NOSH ChartingSystem

A new open source health charting system for doctors.

Commandment #1

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Thou shall know what you want to do

At first glance, this seems pretty vague.  Firstly, who does “you” represent?  My interpretation is that this is the medical practitioner.  I think there are obviously many interpretations for who “you” is and if we’re talking about health administrators and billers, then it’s clear that they have followed the first commandment.  However, if “you” represented the former, then we have clearly broken the first commandment.

As stated before, the design and implementation of the majority, if not all, EHRs really focuses on administrators and billers and not to the physician.  I won’t belabor the point as it’s been mentioned in previous posts.

What does NOSH ChartingSystem do differently?  It was built from the ground up to think like a physician thinks.  So when you look at the first dashboard screen, it is clearly geared for the physician in mind.  It’s not an afterthought.  One specific feature that differentiates NOSH from the others that exemplifies this design is the fact that you can enter your billing codes even when you have not signed off on a chart yet.  I found it especially cumbersome in other products that I needed finish my chart quickly (but incompletely, inaccurately, or both) if I needed to send it off for billing, especially in a smaller office.  Most times, a doctor already knows what billing code to use long before the chart is signed off.  There are certain aspects of the doctor’s visit that requires followups and labs and you risk forgetting to bill your encounter after it’s all set and done (because most of these circumstances take several days and not on the same date of service).

The second design element is that information is clearly available and viewed from a glance.  It is not presented in a database format where you only see partial information or cryptic information that is squeezed into small visual space.  Even though NOSH obviously runs on a database, it doesn’t have to look like or act like a database.  The best way to see this in action is the live demonstration and choose a patient chart, open it, and also add an encounter.  You don’t even need a tutorial to figure out where everything is.  It just works (for a doctor).

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Author: shihjay

I am a family physician and previous medical director for a child abuse assessment center. I am now promoting my new electronic health record system (NOSH ChartingSystem) that I have developed and used for myself in my private practice since 2010 and now I want to share it to the rest of the doctoring world.

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