Table of Contents
User login (View privileges), Logging, tracking, locking
Basic log in system
- Needs to be Secure
User Privileges
- Nurses, doctors, allied health should have different access / edit ability be default.
- should be an override defaults for specific users (if the patient gives permissions).
- ex. Patient signs waver allowing doctor to see physio SOAP notes
- Clinical SOAP notes and Allied health Notes need to be stored separately? tagged only?
Types of users
Table updated: Jan 23, 2012
| User Type | Scheduler | Clinical SOAP Note | Clinical Previous Visits | Patient Chart | Allied Health SOAP Notes | Allied Health Previous visits | Demographics | Document scanning / tagging |
|---|---|---|---|---|---|---|---|---|
| Doctor | Edit | Edit | Edit | Edit | Read Permission needed | Read Permission needed | Edit | Edit |
| Nurse | Edit | Read only (except Edit Nurses Notes and vitals) | Read only | Edit | Permission needed | Permission needed | Edit | Limited Edit |
| Allied Health | Edit | No Access | No Access | Read Permission needed | Edit | Edit | Limited Edit | Limited Edit |
| Reception | Edit | No Access | No Access | No Access | No Access | No Access | Edit | Edit |
| Future | ||||||||
| Patient (online) | Limited Edit | No Access | No Access | No Access | No Access | No Access | Limited Edit | No Access |
| Patient (in lobby) | Limited Edit | No Access | No Access | No Access | No Access | No Access | Limited Edit | No Access |
| Pharmacy | Limited Access | No Access | No Access | Limited Access to drugs / allergies | No Access | No Access | Limited Access | No Access |
User stories
Locking
- SOAP Charts need to be locked (signed) by doctors
- once it is locked, you should not be able to modify it unless you unlock it.
- if you unlock to modify it, the EMR needs to log the modification history (after you relock it).
Tracking / Logging
- Every edit (permanent save) to a SOAP note needs to be tracked and logged once the chart has already been locked (once).
- Date
- Person making modification
- Change made