COMCHART: INTERNET ACCESSIBLE
ComChart will allow you to access you, your patient and other physicians to access all or part of the patient medical record using a smart phone like the iPhone, and iPad or any web browser. You can test the "Web Portal" here. When you get to a section that requires a password, click the "Display instructions" button. It will enter a password for the "dummy" patient or "dummy" physician, so you can try it for yourself.
This document displays photographs taken of the iPhone, while it is accessing ComChart EMR. It does not show all the options that are available to the user. In addition, everything you see here can also be done using any web browser, from any computer.
In this photograph of the iPhone, we see the “ComChart” icon on the iPhone home page, in the left lower corner.
After clicking the “ComChart” icon, we are taken to the first log-in window. ComChart is sufficiently flexible to allow you to customize the text which is seen. It will also allow you to allow/disable the patients from utilizing the various features. For example, you could choose to allow the patients to see their problem listened medicine lists, while prohibiting them see their lab results. Similarly, you could prohibit them from paying a bill online while allowing them to schedule an appointment online.
There are two different login windows One for a physician and the other for patients. In order for patients to login, they will need a name ,date of birth and a home phone number. This will give them very limited access, allowing them to schedule one online appointment. However, this login does not allow them to see any clinical information. In order to see their clinical information, they would also need a password.
Once the patient logins in with a password, they are presented with a “destination screen” which will allow them to navigate to the various locations they might want to visit. Obviously, if an office chooses to disable some of these destination options, they would not be presented to the patient.
The physician login window is a little bit different. If the physician works in the office, they will be able to access all the patient's charts, if they have a password. Otherwise, the physician will need their individual password, as well as the patient specific password and the patient date of birth.
Once the physician or patient logs in, they can navigate to the different sections of the ComChart including the clinical summary, flowsheets, progress notes, labs or radiology. Alternatively, the patient might also want to schedule an appointment, pay a bill, view handouts which are stored in ComChart. The physician can also see their scheduled appointments. In order to maximize the end user's flexibility, individual sections of The ComChart Physician Patient Web Interface can be enabled or disabled by the end user.
In the next three images, we see the patient's “clinical summary,” as it appears on the iPhone. Along the top of the image, we can see the different locations one can navigate to by simply touching the appropriate button.
In the below image we see the top of the patient's flow-sheet.
This photograph of the iPhone shows the appearance of the patient's progress notes. As you can see on the right hand side, is a listing of all progress notes in the patient's chart. Simply touching on the desired date will recall the selected progress note.
Although physicians can see the progress notes on the iPhone, patients are not permitted to see progress notes.
Here we see an image of the lab results, as it appears on the iPhone. Labs are sorted in reverse chronological order with abnormal tests in red. On the right-hand side is a button “show only,” which is not visible in this photograph. Touching this button will display all the results of the specified test, as shown in the subsequent image.
The below photograph shows a picture of the patient's x-ray results, as seen on the iPhone. Although physicians can see the full report, patients can only see the one line summary that the physician enters into the “summary” field in the patient's xray section of ComChart.
In addition to allowing patients to access various sections of their clinical record, as shown in the subsequent screens, patients are allowed to...
... request prescription refills...
...schedule an appointment online.
Patients are not permitted to cancel appointments, and they are only allowed to schedule a single online appointment. Before they can schedule a second online appointment, the first scheduled appointment must have passed. This will prevent patients from scheduling multiple appointments, without a phone call to your office.
Patients can also pay credit card bills online...
or send a message to the office...
Patient request for prescription refills and messages are stored within ComChart, and the receipient is informed that they have incoming ComChart mail from a patient. The information from the patient can be transferred into the progress notes by clicking a button “Put message into Progress Notes.”
Physicians can send a reply to the patient, which remains stored in ComChart. When this is done, a generic e-mail is sent out to the patient telling them that they have a message from the physician and they need to return to your website to see the physician's message. Using this technique, (which mandates that the patient have a password) no confidential information is sent out over the Internet.
For additional information about ComChart, visit the ComChart web site www.comchart.com or drop us an email firstname.lastname@example.org