1. Software Features

Medi-Plus EMR is developed on .NET platform and uses a MySQL database.

Clinical interface is user friendly and offers the global clinical approach on the screen. The clinical data terms are oriented towards the current specific medical problem and can be modified by the physician, even  during the encounter. The clinician can customize many elements of the application like clinical data selection or complexity of the required clinical interface. The use of the keyboard is minimized thanks to a database specifically geared towards the medical problem being evaluated.

Medi-Plus also makes it possible to create various work specific clinical interfaces for pathologies frequently encountered by the physician into his(her) own practice, which will be reused later and optimize the use of the application.

The application makes it easy to scan any clinical documents received in paper format that will subsequently be indexed to the electronic file in order to be readily available. It is also possible to integrate individual or group clinical notes via a special interface to index the document as a care episode.

2. Users

User preferences allow clinician to customize the operation of the application and to define various parameters such as work schedule, dunning visits, secret access code, clinical plan appearing by default, characteristics relating to the printing of various documents and ordinances.

3. User’s interfaces:

Medical record Summary provides an overview of the critical elements of the medical record like past history, allergies, diagnoses of last encounters, active medication and investigations in progress. These strategic datas optimize the clinician’s clinical focus.

Encounter type: allow the user to make a choice between a FIRST VISIT form (initial assessment of a pathology) or a FOLLOW-UP VISIT form (reassessment of a medical condition already carried out, including clinical observations and procedures performed.

Selection of the type of user’s interface oriented towards a specific clinical pathology from its anatomical localization or centered on the common diseases specific to a system clinical such as respiratory or digestive.

Selection of the degree of complexity of user’s interface allowing a broad or more specific vision of the entire clinical approach. Components of the recent complaints, past history and procedures form the left portion of the interface, while vital signs, general and specific assessment, diagnosis, and recommended procedures are located on the right side. The user interface can be supplemented in whole or in part, depending on the complexity of the problem and the expected time available, or to be completed during a subsequent follow-up visit.

4. Clinical data lists:

Each item or question entered on the user interface corresponds to a specific list of clinical data oriented to the type pathology being evaluated. The clinician can select one or more items from the response list. To navigate through the data list, simply click into the window associated with the question on the interface. The order of the elements in the list is alphabetical and it is possible to navigate with the keyboard, the mouse or the electronic pencil.

It is possible to select, modify or delete any clinical data contained in a specific response list, even during use in the presence of the user. In order to limit the size of lists, the physician will first use the specific list of clinical data related to the clinical plan and the type of clinical question.

Clinician have access a cumulative list consisting of the data in the client’s record or the global list containing the data set of all clinical plans for a given question in the interface. Although it is possible to assign the same clinical data to more than one clinical plan if deemed appropriate, it is important to avoid assigning data that is incompatible with the type of data provided for a specific interface window.

5. Clinical data produced:

The physician can modify or add clinical data saved during a patient encounter by selecting the appropriate button on the summary table of the client that appears at the beginning of the visit. This possibility must however be completed before 11:59 pm of the same day. After this period, any modification will be dated differently from the first visit.

6. Clinical Plans:

Each clinical plan represents a particular domain of the clinical pathology according to the system being evaluated as for example the digestive or circulatory plan or according to the anatomical localization such as the knee, the lumbar region. By selecting a particular plan, the user accesses a user’s interface in which clinical data are grouped, oriented towards the type of pathology in progress. It is possible to modify, add or remove a clinical plan.

7. Documents produced:

The clinical encounter report can be formatted in the form of an evolutive note or a consultation report. You can access the list of previous visits in the client’s folder by selecting the appropriate button at the top of the right user-interface.

Through the medical examination data, various prescriptions, certificates, reference for consultation or diagnostic tests will be formatted and printed to be delivered to the patient.

The parameters for printing the documents produced by the clinician, such as the size of the characters, the type of documents, the heading of the medical reports and the forms of courtesy to be attached thereto. The print height of the visit on the sheet of paper and the number of copies desired can be determined by default.

Scanned documents or images can be incorporated into a client’s medical record or in the list of supporting documents for the Medi-Plus application. The acquisition of a digital camera or image sensor, as well as the installation of drivers, is not included in the Medi-Plus DME.

8. Work optimization:

The medical record Summary quickly recalls to the clinician the patient’s strategic data such as the date and diagnosis of the last visits, as well as the current medication and investigation and the user’s significant history. A warning about the next scheduled date of coverage for the client’s health insurance or the date of the last scheduled appointment at which the client did not appear may appear in the summary of the case. By ordering a new diagnostic test, the date and result of the last similar test performed will appear on the screen in order to possibly delay a hasty duplication of the request.

The data from the previous visit is reused during the follow-up visit to inform the clinician who will modify the relevant clinical data as required following assessment.

Because a number of consultations may have similarities in the way they are presented, the signs under consideration, and the type of management performed, the creation of some default canvas from a particular clinical plan, Clinician can create various customized clinical canvas that will allow him / her to accelerate the writing of the evolutionary note by using an interface partially filled by default, even if the clinical data inscribed could be modified in needed.

In this way, using the same clinical plan, the clinician has the opportunity to create several clinical canvases whose content in default responses will be more specific to certain clinical entities of the same pathological system. For example, using the circulatory clinical plan, the user can create different canvas such as hypertension follow-up, followed by ischemic heart disease, recent retro sternal pain, cardiovascular prevention or anti-coagulation therapy, etc.

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