Michael's Blog 📜

Using Plain Text for EMR

I wanted to have a better understanding and perspective on my patients' progress in their prescription.

When we record our patients' case histories, we usually write them on the document they filled out their details with. This is a one card per customer per transaction document. And once the purchase has been made, that document is stashed away for safe-keeping.

Our software only records the prescription and purchase history of our patients.

But I'm not going through all that pile of documents is time consuming that I'd rather just ask the question again, starting from scratch.

So if I wanted to give a more customized prescription, I would need more than that. I need to know how far the patient's reading distance is. If they're taking any medications that could affect their prescriptions.

So I made a simple system for me to record all of those details per visit.

Here's the format on how I ask questions:

{Time} {Long Date} 

NAME    :          
Mobile  :              # (last 4 digits)
AGE/SEX :
=====================================================
HISTORY (cc, lifestyle, work, meds):



=====================================================
                    S   C   A       ADD
WEARING         : 


OBJ FINDINGS    : 


BEST CORRECTION : 


TO PRESCRIBE    : 

for             : 
lens used       : 
schedule wear   : 
remarks         : 

I'm using npp for my text editor on this one for the macros and git with GitHub for version control via Git Bash for Windows. It's fast and it works just fine with the Celeron notebook in my office.

I'm looking to use Vim in the future so that I'd just use one app instead of two.

#optometry