sunilbali wrote on Monday, November 15, 2010:
Hello Everyone,
I am trying to use openemr but find very difficult to understand the actual work flow in the software.Can any one please help me on this top.I am trying to use this with user guide provided with it but still lot of confusion.This is the first time i am using any health care software.
visolveemr wrote on Monday, November 15, 2010:
Hi,
Hope the following links will help to you to understand the openemr more:
1. http://en.wikipedia.org/wiki/OpenEMR#Multilanguage_Support
2. http://www.openmedsoftware.org/wiki/The_OpenEMR_Community
Thanks
ViCarePlus Team,
www.vicareplus.com
services@vicareplus.com
drbowen wrote on Thursday, November 18, 2010:
Dear sunilbali:
Are you asking as a practitioner / physician?
Which version of OpenEMR are you using?
Are you using the traditional, radio buttons or “tree view” (concurrent version 0, 1 or 2)?
I have a pretty detailed work flow that I wrote up for Tony McCormick at MI-squared.com that I can share with you. I’ll have to did through my files / emails to find it. Please send me your email address to drbowen at openmedsoftware.com . I will try to post this to the wiki also.
The basics are:
The front office / clerical staff create a new patient and then add the demographics.
I have several assistants who then bring the patient back to an examination room where they start a “new encounter” and enter the patient’s chief complaint. They also review the past medical problems, medicine list, allergy list and surgery and enter those into the “Medical problems list.”
Outside of the examination room, I look at the chief complaint, review the past medical problems, medicine list, allergy list and surgeries in the “Medical problems list.” If they are a previously established patient I check to see if there are any telephone messages and available diagnostic reports (x-rays, labs, etc.)
I open my favorite encounter form and start a note on the above listed information. Frequently I copy, and paste the “Issues List” or what I call the “Problem List” and paste this into the new encounter form.
Finally i walk into the room fully armed with all available information.
I have computers hard wired in all of my examination rooms. We had special cabinets built to house the PCs inside the examination rooms. The cabinet top in very low, 26 inches I believe. This is enough height for my knees but keeps the keyboard and mouse very low to reduce neck-upper back-shoulder strain. We use 17 inch flat screen LCD monitors. The cabinets have a recess so the monitor is sitting about 8 inches below the cabinet top. This takes the monitor down where I can easily see it but the monitor does not form a barrier between me and the patient. You have to avoid turning away from or facing away from the patient or they will not accept the computer as an integral part of the visit. The low cabinets and recessed monitors allow me to face the patient directly and keep frequent eye contact with the patient. Patient acceptance is high with this setup.
I open the same note that I started from outside the examination room and start interviewing the patient. As i interview the patient I type their responses into the the encounter note. I use some templates to help with the bulk of the typing.
I the end of the encounter I modify the physical examination findings, add the diagnoses and diagnoses codes, then start creating prescriptions, referrals, and finish the note. Most encounters are completely finished and ready to authorize as I leave the examination room with the patient.
Sam Bowen, MD
http://oemr.org
jbt2i wrote on Thursday, November 18, 2010:
I am not a physician, so I wouldn’t be helpful with workflow questions, but the above post is enlightening about how a doctor uses the software in conjuncture with the front office staff. I am familiar with a lot of the basics of the software, and if you need a demo or any specific questions answered, please email me at jbt2i@hotmail.com and I will see if I can help.
-Jay
jbt2i wrote on Thursday, November 18, 2010:
I should probably mention that I work primarily with OpenEMR 4.0, but I could use 3.2 as well. I haven’t tried any previous versions.