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Q: Computerized, Detailed Medical Intake Interviews ( Answered,   1 Comment )
Question  
Subject: Computerized, Detailed Medical Intake Interviews
Category: Health > Conditions and Diseases
Asked by: researchery-ga
List Price: $25.00
Posted: 24 Apr 2002 18:47 PDT
Expires: 01 May 2002 18:47 PDT
Question ID: 3505
What PC programs or Web sites use an interactive, drill-down interview
with a newly enrolled patient to obtain a FULLY DETAILED medical
history -- past and present, physical and emotional, not merely a
fixed set of superficial questions?
Answer  
Subject: Re: Computerized, Detailed Medical Intake Interviews
Answered By: gale-ga on 25 Apr 2002 15:16 PDT
 
Hi,

Most modern electronic medical record (EMR) software applications
provide physicians with customizable templates for data entry.
Physicians are presented with select lists covering their patients'
past medical and surgical history, family and social history,
medications and supplements taken, and previous diagnoses, and they
complete the record by pointing and clicking. They can modify select
lists to contain only conditions and medications specific to their
field of practice, or restrict them according to any other parameters
they choose.

Advanced features include pen-based entry using tablet devices, voice
recognition, and image and video storage.

Here are some examples of recently released software that has all of
the above features:

* ChartWare from ClearCreek Medical
http://www.clearcreekmedical.com/chartware/preview/index.html 
http://www.clearcreekmedical.com/chartware/preview/screen4.html 
"ChartWare Central
Flexibility in Environments & Disciplines

Your second screen is  "ChartWare Central." This screen allows a
complete overview of the patient's record including:
Problems and Allergy Lists 
Medication List and Prescription Log 
Patient Reminders 
Family and Patient Information 
Health Maintenance Information 
Immunizations 
Parameters 
Chart File of Previous Notes 
Charting Tool"

* ComputerBooks: Medical Reference Software For Physicians. 95LX 100LX
http://www.palmtoppaper.com/ptphtml/15/pt15003a.htm
"PATIENT HISTORY 

Helps eliminate hand-written questionnaires and lets you record each
patient response using yes/no, multiple choice, fill-in, numerical and
reference table formats. Satisfy HCFA documentation requirements for
higher-charge CPT codes and justify all charges in a Medicare audit.
Creates tailored history with over 260 questions on general
information, personal and family medical history, and complete review
of systems."

* T-System Software
http://www.tsystem.com/ (click on Computerized Charting->Physician
Charting)
"The Fastest, Easiest Charting Software Yet!
No check boxes. 
No scrolling through long pick lists. 
No frustrating drill-down menus. 
Circle and backslash directly on electronic template. 
Generates Legible Text Reports
Converts template marks into legible text reports with articulate
prose
Cheaper than dictation. 
Exports prose reports to hospital system, billing company and other
recipients.
Stores reports for easy retrieval by ED staff."

* Profile-MD from E-Medtools
http://e-medtools.com/profilemd.html
"Profile-MD - Your personal, portable medical history is for the
industry leading Palm OS ® platform. This FREE physician-designed
program enables virtually anyone to create their own interactive,
portable medical history. Most entries are made by quickly selecting
from extensive lists. This program formulates lists of drug names,
drug doses, drug administration times, allergies, medical conditions,
surgeries, preventative medicine tests, and vaccination dates."
 
* HealthMatics EMR Clinical Documentation
http://www.a4healthsystems.com/HMEMR.htm 
"Problem Oriented Case Management
Patient Face Sheet displays longitudinal patient summaries with
detailed drill-down capability on all

Patient problems
History
Encounters
Medications
Orders"

* Health Probe (this one helps evaluate the patient's emotional state,
in addition to other medical history)
http://www.healthprobe.com/HPmyhealthprobe.html

"Health Probe Personal will evaluate your health, life-stress,
emotional state to show areas of concern and risks that may need
attention.  The preventive suggestions may help you live longer and
better.   Help your doctor help you.  Share Your Health Probe Personal
with your physician so you can get their best thoughts.

MoodProbe 

For medical clinics and physicians, explore your patients' mood.  The
patient completes a web questionnaire and the results are encrypted
and emailed to you.  Quick, insightful, check for depression, chemical
dependency, stress and more.  Open your eHealthProbe account."

* E-Chart (free, has many interchangeable modules)
http://www.e-chart.com 
http://www.e-chart.com/modules.htm     

(Try Google cache if the server is down:
http://216.239.39.100/search?q=cache:ZC0bHtce-QQC:www.e-chart.com/modules.htm+e-chart+modules&hl=en
)

"Socrates is a "Care Pathways" development system. The practice can
design a specific set of questions to act as a Yes/No prompted path to
gathering information. In addition to automatically documenting each
step in Notes, Socrates will also print out comprehensive instructions
for the patient. The Socrates process and its templates can be
employed for any line of inquiry. The possibilities range from a
properly detailed H&P to a differential diagnosis to virtually any
style of decision tree the practice cares to implement."

