Medical Office

PRIVATE MEDICAL OFFICE INTEGRATED INFORMATION SYSTEM

General Description

The Private Medical Office Integrated Information System covers all operating procedures of a Medical Office. It is designed to cover all the needs of physicians, for almost all specialties, and it is able to communicate with other health institutions. Features such as the use of smart cards and the automation of medical laboratories (for the specialties required) have been incorporated, serving thus the increased needs of health professionals.

 Structure – Functions

The Private Medical Office Integrated Information System includes the following subsystems:

  • Patient Registry
    • Medical Record
    • Patient History
    • Medicines Prescription
    • Appointments  Administration
    • Medicines Registry Updating
    • Financial Management
    • Medical Consultation
    • Laboratory Tests Ordering
    • Medical Record Data Search

Patient registry

Maintains complete patient records consisting of:

  • code
  • surname
  • name
  • Date of birth (can be selected from calendar)
  • Age (automatically calculated from date of birth)
  • Blood Group – Rhesus – Phenotype
  • educational level
  • status
  • sex
  • nationality
  • origin
  • Place of birth
  • Data on parents (surname and first name Father and Mother)
  • Location (Street, Number, City, Zip Code, Phone, Fax)
  • Details of Insurance Funds (Code, Description, Contract No., Date from / to)
  • Professional details (description, From / To, Location, Phone, Fax)
  • Workplace
  • Social Security Number
  • comments

Keeping patient records is extremely simple. The Doctor is in possession of lists that enable them to quickly choose the data needed. Available lists are:

  • nationalities
  • counties
  • insurance Funds
  • professions etc

Medical Record

Description

The patient’s medical records contain all the necessary information about the health status of the patient and how it changes over time. The data from the medical records directly depend on the specialty of the physician. The common contents of all medical records are the following:

  • Curriculum
  • History of disease
  • Medical history
  • Family history
  • Individual previous
  • Course of the disease

The part of the medical record called ‘objective examination’ varies and depends on the specialty. Each patient visit in the office is a new entry in the medical record with the current date. The Doctor can search past records and register new when it is needed. The recording of all data which are the content of the medical record are implemented with lists that display the contents.By choosing any list similar forms that contain the documents chosen appear.

Curriculum

In ‘Curriculum’ patient data are imported (if they are not already imported). If the patient has received input from a previous visit , the data (personal, address, employment, insurance coverage) are automatically displayed with the possibility of being updated from the doctor.

Auxiliary Functions

The auxiliary functions included in the form,  are designed to effectively guide the physician in entry and search of information. So, there are lists of values from which the physician chooses a specific value. Specifically, there is a list of values in the following fields:

  • Patient Code. The list of values that appears displays all patients who have visited the medical office at least once.
  • Origin. The list of values that appears displays all regions in the country.
  • Nationality. The displayed list of values shows all the nationalities.
  • Blood Group / Rhesus where the blood group and Rhesus of the patient is selected.
  • Educational Level. The displayed list of values shows the following values: ‘Basic’, ‘Primary’, ‘Secondary’, ‘Higher’.
  • Marital Status, where the physician selects the marital status of the selected patient.

Current Disease

This option shows the history of this patient’s disease. If there are new data they can be inserted.

Personal Anamnestic

This section of the medical record records all illnesses, hospitalizations, surgeries, allergies.

It also includes data from previous diagnosis (abdomen, etc.) and the recent use of medicines or medication administration.

For the registration of drugs the NDC (National Drug Code) medicines record is used. The physician has the ability to choose the desired medication from available list containing all medicines from the system chosen, usually by the National Agency for Medicines.

Addictions and Lifestyles

Here the physician is able to record the addictions and lifestyle of the patient.

Hereditary Anamnestic

This section of the medical record records data regarding diseases of the father, the mother of the patient and the cause of death as any hereditary diseases.

Physical Examination

This section of the medical record includes consideration of the following body parts.

  • Skin
  • Head / neck
  • Thorax
  • Heart
  • Abdomen
  • Neurological systems

Diagnosis / Planning

Includes the recording of planning the medical actions of the treatment proposed by a physician.

Comments

Includes any comments from the physician.

Patient History

During recording the history of the patient, the Doctor has the ability to record:

  • The symptoms presented by the patient
  • The possible diagnosis
  • Medical actions that the patient is subject to(available lists by specialty)
  • Administering medication (prescription)
  • The final diagnosis

Prescription

When giving a prescription the physician selects the patient from a list of available patients in the patients’ registry. The Doctor has the ability to choose the medicines to be administered through the list of medicines  (NDC). They select from available lists the way  of administration, dosage, duration of administration, start and end date and prints the prescription

Appointments Administration

It includes appointments, cancelations, re-appointments, patient attendance, daily and weekly appointments lists. Appointment booking is very easy to schedule. The desired appointment date is selected, the daily schedule of the doctor is displayed and having identified the desired time the duration and type of the appointment is determined, and the entry is saved. In the same way an appointment may be canceled or rescheduled. The desired appointment is selected and can be cancelled or the date and time can be changed without having to re-enter the remaining information of the appointment.

At the patient’s visit, after finding the patient in the registry, the patient’s record is automatically displayed along with all the information of the appointment and the appointment is recorded.

The physician has the ability to display on screen or print the daily and the weekly schedule.

Medicines Registry Update

If the National Medicines Agency implements the automatic on-line update of the list of medicines, the Medical Office IS is able to update the registry of medicines. In this way we achieve reliable and immediate information on any change in the list of medicines.

Medical Opinion

The Medical Office IS like all the Integrated Information Systems of our company, offers the possibility of communicating with Integrated Information Systems for Hospitals, Medical Centers, other Medical Offices, clinics, etc,  offering services such as medical opinion. The doctor has the opportunity to seek medical advice or answer someone who has asked a medical opinion.

Laboratory Tests Ordering

As mentioned above, the communication with other integrated information systems is possible thus providing this services to the Doctor. The system is designed to provide the ability to order laboratory or radiology tests from a hospital, medical center, or medical laboratory. At the same time, users can search the results of tests ordered.

Medical Record Data Search

Medical record data search is possible through the interconnection of the Medical Office Information System with the information systems of hospitals, medical centers etc. The physician has the ability to seek any information from the medical records as outlined in detail above.

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