Emr Questionnaire Template

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EMR QUESTIONAIRE
Name of facility:_________________________________
Name of contact: ________________________________
Phone:
_________________________________
Do e-prescribing?
Provide warnings of drug-to-allergy and drug-to-drug interactions?
Work with a tablet PC?
Allow patients to have access to their medical records over the Internet?
Interface with a hospital- based EMR?
Track immunization stock which will decrease as immunizations with that lot number are given -
inventory tracking?
Support access anytime and from any location (remote access)?
Have document management functionality?
Send prescriptions automatically through a fax server to the pharmacy?
Display abnormal lab results differently from normal - possibly displaying these values in a different
color?
Offer the ability to dictate or partially dictate parts of chart notes?
Have incoming faxes be transferred to an electronic format and be uploaded into the document
manager, eliminating the need for scanning?
Allow the user to add free text to sections of a chart note?
Have growth charts?
Apply electronic signatures to documents?
Graph a patient's lab results for trending purposes?
Interface with a scanner that allows scanned documents to be stored and categorized?
Allow the user to add images or diagrams to the library of images?
Have a central location in each patient's chart for viewing medications, allergies, problems,
procedures, chart notes etc.
Have a master file of referral contacts - name, specialty, address, phone number etc.- to choose when
sending out a referral letter?
Allow the addition of my own health maintenance guidelines?
Allow the user to make annotations directly on a diagram or image document using a drawing tool?
Send documents from within the document manager to: staff inboxes, email, fax server, patient chart
etc.
Attach a current medication list to a chart note?
Alert me of critical lab results that have returned?
Have access to the web from inside the EMR?
Allow each user to customize what is included on the face sheet?
Process refills quickly and efficiently?
AccuStat EMR Questionnaire
1

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