How to use openemr in Follow ups?

Day-to-Day Users
1

arnabnaha wrote on Friday, December 09, 2011:

Hi…
Any ideas, how t use the encounter based system like openemr during follow up of patients? Suppose a patient arrives for influenza…on day 1…now i create an encounter and enter all the details with vitals and bill the patient…also asked the patient for a follow up visit after 14 days…when the patient comes after 14 days for the follow up…what to do? shouldnt there be a follow up system which will link up with the last encounter/ask us which encounter to link to? That follow up system should be billable too…
In the present scenario…if i add something in the last encounter as follow up that encounter cant be billed…
Isnt it a feature lacking in openemr…this is very important for day to day practice…or if other users are using a different technique…please feel free to share…

2

sunsetsystems wrote on Friday, December 09, 2011:

Each visit should be a separate encounter.  You can create an “issue” for a medical condition that spans multiple encounters.  Then when you create subsequent encounters you have the option of linking it to any of that patient’s issues.

More can be done to improve on this, but that’s the basic framework.

Rod
www.sunsetsystems.com

3

arnabnaha wrote on Friday, December 09, 2011:

Thanks Rod…ya i accept thats basic and I have no problems in creating a new encounter for each visit. Only a proper follow up system which can somehow fetch data from the last encounter/any encounter I wish and show that in the report to be printed.

4

sunsetsystems wrote on Friday, December 09, 2011:

So that’s mostly about creating a suitable report?  That might be pretty easy, depending on details of what you have in mind.

Rod
www.sunsetsystems.com

5

arnabnaha wrote on Friday, December 09, 2011:

This is what I want:
A form which can act as a follow up form. and should have the ability to link with a last encounter. It should automatically link th issue too. Lastly i should be able to print the filled out form from the link “Reports” in the patient summary screen.

6

nevillefm wrote on Sunday, December 11, 2011:

Have you tried CAMOS http://www.oemr.org/wiki/CAMOS_module . I think it ticks off all your requirements.

7

jcahn2 wrote on Sunday, December 11, 2011:

Ahoy Dr Naha
Maybe we need a mechanism, so that when a visit/encounter is defined as a followup, that there be an option, as in CAMOS, to clone the last visit into the present progress note.  Once again I will press my request, that the doctor-patient interface be changed so that this type of function is available from the patient dashboard, along with dx, labs, imaging, prescribing, coding, charges, followup, patient’s copy, etc, etc.  Let’s dream.
Jack Cahn MD
OEMR board