I’m looking at implementing OpenEMR to be used in a mental health clinic. The clinic is an Assertive Community Treatment (ACT) clinic and operates differently than other mental health clinics. Most of what the clinic would need (in an EHR) is in place, or would just take a few extra forms and database tables. The biggest problem I see is how encounters and treatment plans are set up. The clinic has a master treatment plan for each patient. For a treatment plan to be complete all goals have to be met. Each goal has objectives that address the goal. Every intervention (encounter) addresses an objective. From what I can tell this is not how OpenEMR is currently structured. Would I be better off creating new tables for treatment plans and interventions (encounters) and relating them as needed? Or, should I use the current tables and modify those tables to meet the requirement we have to operate under?
I suggest using “issues” as treatment plans. They represent things like medical problems that span multiple encounters, and are stored in the “lists” table. I’m currently working with a client to make them more flexible and more effectively relate them to encounter forms.