common events in each company, and to make an appropriate interface for the connection of the servers.

The business can expand. The ART can propose the use of this system to other occupational medicine companies. Likewise, the adopting labor medicine company can offer the interconnection of servers to other ARTs with which it works.

Request from us an example and technical and financial information …

Our Inpatient Module for OpenEMR

The hospitalization system covers the main data registration needs in a hospital or clinic.

The first stage is to create the beds. A bed is always inside a room, in turn within a floor and within an area. The area can be General, Emergency, Surgery, Maternity, Intensive therapy, etc. The beds can be male/female, have TV or Oxygen. Other features can be added upon request. Continue reading “Our Inpatient Module for OpenEMR”

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

Continue reading “Inpatient module for OpenEMR – Ongoing project”

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.”

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)”

English description – PresuHisClinDig Budgeter for EMR

PresuHisClinDig is a software application that provides a cost estimation for an Electronic Medical Record System.

The budgeter is mainly oriented to OpenEMR – OpenEMR is an open source, free software for medical records. It fulfills all the security and quality requirements for HIPAA and other public agencies in the US. It supports the HL7 data exchange standard, exporting “Continuity of Care” documents with all the patient data, in a standard, compatible format.

PresuHisClinDig – screen shot:

The software is free to download, install and use. Professionals can charge for additional services, customization, hosting and related services.

PresuHisClinDig

This software calculates the cost of installation and maintenance of OpenEMR and other software, depending on the number of using doctors, patients and other variables. You can also check our online calculator.

Order PresuHisClinDig

No need to order. Just download from the link above, install and use.

Medical appointments system with online appointment calendar

The free open source system OpenEMR has a medical appointment system with calendar, as an integral part of the software, which can also be used separately from the Digital Clinical Records function. You can simply ignore everything that is not needed, and limit yourself to the functions of administering users of the system (user and password), awarding care appointments to professionals providing services, and arranging appointments with patients .

To register a Patient in the system, you need the date of birth, sex and a first and last name. You can add, if desired, a huge variety of demographic data, health insurance, clinical, contact, etc.

To register a Medical Center in the system you only need a name, and a series of location, contact data, if it is a billing center, and even identification color on the screen are optional.

To register a Provider (in general, doctor), user name, first and last name, password, Center by default where it attends and level of access are required, this being maximum (Administrator) or minimum (Clinical). In the same User registration screen you must specify if the same is a health service provider, if it has a presence in the Calendar and if it is active. Access levels that are not usually health service providers or have access to the calendar are the Accountant and the receptionist (deskfront attendant).

To record an Appointment between (Patient and Provider), click on the desired time, within the column of the desired provider, and select the patient. Then the appointment is confirmed.

After registered, the Appointment can be edited to change some data, or it can change of State, becoming: Canceled, Absent, Arrived, Arrived late, Retired without consultation, etc.

Both the programming of hours of presence in the Center for providers, as the Appointments for patients, can be repeated in days, weeks or consecutive or alternate months with a couple of clicks.

The Administrator / Reports function can issue reports of Appointments, Meetings, Appointments without Meeting, etc., for one or several lenders and / or Centers.

If the Patient Portal is activated, it can see on the online site its future appointments with professionals, among other data.

In summary, OpenEMR’s appointment scheduling and meeting schedule function is extremely complete, and covers the needs of most clinics and medical centers.

Our PowerPoint 3 presentation series describes how to use this practical medical appointment system.

If the user wishes, the system functions that will not be used can be disabled from the menus, in order to further simplify the task of the system operators.

Free software installation for electronic medical records: OpenEMR

The software for clinical history can be proprietary or public, depending on the type of license adopted by the author. In addition, they may have cost or be free. OpenEMR is a clinical history computerization solution that offers the greatest advantages in terms of cost, ease of use, support and security, and has the advantages of being public and free.

OPENEMR is an international project, with more than 45,000 installations in all the world, and hundreds of active developers. Because of its size, it has more than 1000 features,  Openemr has many features, well above most commercial systems. The OpenEMR project is managed by Sourceforge.net, the platform more widespread for open source and free projects.

Continue reading “Free software installation for electronic medical records: OpenEMR”