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Medical
File Recording |
- OASIS gives the facility of online update/access of the patient medical history – to authorized users - episode/encounter wise in terms of doctor's notes, diagnoses, sign and symptoms, procedures, exams, tests, profile and any other event occurred to the patient during the associated encounter.
- OASIS can block access to clinical information for VIP's and staff records via security.
- The system provides the capability to gather data from both automatic and manual resources and have the facility to process and format this data into monthly statistical reports on patient activity at the hospital.
- A merge medical record number function that updates all operational systems.
- OASIS provides a Documents Deficiency Tracking facility to track the incomplete patient documents.
- OASIS provides a chart tracking system that can:
- Immediately identify the current location for all charts.
- Be able to identify multiple locations for the same record in the event of multiple volumes.
- Send/receive charts to/from hospital departments.
- Accept ASCII file updates for microfilm or archive locations.
- Identify when signed out charts are overdue for return to file.
- Provide an automated purge list. Based upon encounter dates for inactive records.
- On-line real-time notification via interface of all patient encounters (inpatient, emergency department and outpatients' visits).
- OASIS is integrated with the patient scheduling component and generates medical record pull lists for scheduled clinic appointments.
- OASIS has the ability of on-line inquiry into all patients' available information and it could be defaulted to be quite before the entry process. Demographic data could be updated via a certain authority level.
- OASIS provides the facility to record basic medical information about the patient e.g. Blood Group, Allergies, Risk Details…..etc.
- OASIS system provides the capability to manage incomplete patient records either inpatient or outpatient.
- OASIS supports ICD-9 coding structure.
- OASIS is able to reference time specific ICD-9 codes when writing report.
- OASIS system provides an encoder for ICD-9 coding assistance.
- User standard ICD-9 Diagnostic Code with the accessibility during any patient event needs diagnosis.
- OASIS provides the facility to assign one primary diagnosis and a group of associated secondary diagnosis.
- A discharge abstract facility, providing summary of patient episode by diagnosis, procedure and clinician.
- OASIS provides a Multi-note facility where unlimited number of subjects could be determined with the provision of writing a free text notes associated to each subject. These notes are accessible via doctor's and nurse's screens.
- Patient's cause of death together with the death details will lock patient record against any transaction. Rollback is available with a higher authority level. During entry of death details, primary and secondary diagnosis are available.
- System supports a setup of a group of orders to be requested upon order of a service episode wise. Service could be a drug, laboratory test, procedure….etc.
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