english description openemr website

OpenEMR is a very complete system for Electronic Medical Records (EMR) or even Electronic Health Records (EHR). It is written in PHP code with Javascript and MySQL database. It is very complete open source code, free, that can be downloaded from the official Oemr site.

Anyone can download it, install it and make the modifications to the code that are necessary to adapt the system to the particular needs of a client.

We have developed a system to download printable forms with additional variables to those that come by default. This helps the clinics transition from paper to electronic format. Also we created a score of forms commonly used in external and internal attention.

It is possible to connect patient data with other servers, for example with clinical analysis laboratories, which deliver scanned results, or providers of diagnostic imaging, Rx, MRI, tomography or related. These providers must comply with the HL7 standard, the universal standard for the transmission of medical data, and also the safety standards at the level of HIPAA and other regulatory bodies. On the other hand, health insurance companies may also have servers that require connection to the digitalized medical history through our clinical medical data software. In this way they can monitor the evolution of their patients and authorize benefits. In this case OpenEMR provides REST standards through an API that allows the interaction of both servers.

We developed a number of improvements, having to do with dowloadable forms with incorporated variables, with the Inpatient module and more. Also a development that allows segmenting patient data based on the health insurer, so users identified with a company can only see the patients of that company, and not the others.

Ask us for assistance services with this topic. We have experience in installing, adapting, configuring and performing new developments at the request of the client.

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”

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”

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.

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)”

How EMR improve medical attention by health personnel

There is growing enthusiasm in the United States about the use of electronic medical records (EMR) in patients. Important sums of money have been allocated to subsidize the adoption of this technology by physicians. The magazine Family Medicine highlights in an article both the promises and the disadvantages of this technology. Continue reading “How EMR improve medical attention by health personnel”

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.