Cvs 4.0 Patient/Client: medical record folder

Management and Administration
1

jcahn2 wrote on Sunday, October 17, 2010:

I am looking at CVS-4.0 downloaded 10/16.  Comparing to 3.2 tree view, I am not seeing a “Medical Record” folder under “Patient/Client”.  Have these functions moved?  I can’t find them.   Thanks.
Jack Cahn

2

bradymiller wrote on Sunday, October 17, 2010:

hey,
The links are now at the top of the Patient Summary page. It’s the ‘Documents’ link.
-brady

3

jcahn2 wrote on Sunday, October 17, 2010:

thanks Brady.  There was also a link “Rx” under medical records in 3.2 (?why) that brought up the prescribing interface and I am having no luck finding that link.  (a.k.a. can’t write prescriptions).
Jack

4

bradymiller wrote on Monday, October 18, 2010:

hey,
Can get to that via the ‘Edit’ button next to’Prescriptions’ section on the Patient Summary page. We did have an ‘Rx’ link on the top (near ‘Documents’), but removed it after placing the ‘Edit’ link. We could put the ‘Rx’ link back (very simple to do) to avoid confusion, Let us know what you think.
-brady

5

jcahn2 wrote on Monday, October 18, 2010:

OK Brady, I guess I’ve “hit the tar baby” so here goes:

I’m a country doctor in family practice for 35 years so maybe set in my ways.  My current EMR has good and bad features but here’s one thing I like about it:

I open the record and open today’s visit and I see a chief complaint and the vital signs obtained by the nurse.  I then record some history notes that I can flesh out later.  I record my ROS (templates).  I copy the pertinent completed physical exam from the last visit and edit it to make it current.  I select a few diagnoses that I have addressed maybe new from a DX lookup and/or maybe a point and click to copy from the list of past DX.

Now I prescribe meds, order labs, order imaging, and/or record procedures (immunizations, cryo, joint injections, etc) and specify the follow up.  I do all of this from the same page from a table list.  Most of these functions are popups.  As each is added to today’s visit, I see them in a standard order.

IMHO it really makes sense that while the patient is in front of you, you should have readily available all the EMR functions needed to treat that patient, with an inclusive tool, that has a consistent interface, instead of chasing around several pages or menus.

And if I want to print that visit to a consultant, the cc is at the top, then HPI, ROS, Past Hx (soc hx, prob list, meds list) assessment, tests ordered, meds ordered, education and follow up plans - and it prints concisely. 

I appreciate you giving this audience.  I hope I don’t sound ungrateful.  I am a great fan of open source and OpenEMR in particular.

Jack Cahn

6

jcahn2 wrote on Monday, October 18, 2010:

I tried to upload an image in the middle of that last post but it’s invisible so here’s another try:

http://69.77.143.50/menu.png

Jack

7

bradymiller wrote on Monday, October 18, 2010:

Jack,

Thanks for the input. Your workflow is pretty much what I also have in mind as we try to improve OpenEMR. Do you think the migration to a ‘Patient Summary’ screen (one of the big changes going from 3.2 to 4.0) begins to address these issues (ie. rather than using menus, putting pt stuff on one sheet). Note there was even a recent addition (NEW PATIENT button at top left and top link with encounter selector in title bar) that essentially makes the entire Patient/Client section in menu no longer needed. Also, for your workflow, you should check into the CAMOS module, which is described here:
http://www.openmedsoftware.org/wiki/CAMOS_module

thanks,
brady

8

jcahn2 wrote on Monday, October 18, 2010:

Now I’m getting it.  Yes, the 4.0 Patient Summary screen top bar is very useful.  Thanks.  More later.
Jack