11
User Manual EMR Module Introduction The basic functionality of EMR (Electronic Medical Record) or Discharge Summary module is to store and maintain patient discharge related information (Medicine, past history, surgery details, care after discharge and others). You can enter patient discharge details who is going to discharge from hospital and view patient past history which has been entered from different- different departments. You can print patient discharge details and give it patient for home care and instructions. Step By Step: Login to EMR Module EMR Department Go to EMR Search to search admit and discharge patient to view and enter discharge details. Enter Patient Medical details, Discharge Instructions, home care details and enter treatment details. END

abc-User manual emr

Embed Size (px)

Citation preview

User Manual – EMR Module Introduction The basic functionality of EMR (Electronic Medical Record) or Discharge Summary module is to

store and maintain patient discharge related information (Medicine, past history, surgery details,

care after discharge and others). You can enter patient discharge details who is going to

discharge from hospital and view patient past history which has been entered from different-

different departments.

You can print patient discharge details and give it patient for home care and instructions.

Step By Step:

Login to EMR

Module

EMR Department

Go to EMR Search to search admit and

discharge patient to view and enter

discharge details.

Enter Patient Medical details,

Discharge Instructions, home care

details and enter treatment details.

END

Login: Enter user name & password followed by hit enter.

Welcome Page: When you login into HIS you can see this welcome page with login details. If you have multiple modules you can change your module from right side dropdown.

Department Master: Under EMR Menu you have the option to search IPD admit and discharge patients.

Click on view button as displayed above and it will show patient IPD information as

popup.

Click on select button for enter patient IPD folder.

When you select any patient, it will show deferment tabs to enter patient discharge

information.

Discharge Medication: Your medications list will be reviewed with you upon discharge.

It will be written out by brand name, generic name and dose. The registered nurse will

explain what each medication is for, when you should take it and when your next dose

is due. The times that you should take it will be marked according to meals. If you do

not have the medication at home a prescription will be written by your physician. If there

are any special instructions they will be included.

Discharge Information: when you select Discharge information tab, it will show you the

no of check box and text boxes for enter patient discharge information (Surgical

information, home care instruction, ambulance and consultation details).

Surgical Site Care: It is important to follow all of the instructions provided by the

patient’s healthcare team.

Discharge Reports: This allows creation, archival and retrieval of patient discharge

summary report of Admitted /Discharged patient.

Select Report header to set report header.

Select the sub-header in Discharge Details entries pane (Header- drop down).

Select template or enter data in template.

Click on “Save Text as Template “check box this will display a “Template Header

“text box aside of it.

Click Add details button, grid will be displayed below it ( user can update report

by click on edit button followed by editing data and then click on Add details

button ).

Option to approve report with Digital Signature.

Medical Detail – This allows the user to view patient services which has been prescribed from

ward and other departments.

Reports: Under report menu, you can view patient panel list and patient admitted

reports.

Discharge Report: View and print patient Discharge Report

-END-