Medical Records Module



Using CorrectStar


CorrectStar offers the perfect mix of simple "point and click" technology for those who are non-typists with keyboard shortcuts for typists who are keyboard friendly.

Using the Browser based software, a health care worker not comfortable working with a keyboard can display scheduled appointments, patient records, lab results, messages, etc using only the mouse.

CorrectStar's strong cross referencing means that once an item is entered into the encounter, it can be viewed not only in that encounter but also in flowcharts, graphs and in the appropriate section of the Patient Profile.

CorrectStar runs on a normal Windows network and so voice recognition software such as Dragon Dictate can be used if preferred by physicians. Scanned images of documents, pictures, drawings, etc are stored with the medical record to be viewed and/or printed. Documents such as referral letters and patient handouts can be created in any word processor such as MS Word to automatically include patient demographic and medical record data.


Cummulative Patient Profile


The Patient Profile gives a "snap shot" view of the patient's record, showing the most recent values and/or text for each item. Certain items can be flagged on entry to not show in the Profile and sections can be further suppressed when viewing, leaving this the perfect format to print for transfers, hospital visits, etc.

There are many display options for viewing the Profile (full text, no text, brief text, sections open or closed, etc) and each user can define their own preferences for the Profile to be stored under their ID code. A custom header and footer is designed for each institution which can include your logo as well.

From the Profile, you can easily produce flowcharts of one or items allowing the physician to scan the record for lab results in conjunction with medications, diagnoses, etc.


Encounters


Every patient visit is entered in an encounter. Encounters can be accessed from a list of encounters which is sortable by date, doctor, site or type. In addition, you can click on any date in a Flowchart to view that encounter. Once in an encounter, you can move forward and back chronologically through the record using the Next & Previous buttons. Again, clicking on any term in the encounter will generate a flowchart of that item.

Encounters can be printed individually or in selected groups and will print with the Clinic header and logo along with any patient demographic data.


Flowcharts

Flowcharts can be produced interactively by clicking on any medical term in the chart. Alternately, you can select a number of items from the Profile and instantly view a flowchart showing each item over time in its own column. They can be sorted in either chronological or reverse chronological order.

Preformatted flowcharts are also created and stored both globally and by user for use in common situations. Examples would include diabetic flowcharts, prenatal flowcharts, INR flowcharts, etc



Graphs

With no extra effort, graphs are plotted automatically by the system from the data entered during the encounter. Any physical finding or lab result can be graphed and viewed and/or printed.



ChartStar Code

Physicians can use Code Display to view the Normal Values for lab tests. Also, the help function behind each code can be used as a medical assistant for hard to remember details such as memory tests.


Image History

Digital images can be stored for future viewing and printing.

Image History lists all scanned images on file for the selected patient. Related items are listed together sorted by date.


Data Entry

No need to know or look up ICD9 or CPT codes codes when you use CorrectStar.

By checking off modifiers specific to each medical term, non typists can easily enhance an entry with little keyboard effort.

Text can be added by selecting from a list of standard paragraphs or by pulling the last text for that code from the record to be edited or added to in this encounter.

Each entry screen is geared for the type of item being entered -you are asked dose, units, quantity, etc, for medications, dates for procedures and results for lab tests. Images or electronic files of any kind can be attached to each code within an encounter as well.

Templates can be designed for each user to allow formatted entry for common types of encounters (eg. Intake screening, complete physicals, etc) and quick pick lists can contain those codes you use often. Lab tests can be added from a unique quick pick list after which the lab requisition can be printed.

First DataBank Drug Database is a subscription option to give online drug interaction, dosage recommendations and counselling messages.













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