Data Mining
Data mining is a process of analyzing and discovering patterns in large data sets to extract meaningful information and gain insights.
The data mining module in SmartEMR allows users to inspect pre-existing databases and extract data in a structured manner, making it easier to perform statistical analysis and research.
Smart Filters
These types of filters, also known as demographic filters, are used to restrict access to certain information based on specific criteria, such as gender or age.
The purpose of these filters is to ensure that sensitive or age-inappropriate information is not accessible to those who should not have access to it. However, it’s important to consider ethical and privacy implications of such filters and ensure that they are applied fairly and transparently.
Drug Database
A drug database is a collection of information about various medications, including their names, uses, interactions, side effects, and more.
This database can be integrated into healthcare software to help healthcare professionals manage and keep track of patient medications, reducing the risk of errors and adverse reactions. The database can be used to check for drug interactions, duplications, allergies, and provide information on medical conditions related to the use of a particular medication.
Social History
Social History will be furnished including marital status, children, tobacco intake, alcohol intake, caffeine intake, physical activity, and use of illicit drugs.
Past Psychiatric History
Past Psychiatric History is encoded according to ICD-10 database and can be displayed by free text typing and template loading.
Advanced Interpretations
This software has advanced capabilities for interpreting data from previous entries, providing warnings and important information to help the user avoid medical errors and improve their practices.
History of Present Illness
Yes, the history of the present illness can be recorded using free text typing or selecting a pre-saved template.
The software provides a list of preset templates based on North American Standards and allows the user to select relevant radio buttons and checkboxes to fill out the chief complaint.
Chief Complaints
SmartEMR uses data analysis to highlight potential drug interactions in a patient’s medical history.
The system has a database of coded chief complaints and can automatically identify specific drugs and symptoms that may be affected by the patient’s current condition.
Past Surgical History
Past Surgical History will be set using CPT (current procedural terminology) CPT codes.
Laboratory Database
Integrated into the EMR, laboratory values’ progression can be monitored using a comparative table or graphics.
The data shown is fully encoded making it available for statistical analysis or interpretation by the EMR or medical cases.
Allergies
This description suggests that the software is designed to help healthcare professionals manage and keep track of their patients’ allergies.
The information is encoded, allowing the software to quickly highlight potential problems, such as prescribing a similar drug that could cause an allergic reaction. The allergies are classified into different categories, including drugs, food, pollen, and others, making it easier for the software to provide relevant information.
Physical Examination
Physical examination is a standardized method of evaluating a person’s body to determine their health status.
It involves a systematic examination of various body systems through various techniques such as clicking radio buttons and checkboxes, free text input, and attaching files or pictures. The positive and negative findings of the examination can be recorded, interpreted and used to guide the diagnosis, assessment, and treatment plan.
Past Medical History
ICD-10 (International Classification of Diseases, 10th Revision) codes are used to classify and document past medical history of patients in the medical field.
By using preset checkboxes, the software can quickly generate the corresponding codes for a patient’s medical history, making it easier for healthcare providers to accurately document and track their patient’s health history.
Review of systems
Yes, a review of systems typically includes information about a person’s sexual history, including details about sexual orientation, activity, and any past STDs.
This information helps healthcare providers assess a person’s overall health and potential risk for certain health conditions.
Family History
The ICD-10 database is used to encode family history for the purpose of medical assessment and risk evaluation.
A comprehensive history, including information about menstrual periods, pregnancy, and menarche, is also available for OBGYN cases.
Text reports
A text report is a written document that provides information about a specific topic or subject.
It can be used in a variety of settings, including medical settings to document history taking, physical examination, assessment and plans management, operative reports, pathology reports, and investigational test results. Text reports can be typed as free text or using editable text templates, and they are used to communicate and document information in a clear and organized manner.
Scanned Reports
Scanned Reports are electronic copies of medical records saved in the EMR (Electronic Medical Records) system.
They allow users to attach and save documents from outpatient visits or physical copies. The EMR system is capable of including all text-based information from physical medical records.