Re: bashing for free EMR program

From: Gil Carter (GilCarter_at_remove.surewest.net)
Date: 08/15/04 

Date: Sat, 14 Aug 2004 19:28:22 -0700

Hi Tonks,

With EMR using this program, each patient has a single file (document) that
holds all their
medical data. Each new "page" in the document represents a new visit for
that patient. This
file can be housed at the doctor's office, or at MT's workplace, or if
secure, at a website.
The TSMR program does not need to be at both locations but it would be very
easy to have
it at both. If one opens "DoeJohn.doc" from a distant location, your local
TSMR program
automatically "attaches" to it and functions.

It would be easiest if the MT has electronic access to the physician's
"C:/Patients" folder that houses all his patients' electronic records.

The naming of the patient file is automatic and allows for billions of
names. Usually a file
name in TSMR looks something like "123123123CartGilb 09261946 Gilbert Bruce
Carter"
with the 123123123 representing a medical record number. "CartGilb"
represents a short
name access tool derived from old IBM nomenclature when file names were
limited to
8 characters. "09261946" represents dob. The last section represents
patient's full name.
But this is also automatic, ...taking about 15 seconds of typing perhaps.
Retrieval of a file
takes perhaps 1-2 seconds, including the typing of 5 letters which is all
that's usually required.

If you open a file that is currently open at the doctor's office, MS Word
notifies you that the
file is open and offers to make a copy for you to work on, ... or you could
postpone that one
until the doctor's office is not active with it. You can work while the
doctor's office is open.

Your comments have raised some interesting ideas. One of the biggest
problems in EMR
implementation by physicians is the manual entering of numeric laboratory
values. Having
collated laboratory data in tables as well as other test results is a
**huge* benefit to physicians
because they can find it faster and it saves them time.

I'll check out making some code that automatically adds word or letter or
line count to
a "transcription log file" along with the patients' names and dates, in such
a way that the
bottom cell tallies a total. The next version of TSMR has an automatic
timing table in
each patient's file that logs in each date a file is opened and the time for
which it is open.
Adding on something for counting lines sounds easy.

One of the Ten Second Medical Record functions makes a "Patient Pocket
Summary TM."
It is a global summary of data, meds, allergies, family history, allergies,
problems, lab
and other test results. It automatically grows visit by visit, year by
year. It is handy.

Cheers,

Gil

"14tonks" <mail.2.14tonks@recursor.net> wrote in message
news:2o7oidF7n5g1U1@uni-berlin.de...
> Okay, I took a fast look at the site. Short of downloading and installing
> the program to play around with it, which I'm not about to do unless you
are
> paying me a consultant fee, I don't really see anything that directly
> addresses some of my questions about integrating it with current standaird
MT
> work processes.
>
> Could you outline for us exactly what the physician using this program
would
> have to do to export documents, attach them to dictation for completion by
> transcription, and deliver them securely to the MT, and exactly what the
MT
> would have to do to complete those documents and return them securely to
the
> client for upload into the EMR? Or would it only be possible to work in a
> client's copy of your program by connecting to his computer over the
> internet and temporarily taking over its operation with a remote-control
> program of some sort? The latter scenario is distinctly less desirable, as
> it is slower, interferes with the client's use of the computer if done
> during working hours, and requires that separate copies of any MT tools be
> installed on the client's computer.
>
> And, yes, we know Word does a crude character count and a crude line
count,
> but how would the MT generate a summary of characters added to the
exported
> document/record using either Word's count or, preferably, the count
> generated by a more sophisticated line counter of their choice, or would
> that be something we would all have to figure out, or pay someone else to
> figure out, ourselves?
>
> If the exported base documents are Word documents, then naturally we would
> be able to use any Word spellcheckers, medical dictionaries, and
> Word-compatible expanders installed on our computers when working with
those
> documents, which is good.
>
> But I would like a succinct explanation of just how the export/import
> processes would work at both client and MT end, if such a process is
indeed
> possible. How much is automated in the program, from file naming to
> transmission, and how much would the client or MT be expected to provide
> their own solutions for?
> --
>
> Sheila
> To reply to me, add the prefix real. to my address.
>
>
> "Gil Carter" <GilCarter@remove.surewest.net> wrote in message
> news:10ht4kenc6qtq32@corp.supernews.com...
> > Hi Tonks,
> > Yes, ... it was developed originally with Word Perfect in about 1990 but
> > changed to MS Word in '96. It requires MS Word 2000 or later to
function.
> > So, ... it does import from RTF and text. Yes, it allows spell checkers
> so
> > long as they are MS Word compatible. MS Word does of course count
lines,
> > characters. etc.. Altho I do not use VPN, it is confluent with internet
> > resources.
> > Gil
> >
> > "14tonks" <mail.2.14tonks@recursor.net> wrote in message
> > news:2o7cdiF7h514U1@uni-berlin.de...
> > > Your question might better be addressed to your potential clients, but
> if
> > > you want the MT perspective, we probably only have a few questions:
> > >
> > > 1) Can it export and import documents into Word/WordPerfect/other
> > > RTF-compatible word processors where they can be completed offline
using
> > the
> > > usual MT tools of the trade?
> > >
> > > 2) If not, does it include a good medical spell checker and an
expander
> > that
> > > can import entries from standard expanders on the market, or work with
> > those
> > > expanders, such as InstantText? Does it have the ability to count
> > character
> > > lines for transcription added to its records? Does its VPN connection
> for
> > > working in real time include the ability to allow the transcriptionist
> to
> > > access internet resources while working?
> > >
> > > --
> > >
> > > Sheila
> > > To reply to me, add the prefix real. to my address.
> > >
> > >
> > >
> > > "Gil Carter" <GilCarter@remove.surewest.net> wrote in message
> > > news:10hsrnploe6s0a9@corp.supernews.com...
> > > > Hi All,
> > > >
> > > > I occasionally drop in and out of this NG. I've been developing an
> EMR
> > > > program for years. Y'all are the best critics around for such. So,
> ...
> > I
> > > > invite your criticism. Of course it'd be good if it's constructive.
> > ;-)
> > > > So, ... it's currently free and fuly functional, ... The Ten Second
> > > Medical
> > > > Record TM at: http://www.TenSecondMedicalRecord.com
> > > >
> > > > tia,
> > > >
> > > > Gil Carter (md, jd, fp)
> > > >
> > > >
> > >
> > >
> >
> >
>
>

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