EPR is designed to allow fast and easy on-line access to each patient's records in all areas across the Hopkins continuum of care, thus enhancing patient care. Through EPR, the user can view patient data integrated from multiple sources, including Lab Results, Radiology Reports, ECG Reports, EEG Reports, OB Sonogram Reports, Discharge Summaries, Operative Notes, etc.

• EPR Overview of Functionality
• System/Technical Specifications
• Future plans

Patient selection

• Quick Jump allows the user to select a patient and/or function without using the mouse, by pressing the F2 key.
• PID (Patient Identification), search by History number or Name, including a "sounds like" search (Soundex)
• Inpatient Census, by nursing unit
• Outpatient Census, by Clinic

Data

• Laboratory Results (Results can be viewed graphically)
• Radiology Reports
• Problems, Allergies, and Medications lists - sometimes called "PAM" lists, these lists are maintained by Clinicians;
  Alerts can also be added to the patient's PAM list.
• Health Maintenance Records, maintained by Clinicians. Currently in use in Pediatrics; will be expanded for Adults.
• Patient's visits list and appointments for the next 30 days
• Provider's Appointments for the next 30 days

Documents

• View documents listing by:  Provider Document List or Patient Documents List
• Discharge Summaries Operative Notes, Clinic Notes and Unstructured Notes (including the new subtypes, i.e. Phone Note, Prog Note, etc.) can be edited on-line and electronically signed.
• Documents can be printed in Batch mode or printed individually
• Referring Physicians, indicated by the patient at time of admitting, are automatically added to the CC list of the Discharge Summary.
• Resolution of Documents in Error by Clinicians.

Security

• "Lock Workstation" feature - minimizes EPR placing it in a secure state while Clinician steps away. User must re-enter password to return to EPR.
• Automatic timeout after 15 minutes of inactivity. User must re-enter password to return to EPR

General Functions

• Overview Screen containing
  1. Patient's recently resulted labs, Problems, Medications, and Allergies lists.
  2. Patient's Demographic information
  3. Access History - A listing of users who have viewed the patient's record
• Knowledge Base list allows access to medical information on the web
• Suggestion box allows users to send E-mail with comments or suggestions to the EPR programmers.
• Change Facility to view either JHH or BMC patients
• Robust searches, by date range, type of document, etc.
• Interface to Central Physician Directory of Referring Physicians (CPD).

System Specs
• Windows based access to patient data, requiring Windows 2000, Windows XP, or Windows 98/95
• A network connection on the Hopkins network is required
• The PC's system date settings must include the Century.  (See Changing Date Settings for instructions)
• Training is required to obtain access

Technical Specs
• EPR is a Client-Server application; the Client is written in Visual Basic 6
• Data stored in DB2 database on mainframe and Sybase database on Windows 2000 server
• Remote Stored Procedures (RSP) used to communicate with databases
• TCP/IP network protocol used to communicate between client and server

• Problems, Allergies, Medications List Redesign
• Rewrite and Expand Health Maintenance Records for use in other areas
• Added Security features

EPR Home Page	JHMCIS Home Page

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JHMCIS - EPR