In the last century (before 2000!), a patient had to go through quite an extended process to obtain their medical records for their own review. Now, over the past decade and a half there has been a paradigm shift in making medical records accessible to the patient. Whether by a web portal that is part of an EMR or via personal health records and/or a independent web portal, patients are now more connected to their physicians and their medical records than ever before. Indeed, this is one of the measures for meaningful use for patient access. Additionally, one of the foundational requirements for the Patient Centered Medical Home is online access.

A process that'll be described is using messaging and its templates within the EMR and using URL links to specific conditions with Instant Medical History.  We are in our early phases of instituting this at Skyline Family Practice. 

Instant Medical History is made by Primetime Medical Software. Instant Medical History (IMH) is in interviewing program that can be used on the web for the patient to fill out a medical history using branching logic. The questionnaire that the patient uses is securely processed on the IMH server and then delivered to the physician's office for inclusion into the electronic medical record.

What is described is a way of using Mckesson Practice Partner EMR messaging to send URLs of a specific questionnaire to the patient. A document is noted below which explains this in much more detail.

A web page was created with the help of Matthew Ferrante of Primetime Medical Software (he provided the actual titles and linking process). This webpage is very extensive and lists (as of December 2011) all of the questionnaires, scales and surveys that is offered on the IMH server.  [You will note some repetition].  This is the same webpage that we use in the office with the KINDLE FIRE for our "mobile kiosks". 

Below is the link to the webpage. You are welcome to use the HTML code and change it for your use with any platform you desire (PC, tablet, URL via Email, etc.). You can also use this in your office on your own intranet.  Below, a document is included in how to change the hyperlinks in this webpage to match your Instant Medical History questionnaires.

I hope you find the article and its accompanying documents to be helpful in the processes of your practice. Hopefully, you will find even better ways of using Instant Medical History in your practice and, by sharing, you will help the rest of the online community.




Document for using URL's in messaging and the Web Portal

Document for changing the IMHSFP.HTM webpage for your use

Link to the IMHSFP webpage


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  •  Jon_Ahrendsen: 

    does this auto populate into the note, or do you have to cut and paste it into the progress note?

    0 points
  •  cgass: 

    This is great- we are just beginning on WebView and this is so helpful!

    Thank you as always.

    0 points
  •  NLH-Mike: 

    This is great, thank you!

    We haven't quite yet deployed WebView here, but we are getting close. We will definitely look into using these templates.

    1 point
4 votes