What can GNUmed do for me today ?

As of January 2015 GNUmed can be used to do the following:

Administration

Appointment handling (using partner application)

  • KOrganizer
    • view appointments registered in KOrganizer
    • activate patient from KOrganizer appointment
  • Terminiko
    • transfer patient from GNUmed to Terminiko for appointment registration
    • activate patient from Terminiko appointment
  • Other external appointment managers
    • activate patient in GNUmed
    • create GNUmed patient from appointment
    • depends on external app willingness to co-operate with GNUmed

Branch management

  • manage your praxis with any number of branches / offices
  • per branch communication channels and addresses
  • per branch communications/addresses placeholders

Inbox Handling

  • across-staff view, with support for per-message privacy
  • from inbox message, jump to unreviewed documents or measurements for this patient
  • includes a virtual view of new (and still-unhanded) results and documents
  • leave messages to yourself or other providers
  • per-staff view
  • relevancy and other filters

Staff handling

  • manage staff members
  • support for recognizing staff-as-patients

Managing Care

Care-related Communications (Forms, Letters, Electronic Media)

  • collect documents, files, screenshots, timeline exports, printouts into patient-specific export area (v1.5)
  • completed forms/letters are stored with the patient, just like any other document
  • encrypted storage of provider autograph scan for insertion into documents
  • patient documents export area plugin
  • print/mail/fax/burn to CD/DVD/USB patient export area collection (v1.5)
  • print manager
  • support for designating the receiver(s) of a communication
  • transfer data into forms and letters with help of interactive, fully-placeholdered letter templates
  • write/fill in template based letters/froms from within GNUmed
    • LibreOffice?
    • (Xe)LaTeX
    • PDF forms (FDF)
    • AbiWord forms NEW

Coding of clinical data

  • manage coding of
    • encounters (Reason for/Assessment of)
    • episodes
    • family history
    • health issues
    • measurements (LOINC)
    • medications and vaccinations (ATC)
    • procedures
  • support for ATC, ICD-9, ICD-10, ICPC-2, ICPM, LOINC

Decision Support / Intelligence

  • algorithm to assist choosing a non-steroid anti-rheumatic drug
  • capacity to identify text similarities (trigrams) which may, despite variant and mis-spelt free-text entries, mean the same thing
  • display of medication-related lab monitoring
  • explicit per-patient reminders with due date/expiry NEW
  • generic dynamic automatic hints NEW
  • EDC calculator and storage
  • GFR calculations
  • Long QT Syndrome clinical probability score
  • Snellen Chart display (unvalidated)
  • Wells scores for DVT and Pulmonary embolism

Document Archive

  • access any externally stored originals via permalinks
  • add new documents
    • select files from file system
    • drop files onto GNUmed
    • get data from scanners/cameras
  • associate metadata and textual descriptions with documents
  • classify and sign off documents
  • each part of one single document can be of any type, such as text, image, or video
  • export documents to files for re-use outside GNUmed
  • print, fax, or mail documents
  • view documents in different sort modes

Measurements and Test Results Handling

  • any number of test types
  • any number of test results
  • any number of test result providers
  • any number of aggregations of test types into equivalence groups for same-row display
  • any number of test type "batteries" / "panels"
  • by-day display mode for test results, including within-day replicates
  • calculation of eGFR/BMI/body surface/...
  • classify and sign off on results
  • configurable panel/battery for medication monitoring / prescription risk management
  • direct access to online lab test reference information
  • display results as tabular grid / detailed per day / in clinical context
  • manually manage test results
  • support for reference unit and results conversion
  • plot test results
  • print test results

Medication Handling

  • direct access to online dosage recommendations in renal insufficiency
  • direct access to Qt related recommendations NEW
  • document approval or non-approval of intake
  • interface with external drug databases
    • check interactions
    • generate prescriptions
    • get in-depth drug information
    • import drugs and substances
  • link to WHO ATC list
  • manage drugs and substances
  • print professional medication lists
  • report an adverse drug reaction
  • track measurements relevant to drug therapy
  • track substance use (medications, drugs, OTC, ...)
  • turn medication entries into allergy entries
  • warn on known allergies if detected among currently used substances

Organizing Care NEW

  • auto-filtering of inbox items on patient activation
  • manage episodes from results
  • manage primary provider for each patient

Progress Notes

  • browse as timeline view
  • browse chronologically (pooled), or within an EMR "tree" ordered by
    • health issue
      • episode
        • encounter
  • browse revisions of entries
  • export to text file
  • free text search within and across medical records
  • generate letters from progress notes
  • SOAP-style input
  • threaded, multi-issue encounters
  • use included scores to improve care
  • use self-expanding text macros with dynamic insert prompts for rapid data entry

  • visual progress notes
    • annotate image templates or use (perhaps annotated) clinical photographs as progress notes
    • access image capture devices as a source for progress note images
    • view visual progress notes in-context within the EMR tree view browser

