aethelwulffe wrote on Monday, December 15, 2014:
Personally, I like to encourage everyone…PCP’s, ARNP’s, BH/Psych, Specialists etc… to use a fairly wide range of piecemeal forms. That is to say, that at any point there is a work-flow stopping point, the form should be saved at that point.
That said, I ALSO like to add concurrent form content to be easily accessible within the later workflow points.
Example: Intake handles ROS. End form.
PN takes vitals (end form vitals), then does venipuncture/INR or some other procedure in “Nursing Notes”.
That is two forms because sometimes a higher level provider MIGHT be doing either or both of the two when no-one else is available.
Once the top level provider for that encounter starts their exam, the data from the previous forms should be viewable (minimized, but expandable) within their own note >during editing<, but NOT included as duplicate data.
Since there is no entry history with items like family history etc… the option to include a snapshot of all those demographics elements within the note is also quite nice. Then when Medicare gives them a long luxurious proctological exam, the Patient Report printouts show current known surgery, allergy, medication, and family history elements, but also includes the snapshot at the time of the note.
NONE of the above requires a super-techy bunch of code. It’s just a few simple queries in a basic html and php form to get those snapshots and review windows.