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Here are some sample functional
requirements for Emergency Department Information Systems: |
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Support concurrent electronic charting of nursing
assessments, physician charting and other clinical documentation of patient visit.
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► Support on-line charting of: assessments.
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► Support on-line charting of: admission notes.
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► Support on-line charting of: allergies
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► Support physician entry of: discharge disposition.
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► Support physician entry of: prescriptions.
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► Support E & M scoring of patient documentation and
verify that it meets HCFA requirements for that level of visit.
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► Automatically record and track date, time and ID (e.g.
initials) of clinician with each electronic chart note or entry.
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► Support bi-directional interface to hospital information
system admissions (ADT) module to communicate registration transactions and demographic
data between systems.
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Support bi-directional interface to hospital medical system
to retrieve medical record number for ED patient registrations.
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Support charge interface to hospital billing system to
transmit ED patient charges.
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Support bi-directional interface to hospital order and
result communication system to send orders to and receive results from ancillary
department information systems (e.g. LIS, RIS).
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Support interface to hospital pharmacy system to transmit
prescriptions generated in the Emergency Department for discharged patients.
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► Support interfaces to major industry interface engines (e.g.
Datagate, Openlink, Hublink, CAI, HCI Cloverleaf).
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Support order entry for lab tests.
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Provide ability to order "panels" of lab tests.
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Support order entry for diagnostic imaging services
including detail for exam, view, urgency, ordering physician and relevant patient history.
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Support order entry for EKG.
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Provide ability to limit ordering privileges by user and /
or user class.
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Support entry of reason for test.
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Support entry of free text (e.g. comments) with an order.
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► Automatically display allergy information when ordering
medications.
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Support ordering procedures for hospital teaching
environments (e.g. attending order verification for medical students).
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► Automatically flag or alert clinician of abnormal or
critical lab values on result screens.
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Support entry of multiple orders without the need to
re-select patient from list, re-enter patient id, etc.
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Provide ability to assign same nurse to multiple patients in
a single step.
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Provide ability to assign multiple physicians to a patient.
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Ability to hold a room for a patient to a room before
arrival (e.g. ambulance, helicopter, doctor's office).
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Support definition of "hall beds" in the system
and ability to assign a patient to a hall bed.
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Allow more than one user to access the same patient record
at the same time (e.g. no record lock out).
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Automatically capture, time-stamp and track patient wait and
activity times at each step of ED visit to support analysis of throughput, workflow and
potential bottlenecks.
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Capture time of triage.
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Capture time patient is in treatment room.
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Capture time patient is seen by RN.
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Capture time meds are administered to patient.
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Capture time admitting department is called for bed
assignment.
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Provide ability to configure user-defined, ED-specific
patient care events to capture time for tracking purposes.
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Automatically alert clinicians (e.g. visually on tracking
screen) of patient status when wait times exceed ED-defined values for phases of care.
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Automatically alert clinicians (e.g. visually on tracking
screen) when patient test results are back and available for review.
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Support automatic tracking of patient location and movement
via infrared technology or similar method.
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Provide ability to view status of all patients with x-ray
orders.
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Provide ability to view status of all patient with bed
request.
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Provide ability to track telemedicine patients.
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Provide support and functions for handling a disaster with
massive casualties.
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Maintain database of all patient demographic information and
prior ED visit records to access and carry forward into new registrations.
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Support on-line retrieval and display of historical
emergency department charts for prior patient visits to ED.
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Automatically generate a unique ED encounter number for each
ED patient registration.
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Support entry of patient's chief complaint from a pick list
(e.g. drop-down box) or using free text entry.
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Provide ability to enter accident information.
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Provide ability to enter an expected length of stay.
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Include specific latex allergy field in registration screen
and store in patient's permanent history for retrieval in future registrations.
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Provide "quick registration" function to register
"John Doe" patient when identity is unknown.
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Provide ability to merge "John Doe" charts with
final patient chart later.
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Support pre-registration of a patient if patient is en-route
(e.g. ambulance, helicopter, doctor's office).
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Provide ability to bypass triage function in registration
process, if necessary.
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Provide ability for system administrator to modify patient
registration screens (e.g. layout, data fields, use of pick lists, etc.) to meet specific
ED needs.
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