drbowen wrote on Saturday, June 26, 2010:
1. Security and Privacy - 7+/8 finished.
Recording disclosures. The patch has been submitted. A few suggestions were received by Brady Miller and these should be fixed in 1-2 days. Selvi will need Q/A of the work and will provide access to their test server for this.
2. Computerized Physician Order Entry - Simone Aiken has been working with Tony on the Physician Order Entry and is especially concerned about improving the work flow for the clinician.
3. Drug Decision Support - Just need a hot-link from OpenEMR to e-Rx Now.
There is a working demo of drug decision support at:
http://openemrsupport.com:10080/openemr-drugdb/interface/login/login_frame.php
admin:pass
patient/clinical -> medical record -> Rx -> Add Prescription
This based on a earlier 3.3-dev. I just tested this access and I can see that the drug-allegy checking is working but there does not appear to have drug look-up working. Perhaps the MySQL engine is mis-behaving. (Warnings need to be turned off in the php.ini.)
4. Problem List - is done.
5. E-prescribing - Just need a hot-link from OpenEMR to e-Rx Now.
The administrative functions of e-prescribing are at:
http://openemrsupport.com:10080/openemr-surescripts/interface/login/login_frame.php
admin:pass
Administration -> users
6. Medication List - done.
7. Medication Allergy List - done.
8. Demographics - waiting on code submission to CVS. I think this is done.
9. Vital Signs - done
10. Smoking Status - done.
11. Lab Test Results - code committed. Q/A and testing are in progress
12. Patient Lists - Thomas Wong has been through a couple of cycles of QA work with Visolve and believes this will be completed within one week.
13. CMS Quality Reporting - The 5 report have been written. The “Intermediate Final Rule” has just come out last Monday. The current 5 reports may be sufficient to pass Meaningful Use. These regs are in flux but seem to be solidifying. Thomas will continue his review and report back.
QA assigned to Visolve.
14. Patient Reminders - Tied in with the Clinical decision rule. About 20-30 hours of coding is left before this is finished,
15. Clinical Decision Rule - Tied in with the Patient reminders. About 20-30 hours of coding is left before this is finished.
16. Insurance Eligibility - PhyAura has delivered code. Michael Brody has a developer working on an alternative solution and believes this will be done in 7-10 days.
17. Electronic Claims Submission - This is working in multiple clinics. QA by Tony McCormick and Garden State pending.
18. Patient Electronic Copy of Health Information - Not done
19. Patient Electronic Access to Health Information - Not done
20. Patient Clinical Summaries - Not done
21. Exchange Clinical Information - Not done
22. Medication Reconciliation - Verbus Counts. Coding completed waiting on review.
23. Summary Care Record for Transition of Care / Referral - Not done
24. Immunization Registries - Michael Brody. Plans to start this item when #25 has been accepted and has passed.
25. Electronic Syndromic Surveillance - Michael Brody. Coding completed. Waiting on Review. CCHIT has validated that this report passes as is.
Garden State has the CCR working and this drives #18, #19, #20, #21, #23. He needs assistance with the GUI interface to complete these items.
These are really HUGE improvements and new features in 4.0-devtip. The modal windows are an issue for me but I have found the 4.0-devtip code quite stable.
Why not release freeze additional features, review/debug the code that already exists and release 4.0 now?
Sam Bowen, MD
http://openmedsoftware.org