EHR Software Vendors, EHR Software Developer

Project Requirement - Challenge

The primary goal was to develop an EHR system that ought to be custom-built to suit the advancement of physicians and for that, we needed the assistance of health IT experts who are familiar with all the medical terms and clinical workflows. Our EHR system provides a high- level of data privacy and data migration. Interoperability was the main concern in order to get a picture of a patient’s complete health status. Our EHR used various medical coding standards like ICD-10, SNOMED, LOINC, CPT, HCPCS, the mapping of ICD-10 to SNOMED, CPT to CVX, etc. which are essential for our EHR system to get certified. Clinical Quality Measures(CQM) measures the standard experiences and the outcome of the patient’s care, observations, and treatments that relate to one or more qualities that lead to health care such as effective, safe, efficient, equitable, and timely care. Meaningful Use(MU) promotes our certified EHR system to improve patient portability, improve public and population health outcomes, engage patients and their families in their own health care, care coordination, and ensure that patient’s privacy and security is maintained according to the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule compliance.

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What we implemented

The EHR system's main goal is to document every patient interaction, view the patient's medical history and insurance information, and access it from anywhere. Traditional healthcare delivery models are ineffective due to constantly changing regulatory requirements. With the rapid growth of the healthcare industry, importing and exporting patient information from/to other EHR software is becoming increasingly important.

PureEHR software supports interoperability through the use of CCDA (Consolidated Clinical Document Architecture) and QRDA (Quality Reporting Document Architecture), which follow HL7 (High-Level Seven) standards and are required for EHR certification in accordance with US government norms. Six organizations have been authorized by the Office of the National Coordinator for Health Information Technology (ONC) to conduct EHR testing and certification.

We offer our clients full certification support and guidance. For more information on EHR certification, please visit : https://www.healthit.gov/sites/default/files/pdf/fact-sheets/ehr-certification-program.pdf

Modules that we have implemented are listed below:

CALENDAR with a view of day, week, month, rooms, provider. By utilizing a calendar, one can schedule a new appointment and can also reschedule an existing appointment.
PATIENT CHART contains patient information such as primary and demographic information, documents, lab results, vitals, billing, clinical notes, immunizations, medications, and implantable devices.
By utilizing VISIT PROFILE, the itinerary is adjusted to include realistic time blocks per appointment type. Furthermore, billing codes and core notes are pre-set by appointment, ensuring that similar visits are pre-coded with the relevant codes.
BILLING PROFILE makes it simple to assign ICD-10, CPT, and NDC codes to the most common procedures. It is possible to ensure that the correct codes are consistently applied. Simply save frequently used diagnoses as a profile to reduce data entry. While scheduling an appointment, one can add as many or as few codes as per requirement and have easy access to the profiles.
CUSTOM PROCEDURES allows the creation of custom procedures that are not standard CPT codes but are managed by a provider or a clinic for use on the premises for items or services that will not be billed to a patient's insurance.
The OFFICE MANAGEMENT module enables the addition of new offices. New rooms, as well as resources, can be added to any office. Furthermore, the offices can be scheduled.
The ACCESS MANAGEMENT module displays information about the roles and permissions assigned to providers and staff members.
The AUDIT LOG monitors access to and activity within EHR systems to document who may have accessed the record for administrative, clinical, and security/privacy purposes, as well as to provide a potentially valuable alternative source of information.

Integration of third-party tools: