NOSH ChartingSystem

A new open source health charting system for doctors.

Tags, tags, everywhere tags!

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Another release of NOSH ChartingSystem is out in the wild.  In version 1.7.2, there are significant changes and exciting new features that are worth mentioning.

As stated in previous posts, one of the new features of NOSH is the ability to record tags in various elements (encounters, telephone messages, test results, documents, appointments).  A tag is any defining keyword(s) that a medical provider can designate to help organize common traits between patient charts or medical history.  This is similar to the idea of tags, if you’ve used Evernote (on your Android or iPhone) or set up a blog (like on WordPress).  Currently, the only defining characteristic (or element of a medical chart) is the diagnosis code.  But being that it is only one characteristic is truly limiting.  A patient is more than just a diagnosis.  A patient and the relationship between the provider and patient is truly an organic process…an EHR that only defines the encounter in just one defining aspect like a diagnosis code is a great disservice to practice of medicine.

By having tags utilized, one can see not just the whole aspect of the patient, but the practice too.  Perhaps my view of tags is limited, but another provider can utilize tags in NOSH to whatever use they want.  Once you have a few tags under your belt, go under the Office link on the top, you can query their tags and identify these elements and see them (viewing the encounter or PDF document, for instance) from the patient’s chart.  There really are no constraints to the idea of tags and how they can be used.  Go ahead and try in the free, fully functional demo on this website!

Another new feature that is incubating right now is the ability to integrate with PeaceHealth Labs.  It is currently in the works but it is a first in the series where NOSH will be able to fully parse and receive HL7 messages to any number of lab providers.  But it will only work if I get a community of users so I can work with these labs (which use their own HL7 formatting, unfortunately) to make it work right to a wider number of users.  In the next set of posts, I’ll be talking about why open source development is a key solution to some of our most pressing health care problems.  And the cool thing is that open source invites and brings together both users and developers to make a good product even better.

Here is the change log for 1.7.2 for those who what to know more about it!

* New Feature – Tagging features available for Messages, Telephone Messages, and Encounters.
* New Feature – Ability to save CPT favorites and default units for a specific CPT code.
* New Feature – Ability to search for active supplements in super query.
* New Feature – Ability to view and chart electronically downloaded lab results.
* New Feature – Direct interface with PeaceHealth Labs.
* New Feature – Patient reminders automatically sent upon creation or change of a future appointment.
* Update – Reworked code to allow for more than 1 practice in a NOSH instance.
* Update – Ability to enter new password whenever a new user is added.
* Update – Clicking on a grid header will open and close the grid instead of just clicking the arrow.
* Update – Orders summary now includes specific instructions for supplement orders.
* Update – Provider signature editor incorporated in provider user configuration dialog in dashboard.
* Update – Reduced redundant search entries for medication dosages when performing autocomplete.
* Fixed – Error with billing compiling when there is an empty procedure CPT code.
* Fixed – Error with saving bills under Assistant user level.
* Fixed – Some printing errors when no billing is assigned for an encounter.
* Fixed – CPT grid not loading correctly in configuration when Billing tab is opened in encounters.
* Fixed – Super query not searching active medications or issues.
* Fixed – Addendum encounters keep reappearing when encounter initiated by assistant user.
* Fixed – Some large batch HCFA-1500’s with numerous CPT codes were not printing properly.
* Fixed – Billing elements not saved properly with PHP error codes with numerous CPT codes and diagnoses codes.
* Fixed – Display and button alignments of ROS and PE dialogs not compatible with certain browsers and devices.
* Fixed – Dashboard page not logging out after 30 minutes of inactivity.

Happy NOSHing (and hopefully you had a Happy Thanksgiving too, and a big NOSH to boot!)!

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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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