* PersonalMD (subscription-based online service)
http://www.personalmd.com/member_services.shtml
"Personal Medical Record (PMR): PersonalMD offers the most
sophisticated, comprehensive personal medical record in the healthcare
industry. The record enables you to organize, manage and track
individual and family medical records. Information input into data
fields includes known drug allergies, personal and family medical
histories, current medications and blood type. This data may be
supplemented by faxing paper-based documents directly into the online
record, with no human intervention by PersonalMD. Additional data can
include EKGs, lab reports, advanced directives, information from home
files, traditional and non-traditional medical practitioner notes,
herbal or vitamin supplements currently taken, and a variety of other
related information."

* ERGO Emeritus Electronic Medical Record 
 http://www.ergopartners.com/ErgoWeb1H3_H1.htm  
"Ergo's Health Observation Language (HOL) has taken a team of
clinicians several years and many millions of dollars to build. It is
by far the most comprehensive patient health status documentation
product available. The HOL currently contains in excess of 20,000
terms and phrases organized into approximately 600 operational
dialogs, made up from over 3,000  logical tabs, each of which includes
related documentation subjects which come populated with comprehensive
pick lists (see example below). Ergo is continually adding new tabs
and dialogs to enhance the language. Emeritus comes complete with this
unparalleled clinical content.
Unlike any other system, as soon as Emeritus is installed it is
immediately ready for use to document patient health status in
exceptional detail. All HOL dialogs are organized into operation
groups and contain fully populated pick lists for rapid entry with the
tap of a pen or click of a mouse. Without any  keyboard input,
comprehensive patient documentation can be entered quickly and easily.
Links directly between the HOL and standardized languages included
with Emeritus, provide a vast medical dictionary which is
operationalized and ready for use immediately with Emeritus. These
languages include ICD-9, CPT, NANDA, NIC, NOC and OMAHA with links to
Snomed planned."

*  topsChart from E-MDs
http://www.e-mds.com/emds/prodserv/tops_chart_features.html   

" topsChart
Features
Simple point-and-click templates allow quick data capture, save
structured data, and generate full, grammatically correct sentence
structure
Templates can be pre-populated with standard responses, enabling
one-click documentation of entire sections of the SOAP note
Ability to concurrently view the current progress note alongside the
Health Summary
ScriptWriter features a database of nearly 30,000 drugs with
informative consults and the ability to save "Quick Picks", allowing
one-click prescription writing of commonly used medications
Complete coding database includes all current ICD-9, CPT, and HCPCS
codes
Patient Education handouts in English and Spanish, covering nearly
1,500 conditions and medications
"Chart View" feature allows one-stop review of the entire chart,
including previous progress notes, labs and tests, diagnoses, and
medication history"

* Medtuity
http://www.medtuity.com/ 
(click on Product Overview at the bottom of the screen, then click on
Electronic Medical Record)
" Robust Content - The medtuity EMR comes complete with models for
most all specialties, context sensitive patient education and
instructions, a complete drug database with formulary information and
much more.
Flexibility - Our comprehensive models can be edited to suite your
needs or you can build your own from scratch. You can rest assured
that you will have the model you need."

All of the sites listed above provide screenshots and free demos.
 
More useful links:

Medical Software Reviews (subscription-based)
http://www.civicresearchinstitute.com/health/index.html 

Medical Computing Today: Medical Records Projects (has demos of
web-based software)
http://www.medicalcomputingtoday.com/0nvemrproj.html 
 
KnowledgeStorm: Healthcare: Patient Information Systems
http://www.knowledgestorm.com/SearchServlet?ksAction=Browse&col=kj2ee&rf=3&srchtype=browse&stype=P_A_S&bi=1&ei=50&oq=qt%3Amedical+record+software@@col%3Akj2ee@@type%3Akey@@ptype%3AP_A_S@@rf%3A0@@tax%3A0@@ssn%3A0@@sid%3A1019711119941@@subcatalog%3ACORE@@bi%3A1%7E%7E&tId=1114&sId=1019711119941&sSeq=1&regId=&type=key&kw=&isAdv=false

Google Directory:Medical Records
http://directory.google.com/Top/Business/Industries/Healthcare/Computing/Software/Practice_Management/Medical_Records/

emr group:sci.med.informatics (Google Groups Search)
http://groups.google.com/groups?hl=en&q=emr+group:sci.med.informatics&spell=1
Comments  
Subject: Re: Computerized, Detailed Medical Intake Interviews
From: oscar-ga on 24 Apr 2002 20:14 PDT
 
Computers don't do well in the subjective area ...a blink of the eye
might change the thought path of a good physical...

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