Preventative Care mammogram 99 – MA completes entry Duty: MA Physician is prompted that patient is ready Physician prompt easily identified Identify correct patient chart Duty: Physician Patient chart/ medical Hx easily accessible Physician looks at CC, PMH and past visit Chief complaint entered by MA visible/can it be edited? Duty: Physician Option to default PMH into note Ease of viewing past visit Alerts/reminders when a note is opened Physician new Follow up Diabetes, How is information documented? point and – note and documents Hypertension, click, keyboard, voice recognition HPI GERD. Patient states What is the format, i.e., SOAP, problem Duty: Physician experiencing elevated oriented fasting blood sugar at Is the note template customizable? home Physician reviews/ Diabetes Type II, Are templates customizable by practice, by provider? updates PMH/PSH/ Hypertension, GERD Risk factor tracking FH/Med.list/ Tracking family history Soc.Hx/Allergies/ Immunizations Duty: Meds: HTCZ 12.5 mg Medication maintenance (active, discontinued, Physician qid, Lopressor 100 and why) mg bid, Prevacid 30 mg hs, Metformin 500 mg bid Allergies: Allergy documentation food, drug, – environment Penicillin>Urticara Can allergies be tied to alerts? Three normal, Recalls patient’s last menstrual period, statuses spontaneous vaginal such as post- hysterectomy, post–menopausal deliveries or pregnancy all without user Hospitalized once for Integrates scanned images, consultation reports Pneumonia in 1998 What interfaces does the product currently support?
Preventative Care – mammogram 99 MA completes entry Duty: MA Physician is prompted that patient is ready Duty: Physician Physician prompt easily identified Identify correct patient chart Patient chart/ medical Hx easily accessible Physician looks at CC, PMH and past visit Duty: Physician Chief complaint entered by MA visible/can it be edited? Option to default PMH into note Ease of viewing past visit Alerts/reminders when a note is opened Physician new note and documents HPI Duty: Physician Follow up Diabetes, Hypertension, GERD. Patient states experiencing elevated fasting blood sugar at home How is information documented? – point and click, keyboard, voice recognition What is the format, i.e., SOAP, problem oriented Is the note template customizable? Physician reviews/ updates PMH/PSH/ FH/Med.list/ Soc.Hx/Allergies/ Immunizations Duty: Physician Diabetes Type II, Hypertension, GERD Are templates customizable by practice, by provider? Risk factor tracking Tracking family history Meds: HTCZ 12.5 mg qid, Lopressor 100 mg bid, Prevacid 30 mg hs, Metformin 500 mg bid Medication maintenance (active, discontinued, and why) Allergies: Penicillin>Urticara Allergy documentation – food, drug, environment Can allergies be tied to alerts? Three normal, spontaneous vaginal deliveries Recalls patient’s last menstrual period, statuses such as post- hysterectomy, post–menopausal or pregnancy all without user Hospitalized once for Pneumonia in 1998 Integrates scanned images, consultation reports What interfaces does the product currently support?