A core element of CareEMR is the Electronic Charting function that promotes efficiency by automating the charting process and maintains a complete patient medical record. This functionality is facilitated by the use of input templates and intelligent statement building. The system was design with flexibility in mind allowing the provider to customize the templates according to their specific practice requirements and workflow. This robust function encompasses all aspects of charting including history, vitals, diagnosis, medication, allergies, physical exam, etc.
The electronic charting function helps consolidate view of the patient across multiple encounters. Additionally, CareEMR facilitates practice tailoring through flexible configurations, E and M coding, multiple predefined templates, and integrations with pharmacy, labs, etc.
The broad range of medical charting include capturing the following details:
The Electronic Charting function also takes into consideration the SOAP (Subjective, Objective, Assessment, Plan) notes:
S- Patients current condition in descriptive form i.e. CC, RFC, and HPI
O- Vital signs, physical exam, results from Labs
A- Diagnosis
P- Treatment plan