Product Information

Electronic Charting

The electronic medical records feature of the software allows for the creation of a longitudinal clinical database. It includes the capability to automatically transcribe medical documentation, easily guide the provider through treatment protocols, provide tools to record and follow up orders, and maintain medical-legal documentation. MedInformatix also has the ability to store documents, images, X-Rays, lab data and other multimedia data from external sources which may be imported using digital scanners, and direct file transfer.

The system's Encounter Flow Sheet screen displays the Decision Tree, which is a workflow tool used to record patient information. The tool is called a Decision Tree because of its ability to “branch out” with a display of options when a “decision”, or node is selected. The tree extends further with each new option selected within the original decision branch.

In order to easily access and record information, sections of the Decision Tree windows are developed specifically for different areas of staff. For example, the front office staff has access to and will utilize the Reception portion of the tree, while nursing staff will utilize the Nursing portion. The Reception area provides a variety of options that include review of patient forms, verifying insurance notes and printing prescriptions for the patient. The Nursing portion of the tree provides the ability to document phone triage as well as progress notes, a treatment plan and many other options. In addition to Decision Tree sections for each area of staff, the windows can be modified to suit a particular medical specialty.

Double-Clicking on any node on a tree can cause some action to happen. The action that takes place depends on the properties assigned to the node. Selecting a node may launch a Questionnaire Form, or a Vital Signs entry window, or an EKG display. The designer of the Decision Tree will structure the nodes and branches of the nodes in such a way as to mimic a natural workflow in the thought process of the user. For example, the typical structure of the Primary Care – Decision Tree for physician interaction is first grouped by “type of complaint.” It is further subdivided into the main categories of physician activity called “History,” “Examination,” “Assessment” and “Plan.” Because the structure of the tree is familiar, the physician usually knows what area to enter to continue documentation on the patient visit.

éTOP