I have inserted replies after each question below.
 
Gene

	-----Original Message----- 
	From: Electronic Medical Record - Enid on behalf of Price, William F. (HSC) 
	Sent: Mon 2/23/2004 8:59 PM 
	To: [log in to unmask] 
	Cc: 
	Subject: More questions
	
	

	Gene,
	
	There are a couple of more issues that have come up.
	
	1. Yes, you have it so we can now change the date of the record we are working on but the internal date for orders, scripts, and treatment does not change. So a note you date for 2-13-04 will show date for orders and such as whatever the actual date is that you are working on the record. So is there a way to change the date one time and have that carry over to orders ans such?

	

	Reply:  Yes. Good point. I need to change date timestamps to be an offset from the the Encounter Date, not from the current computer date/time. It may take a little time to find and change all the places where this occurs, but I will make it a priority. It is a useful feature to add and certently can be done. 

	
	
	2. I had a note open working on it on my PC, Mike was able to open a note on this same pt. Shouldn't access to a chart be restricted to one user at a time? Also when he opened this record it showed things I had ordered, such as IVF in the order section of the new record and also in the lab section of that record. If Mike still has that record on his PC I will try to copy it and send it to you as an attachment.

	Reply: This is actually as designed. While most other EMRs, if not all other EMRs, allow only one person to work on a patient record at a time, my approach is to allow each provider to create their own UNIQUE RECORD of their encounter even if done at the same time as someone else's encounter record.  Past events such as IVF orders, allergies etc. if initiated or discovered by someone else are brought forward so they can be a factor in your medical decision making about the patient at the time you are creating your own encounter record. Your entries into your encounter record do not change the entries made by another provider at the same time, and their entries do not change your own unique record. Each record should reflex what the provider knew at the time medical decisions were made. This allows multiply specialities to do their own thing at the same time on a given patient and still have the benefit of what others have discovered about the patient to date.  Let me know what you think of this approach.

	
	
	3. In the section of the program that shows where a patient is in the system and color codes them based on the status of orders, Your color scheme is set up for an ER. Is there anyway to change the color code scheme to reflect what is done by the various people in our office so when they look at that screen they will know if lab or nursing services are needed? I realize that many times both are needed so maybe a third scheme for that

	Reply:  Fairly easy problem to fix. The practice overview "knows" whether it is showing Clinic , Inpatient or ED patients. Let me know what color scheme would be most useful for you and I can make it happen. What I have not addressed is  how to deal with those users who are color blind.
	
	There may have been some other issues but I can not remember them right now. I will write you as they come up.
	
	William F. Price, M.D.
	Assistant Professor
	Enid Family Medicine/OUHSC
	620 S Madison Suite 304
	Enid, OK 73701
	580-242-1300 ext. 228
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