PMR (Patient Medical Record)

HOSP IT is a hospital information system designed for patient care. The PMR is the central repository for all clinical related documentation, combining each patient's medical history into a single medical record, in a continuum from any terminal in the system the PMR provides the necessary tools for physicians to complete all procedures and administrative tasks associated to patient visits. The module allows seeing medical examinations, diagnoses, treatment history and test results and medication history, as well as nursing notes.

The PMR also has comprehensive medical reporting tools and online ordering capabilities to order prescriptions, lab tests and radiological exams. Test results are delivered electronically, eliminating lengthy waits associated to manual delivery systems. Clinical decision support throughout medication order process ensures automatic drug to drug interaction checking against every prescription.

Online ordering of all clinical exams from the point of care allows health professionals to order tests quickly and efficiently.

Integration to a COE (Computer Order Entry) for pharmacy orders to provide physicians access to comprehensive drug information and assist them in making the best decision while ordering medication online.

Physician credentializing includes HR info as well as certification and individual performance record. It ensures the confidentiality and security of the data as well as proper access to the organization functions.

Clinical alerts can be actibated to warn from drug incompatibility – allergies, drug - drug contraindication, etc.

Standardized codification of diagnoses (ICD) and procedures (CPT) are included throughout the process.

Graphically represented charts for vital signs, liquids control, lab results and monitoring procedures.

Full records of all users who have accessed, updated or seen a patient record with date/time and location tags.

Integrated inpatient and outpatient medical history