lasan13 wrote on Thursday, January 29, 2015:
Hi
I want to add drugs to a patient encounter so
I have activated the Pharmacy and Dispensary module.I have few quires about this
fsgl wrote on Thursday, January 29, 2015:
Use CAMOS or add another note to the encounter.
See this.
Medications is a list of present meds while Prescription is the module for prescribing pharmaceutical or inventory items.
mdsupport wrote on Saturday, January 31, 2015:
Patient takes medications for a period of time. Since physicians want to monitor the progress, medications are made available in limited quantities (prescriptions). So the EMR lets you link encounters to medications since that is when changes are expected to happen. In real life prescriptions can be filled without an encounter. So it is a standalone table that in US is used to record interactions with pharmacies. As such a patient can be on medication xyz (active ingradient) 10mg BID but prescription could reflect 60 tablets of abc 5mg (brand name) reflecting 15 day supply of the medication with up to 3 refills - with no corresponding encounters.
blankev wrote on Saturday, January 31, 2015:
This is a very, VERY, very interesting statement! Concise and to the point.
Wonder if all US doctors agree.
For the mentally sane and memory healthy doctors this is the general rule. For Health/care Inspectors this might be a vague compilation of what not to expect of doctors… most of the time they will want to know when and how much and why the prescriptions were given and why this was a wise decision.
If something goes wrong.
lasan13 wrote on Saturday, January 31, 2015:
Hi
Thanks all for your comments.
@fsgl : 1 : As you mentioned i have activated the CAMOS module but i can see that prescription at CAMOS module is not connect with the Prescription tab in the patient right side bar. These 2 type of prescription is bit confusing. How can we link those two ? In other word if we create prescription to patient encounter via CAMOS form it should be display at the prescription section as well.
2 : About the pre-define templates : I’m not sure whether you understand my requirement. I’ll try to explain it again . Most of the patients coming to GP practice are conning with common diseases and doctors have set of drugs for these cases. Ex Sinusitus : Drug X , Y ,Z
so if we can create prescription templates for this kind of common diseases and save. We can reuse it again and again and reduce the data entry time significantly.( of course doctor may required to edit the drug list in some cases)I wonder this kind functionality is available in Open EMR
Thanks
blankev wrote on Saturday, January 31, 2015:
CAMOS is the way to go Sinusitis etc.
First columns:
Choice of Medications
2e column common diseases
3rd column common medications for THAT disease… etc. If you are nin need of more ideas, feel free to ask. It is a lot of programming, but once in place anybody can writ the correct perscription for your common diseases.
Connection with the prescription showing in summary, I can not help you. There are some discussion in the past about this. Probably fsgl will have some clues about that option.
lasan13 wrote on Saturday, January 31, 2015:
Hi Pieter Thanks for the quick reply.
Actually I have some prblems with working with CAMOS Form. I tried to read the wicki and help docs but still couldn’t figure it out.I would be very much appreciate if you can advice or direct me how to work with CAMOS form
I’ll explain it bit further. I want to add few drugs to the CAMOS form (ex:Amoxilln + Cipro + Ketokonazole)
-When I select a drug and click ADD or ADD TO button page is reloaded and "CONTENT details are duplicated.
-IF i click “SUBMIT ALL CONTENT” button only one drug is in the patient encounter summary
Please tell me how to do it properly
Thanks again
blankev wrote on Saturday, January 31, 2015:
There should be some WIKI page on CAMOS, probably also a video.
Do a search for CAMOS in the WIKI pages. It gave me two starters: FAQ, and CAMOS module .
Reading you question you did follow FAQ part:
Now you we follow the CAMOS module population method as I like it:
Best thing to do is make your first steps in a DEMO module. Best is the weekly Demo found here but today it is rather slow on my connection.
http://demo.open-emr.org:2103/openemr/interface/login/login_frame.php?site=default
Till next reset you can do whatever you want to do. good things and many mistakes.
This you have done with success:
Administration => Other => Forms => Register CAMOS => Install DB => Click on disabled => Put in Category: Clinical or your own favorite name to avoid to get it registered under Miscellaneous => Give it your favorite nickname and sort order (in the Clinical tab for the patient) => Click update.
blankev wrote on Saturday, January 31, 2015:
Next steps:
I used this Demo:
http://demo.open-emr.org:2103/openemr/
Choose a patient and open an encounter new or old. We make it a cough situation. We don’t want to give Codein, because someone wrote there is an allergy for Codein.
Save.
It even confuses me to read the tab Diseases and Medications etc. but this is the Nickname for CAMOS in my design.
Just below the first Column write Disease and ADD
Cli click Disease and go to the next column write Cough below the field ADD
Click Cough :make it “blue”.
write below the third column: Dry Cough ADD
write below the third column Cough with sputum ADD
write below the third column Cough with Sputum and fever. ADD
In the fourth column you add your medication IN THE field. Not below.
