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Electronic Medical Records, or EMR, are a type of record new to version 9.3 and above of Raintree. EMR records provide a HIPAA-compliant means of tracking clinical documentation with full rich-text formatting support. In addition to built-in fields defined for each record, it is a simple matter to assign custom fields and screens for any EMR through the use of EMR Templates. In addition, EMR records can trigger formscripts that display built-in or customized screens, run reports, send email messages, schedule appointments, add charges to the ledger, or perform any other task that can be accomplished via formscript.
Each EMR record contains an attached rich-text format (RTF) document. This document may be blank, or might contain merged text variables. This is a printable document which would be considered the final document for some process, such as a Progress Note, or a Treatment Plan. The RTF Documents for each EMR record are stored as BLOB fields within the core EMR table.
*There are advanced programming commands to force an EMR record to use an Overlay document (RTO) as its EMR document, rather than the standard RTF document each record has by default.
| Feature | Benefit |
|---|---|
| Sign-Offs / Electronic Signatures | EMR Documents provide users with an electronic signature system supported by the core Raintree product. When a user signs off a document, she is prompted for her Raintree password. Once the password is successfully given, the EMR record and its attached RTF document becomes read-only; a signed-off progress note, for example, can never be altered. |
| Amendments | The Amendment Process allows users to track different versions of signed-off documents. Once a document is signed off and made read-only, users can add amendments to that document. Each amendment is a new copy of the previous version of the EMR document, with its own control fields, RTF document and user-defined fields. Since amendments are themselves EMR documents, each is signed off and can be amended. |
| The EMR Editor | The Editor allows you to edit, save and print Rich Text Format files. |
| Template Categories Table | Categories are tree-structured, meaning that you can define child categories that are linked to a parent category. |
| EMR Templates Table | The EMR Templates table contains the definition of every template, including its category, which scripts or screens are linked to the template, and the merge template that will be used to create EMR documents using that template. |
| EMR Lists | EMR Lists allows users to define filtered interactive lists of EMR records without requiring any custom programming. These lists can be used as stand-alone table views ("live lists") linked from a menu option or drop-down field in a custom screen, as embedded lists within a screen (such as a dashboard), or as an insertable RTF table that can be inserted into any EMR document. EMR lists can be very simple or very complex. |
| The RTM Screen Builder | The RTM Editor represents the screen that is currently being edited. You can build the template by placing and arranging different widgets on the Template Window. (There is a vertical widget bar to the left of the Preview area.) Keep in mind that the Template Window is not an exact representation of the real screen. Widgets are actually abstract objects, based on which the real screen with real components is created in the main application. |
| Audio Recordings | The Audio Recordings widget allows users to store sound files within a record. This is useful when documentation is dictated, then transcribed by another person. |
| Link to Scanned Items | The Image Widget enables you to create an area where the end user can store and view image files. It is actually a picture frame, which defines the area that will accept images on the final screen. Once the fields are created on the screen, the user then interacts with the Image Upload Manager. |