Data such as date of birth, sex, race, ethnicity, preferred language are captured. Maintaining this data is essential for clinical assessment purposes and provides an opportunity to look at statistics in terms of these demographic groups (i.e. age, sex, race, etc.).
Data such as height, weight, blood pressure, body mass index, and growth charts are captured. They provide essential, baseline data for treatment decisions and historical trends. This historical information allows for recognition of acute or chronic changes that may prove significant.
Problem lists facilitate continuity of patient care by providing a comprehensive and accessible list of patient problems in one place. Problem lists used within health records are a list of illnesses, injuries, and other factors that affect the health of an individual patient, usually identifying the time of occurrence or identification and resolution. Those serve as an important communication vehicle used throughout the entire healthcare continuum.
Adopting existing national standards is critical to achieving complete, consistent, and quality data, as well as working toward the future of healthcare data exchange. Currently, there is no single standard for the structure or content of problem lists. However, there are existing standards that address problem list content, with some variation between them (such as The Joint Commission, ASTM International, HL7, Meaningful Use Program, etc.).
We rigorously follow current developments and continuously update the system to get aligned with the most up-to-date set of standards.
Objective is to maintain active medication list, which is a list of medications that a given patient is currently taking.
Medication allergy list
Objective is to maintain active medication allergy list.
Maintaining a list of known medication allergies for a patient is essential for safe patient care. Keeping this information stored in an EHR allows for easy review when prescribing new medications to a patient.
Patient’s care history
This includes information about previous visits to healthcare providers, care plans, including goals and instructions, procedures, care team members and other ambulatory and inpatient specific data.
Family health history
Family health history is recorded as a structured data.
Capturing family health history can improve efficiencies by minimizing the collection of information across settings. The collection of this information can be used to establish clinical decision support interventions for screening and prevention of chronic conditions based upon patient risk indicators, contributing to reduced costs and improved population health.
Laboratory information system (e-Labs)
Clinical laboratory test results are incorporated into EHR as structured data via HL7 protocols.
Incomplete or misplaced test results make efficient, safe, and effective clinical decision-making difficult. Having lab and test results in the patient’s record allows for ease of access and reference when and where it is needed. The availability of structured lab results within the EHR contributes to office efficiencies while also assisting providers in the ability to make real time decisions about the patient’s care.
Picture Archiving and Communication System (PACS)
PACS, or picture archiving and communication system, is a medical imaging technology used for storing, retrieving, presenting and sharing images produced by various medical hardware modalities, such as X-ray, CT scan, MRI and ultrasound machines.
The availability of diagnostic imaging results, along with accompanying information in the EHR allows providers ease of access when needed during a patient encounter. It also provides an increased ability to share information with patients and assists in improving efficiencies, as access to this information assists in avoiding repeat tests and reducing radiation exposure to patients.
Electronic prescribing allows generation and transition of permissible prescriptions electronically.
e-Prescribing is a fast, efficient paperless way to write/re-order and transmit prescriptions. It has pre-set fields so all the required information for prescriptions are entered and automatically stored in the patient’s record for easy review during follow-up visits or for transitions to other providers. E-Prescribing increases overall patient satisfaction because the prescriptions can be automatically transmitted to a pharmacy of preference. The system also supports guided dose algorithms to assist providers. Providers also have the opportunity to query a formulary to ensure the drug selected is covered by the patient’s health plan to assist in reducing costs to the patient.
Sylex Health enables maintenance of the latest lists of nationally approved drugs and medications, so that prescriptions may only be issued from the list approved by the regulating authority.
Vaccination reporting and automatic alerting system
The Sylex platform enables submission of electronic data to national vaccination registries or vaccination information systems except where prohibited, and in accordance with applicable law and practice.
Submitting data to vaccination registries makes information easily available for other providers and institutions as appropriate. When done throughout the community, it gives providers and colleagues historical vaccination data for queries meant to help keep patient vaccinations up to date. This ultimately contributes to the improvement of public health by reducing vaccine-preventable diseases and over-vaccination.
Sylex Health platform enables setting up of vaccination plans for diverse population groups and allows automatic generation of notification alerts to relevant members of target groups and assigned healthcare providers.
Transitions of care (e-Referral)
e-Referral feature enables seamless movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory specialty care practice, long-term care, home health, rehabilitation facility) to another.
Authentication, access control, and authorization
Data privacy and security requirements are taken seriously by Sylex team. We appreciate how sensitive these data are for each individual, and therefore Sylex Med has built a robust security system beyond the minimum requirements set by major regulators, which ensures that only authorized parties pass verification and are granted access to EHRs.
The system enables granting access to an identified set of users during an emergency. The rules can be localized according to the laws and regulations of each jurisdiction.
- Integrating the Healthcare Enterprise https://www.ihe.net/
- Health Level Seven International http://www.hl7.org/
- HealthIT https://www.healthit.gov
- TechTarget http://searchhealthit.techtarget.com
- AHIMA. Pocket Glossary of Health Information Management and Technology, Third Edition. Chicago, IL: AHIMA, 2011. http://library.ahima.org
- Wikipedia https://www.wikipedia.org/