I added two medications. now click on lock to save it for the next client the has a dry cough (at least that is what I remember from CAMOS
Submit all content
Click leave the form
Now you are back in the ENCOUNTER screen
Click on the Blue RX or Signed Rx
USER INFORMATION is YOU the Provider of the medication.
Click the square in front of the Prescription you want to give the patient.
Click Print HTML since there is no option to print it differently.
Now you get an A4 kind of paper lay out. That is why you see one prescription an three crosses.
For next client with Dry Cough you can use the same locked prescription.
You can also continue to add more pre-prepared information for this client.
Trough Radiology you can also make a request for an X-Thorax if in doubt of the dry cough. For a laboratory examination you have to make your own set of requests like the Disease steps explained above.
Good luck and keep experimenting! (If you go to above mentioneed DEMO it should be there)
blankev wrote on Saturday, January 31, 2015:
FYI, I also added the Pain mapping Form so you can see where the patient had pain due to the persistent coughing. (Strange to have an Female with Male shapes, rather confusing. But I am to lazy to correct. Next time better, sorry. ;-))
blankev wrote on Saturday, January 31, 2015:
Now for this Demo you can go to:
http://demo.open-emr.org:2103/openemr/interface/forms/CAMOS/new.php#sthash.XWoUpp3H.dpuf
to do even more work on the CAMOS module. This works outside the Demo OpenEMR setting without an encounter.
If you are still in doubt if CAMOS is for you, read this:
http://demo.open-emr.org:2103/openemr/interface/forms/CAMOS/help.html
And find many more optional possibilities on what can be accomplished with CAMOS.
lasan13 wrote on Sunday, February 01, 2015:
Hi
Pieter Thanks lot for your information . Yes CAMOS would be great for my requirement. I’m trying to configure it .
although these are not burning issues I would like to rectify some possible practical issues.
Ex: Suppose I have template with 4 drugs for a patient with cough and Fever which i prescribed generally.Then I have special patient where i need to change one drug from that template and prescribe for him.
how do you tackle this kind of situation??
And … How can we remove “CAMOS” word at the beginning of the CAMOS forms listed in the Encounter summary
blankev wrote on Sunday, February 01, 2015:
Did you have a look at the DEMO?
Just give it a Nickname in Administration => Other => FORM.
You can lock the Prescription with the three medications. next time you need it, you can chance everything in the last column and add your own preferences. Take a look at the HELP file included in CAMOS. That is the real adviser to follow. For me it was some kind of rehearsal the remember what CAMOS was all about. I don’t know much more that what I explained. There are many more visible and hidde features in CAMOS.
If you need certain steps explained, please let me know.
fsgl wrote on Monday, February 02, 2015:
CAMOS allows a user to write a prescription, but that rx is not linked to the Prescription Module.
The Templates Module permits the creation of any document with the LibreOffice/OpenOffice Writer. For example, a template for Amoxicillin, Cipro & Ketoconazole will fit on a single sheet of paper. Again, the Template Module has no linkage to the Prescription Module.
If your clinic has its own dispensary & use of the Prescription Module is a necessity, try this workaround. After writing the rx, it can be re-ordered by changing the starting date. The drawback is the loss of the record of previous course of the same med.
At present the user can have recurring rx’s in either CAMOS or as a template, both of which can be linked to an encounter or have the recurring rx in the Prescription Module without prior history of its dispensation. Without customization, it is not possible to have both simultaneously.
In regards to retrieving previously prescribed meds in CAMOS, would suggest that you try the Search function, described here.
It may not be a good idea to remove the CAMOS designation (see attachment). If you insist, have a look in openemr/interface/patient_file/encounter/forms.php.
lasan13 wrote on Monday, February 02, 2015:
Dear Pieter & fsgl Thanks lot for your valuable comments.
I don’t understand why you said its not a good idea to remove the “CAMOS” 
. Anyway i’ll follow your advises
Thanks again
fsgl wrote on Monday, February 02, 2015:
Should you & your colleagues decide to use multiple forms to record the clinical notes for the same day & if the patient is seen by multiple physicians; the header helps the user to navigate between the various notes.
Sometimes things become so hectic in the office, we don’t want to have needless difficulties finding the desired note.
If you are certain that there will be only 1 clinical note per day, then you can throw caution to the wind.
Very pleased to have been of assistance.
blankev wrote on Monday, February 02, 2015:
I did not suggest to delete CAMOS. The suggestion was more in the direction of giving it a more “understandable name”.
CAMOS is not well know entity in the Medical World and is unknown as something of importance.
A new name that gives the impression of a seperate but complete piece of software where most steps to be taken are in consistency and complete for the fanatic non typist…
“Pre-Typed module”, would be my suggestion. Make the tab a blank without content is indeed a bad suggestion if possible as FSGL explained.