Electronic Health Record

The Expediente Clínico Electrónico, developed by COMPUEXPEDIENTE, is an Electronic Health Record (EHR) system aimed at streamlining and enhancing record-keeping processes for healthcare providers. This software solution caters to various healthcare facilities, including individual medical practices, clinics, and hospitals. It is utilized by medical professionals such as doctors, specialists, general practitioners, clinics, and hospitals to manage patient information, appointments, medical notes, surgical records, and more.

Key Features

Ficha Clínica: According to the vendor, the system allows for the capture and storage of patient demographic information, medical history, allergies, and other relevant data. It provides real-time access and updates to patient information, maintaining a comprehensive and organized medical history record.

Agenda Médica: The system allows for the scheduling and management of appointments for healthcare providers. Users can view and update appointment details, including date, time, and patient information. Automated appointment reminders can be sent to patients, and rescheduling or cancellation of appointments is made easy.

Historia Clínica: The system enables the recording and management of patient encounters and medical notes. It allows for the documentation of subjective and objective information, assessment, and treatment plans (SOAP notes). Templates and customizable forms are available for efficient data entry, and patient history can be easily retrieved and reviewed for continuity of care.

Nota de Evolución: According to the vendor, the system tracks and documents the progress and changes in a patient's condition over time. It allows for the recording and updating of clinical findings, treatment outcomes, and changes in medication. The system facilitates communication and collaboration among healthcare providers involved in the patient's care and provides a chronological view of the patient's medical journey for comprehensive care planning.

Aviso de Privacidad: The system ensures compliance with privacy regulations by capturing and managing patient consent. It stores and manages patient privacy preferences and permissions, enabling secure access controls and audit logs to protect patient information. The system also facilitates the sharing of information while maintaining patient confidentiality.

Consentimiento: According to the vendor, the system allows for the capture and management of patient consent for medical procedures, treatments, and data sharing. It provides patients with clear and understandable information about their rights and choices. The system maintains a record of consent forms and ensures their easy accessibility. It also enables efficient retrieval of consent forms for legal and compliance purposes.

Importación de Estudios: The system integrates with diagnostic imaging and laboratory systems to import and store test results. It provides a centralized repository for test results, making them easily accessible to healthcare providers. The system enables efficient review and analysis of diagnostic studies for accurate diagnosis and treatment planning. It also facilitates the sharing of test results with patients and other healthcare providers.

Notas Quirúrgicas: According to the vendor, the system allows for the capture and management of surgical notes, including pre-operative assessments, surgical procedures, and post-operative care. It enables the documentation of details such as incisions, techniques, and complications. The system facilitates efficient review and retrieval of surgical notes for follow-up visits and future reference. It also promotes communication and collaboration among surgical teams for coordinated care.

Firma Electrónica: The system enables the electronic signing of medical documents and consent forms. According to the vendor, it ensures the authenticity and integrity of electronically signed documents, replacing paper-based signatures with legally binding electronic signatures. The system aims to streamline administrative processes and reduce paper waste.

Factura Electrónica: The system generates electronic invoices for healthcare services rendered. It automates billing processes, reducing manual errors. According to the vendor, it integrates with billing and accounting systems for seamless financial management. The system aims to comply with billing regulations and standards for accurate and timely reimbursement.