Risk Management

Allergies

  • view at-a-glance the absence (or existence) of allergies
  • view (and refresh) when the allergy state was last checked
  • quickly confirm / refresh / revise the allergy state
  • capture allergies at a drug-specific vs "class" level

Family History

  • track patients' risks as suggested by relevant family history

Lifestyle

  • interface cardiovascular risk calculators (eg. ARRIBA)
  • document approval of substance intake
  • keep structured problem list
  • many scores for clinical risks NEW

Tags

  • tag patients with searchable icons with associated comments

Structured Problem Lists

  • manage episodes (standalone or associated to a health issue)
  • manage encounters (consultations)
  • manage Past Medical History (health issues)
  • manage progress notes
  • quickly get an overview of a patient's relevant care events NEW

Tracking external care

  • designate care as having been externally-provided
  • support for organizational units' external identifiers
  • track hospital admissions for patients
  • track diagnostic and therapeutic procedures performed on patients, whether during hospital stays or in community

Vaccination Handling

  • document vaccinations given or reported
  • print latest vaccination status handout
  • print vaccination history handout NEW
  • report an adverse vaccination reaction (if different from ADR on medications)
  • vaccine management including branded vaccines and generic pseudo-vaccines

Patient Handling

Billing NEW

  • manage items to be billed to patients NEW
  • create/print bills and invoices NEW---++ Medical Record

  • quickly get an overview of a patient's relevant care events NEW

Creating patients

  • manually add new patient
  • import new patient from legacy software
  • import new patient via German medical cards "KVK" and "eGK"
  • import patient from the Clinica EMR NEW

Locating and Managing patients and identities

  • search for patients by
    • name fragments (soundalikes, previous names, nicknames, ...)
    • any external and internal ID (drivers license, chart no, care plan no, ...)
    • date of birth
  • edit patient demographics
    • support for estimated date of birth NEW
    • support multiple identities (names and aliases), addresses, phone numbers, identifiers
    • support emergency contacts
    • support occupation tracking
  • concurrently access a patient record (by more than one person at a time)
  • disable patient record
  • merge two patients

Waiting lists management

  • add current patient to user-definable waiting list zone(s) with comment(s)
  • filter patients by waiting list zone for a display of Zone, Urgency, Waiting time, Patient, Born, Comment
  • activate patient with a double-click

Other Functionality

Customization

  • configuration
    • per user, per workplace, database-based (thus, site-wide) options
    • configurable client GUI font

  • hooks for custom scripts to be run following events in the client
    • e.g. run a script after activating a patient

  • reference data
    • download and install data packs independent of application releases

Database Functionality

  • access from Linux, Windows, and MacOSX
  • backup: automated, hands-off, zero downtime, digitally signed
  • installation on RAID/NAS/encrypted devices
  • "HIPAA compliance-oriented" auditing and logging

Interfaces

  • card-reading support for German eGK/KVK/PKVK on Windows

  • external appllication links
    • calculate stroke/MI risk using ARRIBA riskulator
    • display a list of online medical knowledge resources
    • import data from the Clinica EMR NEW
    • link to an online lab tests reference information database
    • look up drugs in the German MMI/Gelbe Liste drug database
      • works under Windows and Wine
    • look up drugs in !FreeDiams drug database
    • use a DICOM viewer to display CD-ROMs containing X-Rays, MRs, CTs etc

  • HL7 lab results import

Multi-language-capable (i18n)

  • a single database can present its
    • menus
    • headings and screen elements
    • listings in multiple languages to different users at the same time

(depends on the user community to contribute translations)

Resilience

  • automated logging, recovery from, and reporting of most errors
  • lossless upgrades, with emphasis on data integrity

Statistics and Reports

  • activate patients right from the report if applicable
  • create reports dynamically adjusting to the currently active patient NEW
  • display audit log
  • run reports of arbitrary statistical complexity over any data in the database
  • save report generator results as CSV file
  • visualize (plot) the results

Other usability and features

  • clipboard-based XML-formatted demographics exchange
  • create new test types as results are being created at the point of care
  • display of missing gender
  • dynamic keyword text expansions
  • management of dynamic hints
  • per-patient suppression of dynamic hints
  • remote control GNUmed from a legacy application
    • activate a particular plugin for that patient
    • import patient from German-style XDT file (BDT/GDT)
    • make GNUmed select that patient
  • TLS enabled on sending bug reports
  • vCard import/export
  • within-patient location of any unreviewed results


FAQ

Q: What does "do for me today" mean ?
A: It means you can download GNUmed and rightfully expect to be enabled to do any of the above. It may not work the way you expect it to but there should be a way to accomplish those tasks and it should work. It is your right to (and our hope that you do) email the developer list on anything that does not work as advertised.

Q: But I can't do the advertised tasks in the browser interface/the ... interface.
A: That is correct. The above refers only to the wxPython reference client GUI. Other frontends may be lagging behind or (in theory, at least) could be further ahead.

-- KarstenHilbert
Topic revision: 16 Jan 2015, JamesBusser
 
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