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Modules
CORDis EHR is
made up of number of modules, the main ones listed below
followed by a brief explanation of each.
Core System - Discharge Summary
Used in 100%
acute and subacute departments, excluding emergency. The
discharge summary contains information such as diagnosis,
co-morbidities, progress notes, complications, investigations,
procedures, medications and a follow up plan. The data is
entered periodically during a patient visit and upon discharge
the discharge summary is faxed to the GP at the click of a
button and printed copy is forwarded to medical records.
Operation Notes
All operation
notes are entered into CORDis EHR, either dictated by the
clinician and typed by an audio typist or entered directly by
the clinician. These operation notes are fully searchable
assisting in any analysis that may be required. The operation
notes are either printed and posted to the patient’s GP or faxed
at the click of a button from within the CORDis EHR application
itself. Time savings are achieved by allowing the users to
create templates for common operations performed and share these
templates with other users. Addressing of the operation note,
patient demographics, and admission information details are
automatically entered which also saves time and eliminates the
risk of data entry error.
Adverse and Sentinel Events
All discharge
summaries require the clinician to complete this section before
they can transmit the Discharge Summary ensuring that these
statistics are kept.
Outpatient letters
Outpatient
Letters are entered into CORDis EHR, either dictated by the
clinician and typed by an audio typist or entered directly by
the clinician. These outpatient letters are fully searchable
assisting in any analysis that may be required. The outpatient
letters are either printed and posted to the patient’s GP or
faxed at the click of a button from within the CORDis EHR
application itself. Time savings are achieved by allowing the
users to create templates for common letters that they send and
share these templates with other users. Addressing of the
operation note and patient demographics are automatically
entered which also saves time and eliminates the risk of data
entry error.
PBS prescribing
With the
development of PBS Geelong Hospital became the first hospital in
Victoria to start electronic prescribing using PBS. The PBS
module allows the clinician to prescribe discharge medications
in a PBS compliant format electronically. Medications are
easily selected from the medication database and the scripts is
printed onto preformatted PBS forms. These are then signed by
the clinician and forwarded to Pharmacy for dispensing. CORDis
EHR also transmits the discharge medications via HL7 back to the
pharmacy dispensing system (Merlin) which saves the pharmacist
time entering data and reduces the chance of human error.
The PBS
Prescriber maps brand name medications to generic medications so
the user can enter either but the prescriber only lets them
prescribe the generic medication. The PBS Prescriber is aware
of medications requiring authority numbers and if such a
medication is prescribed in a quantity requiring authority the
user is alerted to this and prompted to obtain the authority.
The PBS Prescriber will not allow printing of the prescription
until the authority number is obtained and entered into the
system. This feature alone saves the pharmacist a considerable
amount of time by eliminating the need for them to chase up
authority numbers and doctors at the time of dispensing. It
also ensures that clinicians are aware of the legislative
requirements of prescribing these medications.
Reports
A variety of
reports is used to for quality measures including,
complications, sentinel, adverse and incident reporting.
Virtually any report is possible with CORDis EHR and new reports
can be developed to suit differing needs.
Mortality Summaries
Used by the
death audit committee.
TraineeLog
The Traineelog
is a database file intended for the use of surgical trainees to
record operations and procedures performed during their rotation
at the hospital. The fields in the TraineeLog are designed to
meet the minimum data set required by the Royal Australasian
College of Surgeons. At the end of the trainee’s rotation the
trainee can export this data to a file of various formats that
they can take with them and can use as examples of experience
gained.
A further
standalone version of the Traineelog was created (TraineeLogRT)
which can be installed onto a standalone PC (a computer not
attached to the hospitals computer network). The trainee’s data
is then easily imported into TraineeLogRT and allows the trainee
to continue to enter data about operations and procedures
performed at other hospitals without the need to be connected to
CORDis EHR system.
A “lite” version
of TraineeLogRT was created using FileMaker Mobile which runs on
handheld devices such as Palm Pilot and Windows CE capable
devices such as the Compaq Ipaq. This allows the clinician to
enter data whilst on the move and then upload it to TraineeLogRT
at a later time.
Both the
TraineeLog and TraineeLogRT have various reports and analysis
functions that the trainee may require.
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