Primary & urgent care EMR built for high-volume, broad-scope care

Family medicine sees every age group, so the record has to hold a coded problem list, allergies, medications and family history that stay current across years of visits. A rules engine flags due screenings and vaccines by age, sex and diagnosis. Referral loops track each referral from order to scheduled visit to returned consult note. For US practices, chronic care management (CCM) support covers patients with two or more chronic conditions expected to last at least 12 months: documented consent, an electronic comprehensive care plan and monthly staff time logged against CPT 99490 and 99439.

Care gap alerts · Coded problem lists · Referral tracking · CCM time logs (US)

Internists manage complex adults with several chronic diseases at once. The EMR needs disease registries for conditions such as diabetes, hypertension, COPD and chronic kidney disease, lab flowsheets that trend results received over HL7 v2 interfaces, and pre-visit planning lists. For US practices, transitional care management (TCM) workflows track contact with the patient or caregiver within 2 business days of discharge, a face-to-face visit within 7 or 14 calendar days (CPT 99496 or 99495), and medication reconciliation on or before that visit. Quality measure data feeds MIPS reporting.

Disease registries · Lab trending · TCM workflows (US) · MIPS quality data (US)

Pediatric charts plot length, weight and head circumference on growth charts: CDC recommends the WHO growth standards from birth to 2 years and the CDC 2000 growth charts from age 2, with extended BMI-for-age charts for very high BMI. Well-child visits follow a configurable schedule, such as the AAP Bright Futures periodicity schedule, with the screenings due at each age. Weight-based dosing, vaccine forecasting with IIS history queries, school and sports forms, and guardian proxy access in the portal, with separate settings for adolescent confidentiality, round out the workflow.

WHO and CDC growth charts · Well-child schedules · Weight-based dosing · Guardian proxy access

Older patients bring polypharmacy, cognitive change and fall risk. Medication review can flag drugs listed in the AGS Beers Criteria. For US Medicare patients, the Annual Wellness Visit (HCPCS G0438 initial, G0439 subsequent) needs a health risk assessment, detection of cognitive impairment, and a written screening schedule; the initial visit adds a review of functional ability and safety. Fall-risk screening can follow the CDC STEADI approach. Cognitive assessment and care planning (CPT 99483) requires an independent historian, so caregiver details, consented caregiver portal access and advance care planning documents belong in the same chart.

Polypharmacy review · AWV templates (US) · Fall-risk screening · Caregiver access

Urgent care runs on throughput. The system needs a walk-in queue merged with online check-in, short triage templates with vitals and chief complaint, and fast orders for point-of-care tests, labs and X-ray with images viewable over DICOM. Discharge instructions and a visit summary go to the patient's primary care clinician. Occupational medicine adds employer accounts, authorizations and workers' compensation billing, which in the US runs through state programs with their own forms. DOT driver physicals use the FMCSA Medical Examination Report (MCSA-5875) and Medical Examiner's Certificate (MCSA-5876).

Walk-in queue · Online check-in · X-ray and lab orders · Workers' comp and DOT exams