QHR Product Ideas

we need this for our office. unless the pts wt and ht are in BEFORE you open an encounter the vitals flow is fine, but if you do the vitals any time after you have already started the encounter it ends up pulling in the wrong vitals and does not refresh with vitals are added for the same date as the encounter. Not helpful when we do on every pt and need for every consultant note and referrals.

100%

Telus EMR can do this and I have missed this function ever since I changed jobs and have been using Accuro.

I agree. I have templates made up that include growth parameters. Unfortunately they only draw in the most recent measurements. If I generate a new note using the template, it will pull in the growth measurements from the last visit instead of the current visit. If I had a macro for pulling this in, I could generate the macro after I have recorded the growth parameters.

We have found that our productivity is slowed down by the lack of ability to bring labs into a note via macros. Most of the time our patients have multiple chronic conditions which are followed with blood and other lab tests, and we often need to type those results in manually. 

We could create a template with a list of common problems (diabetes, hypertension, HIV) and put in tags for their associated labs, but not every patient will have that particular combination of conditions--some might have only 2 or 3.

Also, that workflow in essence is pre-charting--documenting conditions in a chart where they may not apply.  There is always a risk that the user may not remove the conditions that don't apply and this creates a medicolegal risk that in my opinion would be unnecessary should the EMR accommodate clinician workflow better.

Creating separate templates for each condition wouldn't be feasible because many patients have more than one condition and it wouldn't make sense to open more than one template per visit.

However, if condition specific macros could be built that pulled in pertinent lab results, this would allow for greater flexibility and avoid the pitfall of documenting about conditions that the patient doesn't have.  It would also speed up our charting by pulling in data that otherwise would need to be manually added to the note.