Standards and Guidelines for Electronic Medical Record Systems in ...

which is left in the patient file and a copy taken to the laboratory.
Laboratory personnel enter the test request details and results. In
the event that the tests are done in a different laboratory, then the
clinician will insert the test results into the patient file for capture by
the data entry clerks.
Hardware requirements
Other infrastructure
Human Resource Requirements
(recommended personnel required
and roles).
Operational requirements
Prescriptions for medication and dispensing information are
captured by the pharmacy personnel.
1. Computers for every service point (reception, data entry,
pharmacy, laboratory), complete with monitor, mouse and
keyboard.
2. A computer server to host the EMR and store patient
information.
3. 4 Printers (for reception, data entry room, pharmacy,
laboratory)
4. UPS’s for every computer
A functional network to allow for sharing of patient information
amongst the all service points.
1. Receptionist
2. Three (3) Data entry clerks to enter clinical encounters
3. Data entry personnel for pharmacy and laboratory
4. Data Manager
1. Secured environment of IT infrastructure
2. Daily backup on high volume tapes automated to run at the
end of each day on the server.
3. SLA agreement for support or support available for call
within 24hrs to prevent backlog of work.
Case Scenario 4: Point of Care System
A facility wishes to implement a point of care EMR system. All care points (reception, nurse triage desks,
clinician desks, laboratory and pharmacy) will have a computer with the EMR systems for data collection as
care is provided.
Workflow Processes
The receptionist registers all new clients by capturing their
demographic and initial care details.
The clinicians (nurses, clinical officers and doctors) enter encounter
information directly into the computer. Laboratory test orders and
prescriptions are entered directly into the computer.
At the pharmacy, the prescription is electronically retrieved and
medication is dispensed. In the event that a drug is not available, a
hard copy version of the prescription is printed out.
At the laboratory, the test order is retrieved and laboratory tests
done. A hard copy of the order can be printed out when necessary.
Results of lab tests are posted directly into the computer for
retrieval by clinicians.
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