While OnRecord creates a complete visit chart, it also helps organize caregivers' work during the visit.
The order entry system allows users to safely and quickly initiate work for diagnosis or treatment.
Pertinent patient safety data - medications and allergies - persists on the screen.
Caregivers can view all vital signs and medication administration to monitor patient progress.
Based on age, complaint and gender, OnRecord can suggest orders and documentation
work.
Customers can configure their own order sets. At a glance, a caregiver can see all of the patient's documentation,
orders and order results.
Physician and nursing charting can leverage previous documentation and order entry
work, leaving only the need to enter new data. The system supports effective coding and dictation.
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Charting with minimal duplicate data entry
Each caregiver has access to medical history, pertinent clinical data from previous caregivers, test results, allergies and medications. Patient data carries forward; no need for re-entry! A flow sheet displays vital signs.
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Order entry
Either use OnRecord CPOE or, with interfaces to and from your order entry system,
electronically enter orders, including standing orders, order sets and suggested orders.
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Workflow management
See at a glance what's new for a patient, and what tasks await a caregiver.
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View orders & results
View order status and be alerted to results, including critical results.
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Track patients
Capture and timestamp all intra-visit events and inpatient bed status. Meet Joint Commission log requirements.
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Manage data effectively
Have access to all stored data with our reporting tool. See
Reporting section for details.
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Medication reconciliation
Capture, store and reconcile home, in-department and discharge medications. Provide a summary to patients.
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Prescriptions
Order medications and print legible prescriptions easily. Include a secure prescription printer.
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Complete discharge instructions
3,397 topics in English and Spanish.
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