Electronic Medical Record
EMR Residential Care Software
When you admit a resident, you create the resident’s Electronic Medical Record (EMR) by recording Face Sheet information that will be shared throughout the system. You continue to build the EMR with Physician Orders, a Flow Sheet, a Calendar schedule, and other clinical information.
Continue to build the resident's EMR through EMR Documentation.
Face Sheet
- Personal and demographic information
- Admission details for the current stay
- Family, Legal and Financial contacts
- Medicare, Medicaid, other government and commercial insurance numbers
- ICD9-coded Diagnoses and Allergies
- Primary Physician, Dentist, and other physicians identified by specialty
- Advance directives
- Religion, church, language, choice of hospital, discharge plan, choice of mortuary
- Notes and documents from other sources that have been scanned or saved in the resident’s record.
- Stay Tables that keep a record of each stay based on admit date, level of care or payer.
Print the completed Face Sheet for the resident’s chart.
Physician Orders
- Maintain Routine, Diet, Medication, Treatment, Lab and Standing Orders.
- Print Order Listing for physician's review and signature.
- Print monthly Medication and Treatment Administration Records (MARs and TARs).
- Add the IMAR Electronic Medication Administration paperless option.
Flow Sheets
- Create and print each resident's Flow Sheet that addresses specific daily needs.
- Chart ADLs and Service Plan approaches to be performed by Residential Care or Certified Nursing Aides.
Calendar
- Schedule events such as medical appointments, order renewals and lab work.
- Require staff to acknowledge scheduled and completed events.
- Print or view the calendar sorted by resident, date or type of event.