Minimal Features for Future Clinical Information Systems

Continued use of a single patient identifier across all systems and data

Continued access to existing archival database (current OLMR data)

Continued access to basic demographic, visit history and scheduling data

Continued hardware independent access to clinical database

Continued ability to print clinical and other data on demand

Continued ability to audit access to clinical data (audit trail)

Continued input from current contributing systems:

• Transcription Systems
• Heart Station
• Laboratory
• Radiology
• Pathology

Improved ease of use

• Minimal steps to login
• Single password "key" for authentication
• Sleep / wake functions (maintain current context during sleep)
• Short period for automatic sleep (5 minutes)
• Longer period for automatic logout ( 20 minutes)

A unified scheme for recording, coding, and displaying:

• Vital signs
• Medication and allergies
• Problems, diagnoses, and procedures
• Immunizations and preventions

A unified scheme for identifying, tracking, and reporting to:

• Primary care provider
• Consultants
• Referring physicians
• "CC" list for each patient

Direct data entry by clinical staff where appropriate

• Flow sheets
• Vital signs
• Telephone encounters
• Diagnostic coding
• Electronic signature

A unified scheme for identifying and tracking users

• New, transferred and terminated employees
• Passwords and other authentication mechanisms
• Audit trail of all access to clinical data

More comprehensive data base

• Emergency room notes
• Notes from the majority of clinics

Increased use of structured data

• To ease direct data entry
• Custom report generation
• Management and research

Message systems

• Clinical alerts
• Stat results
• Email consults

On-line documentation

• Formulary
• Protocols
• Policy and Procedures
• Reference

Archive and research databases

• Off-line storage of inactive patient data
• Off-line storage of data for research