A comprehensive medical record demonstrates: complete care, fills the gaps in data, and provides evidence against allegations. Such a record requires a systematically arranged set of open-ended questions accompanied by active listening. Each patient has a distinct version of a loosely organized aggregate of information related to their particular illness. When this information is put together in a systematic and organized method, a detailed and complete outlook of their disease is obtained. The result is a comprehensive and focused medical record.

Clinical data points that shouldn’t be missed

  • Systemic and Physical findings
  • Radiology/imaging results
  • Laboratory investigations
  • Past medical history
  • Discharge summary
  • Progress notes
  • Referral letters
  • Current medications
  • Outpatient notes

How Arintra helps?

Arintra understands that a scrupulous and complete history-documentation can work wonders in eliciting a patient’s story and in improvising patient care.

“For every minute spent in organizing, an hour is earned”

Benjamin Franklin

Supported by an organized data collection format; it ensures that the best patient clinical records are generated which:

  • Assures patient care continuity
  • Improves auditing
  • Enhances informed decision making
  • Allows communication of relevant patient information among physicians
  • Increases the time available for patient care
  • Reduces physician information-documentation hassles
  • Reduces patient expenditure on repeated appointments.

Arintra uses a questionnaire-based format interview sheet that contains multiple-choice questions about common symptoms. This health history taking tool has been structured to organize patient information in such a way that focuses your attention on the most specific information. Such a format enables easy and quick clinical reasoning.

A typical Arintra profile includes the following:

  • Chief complaints
  • A detailed history of presenting illness
  • Vitals
  • Drug Allergies
  • Family History
  • Social History
  • Medical History
  • Surgical History
  • Lab investigations
  • Medication History

With a history-taking tool like Arintra, there needn’t be any worry about losing patient information again because

  • It organizes patient history right from its inception
  • In case any information has been overlooked, the review of systems ensures that it’s documented
  • Since a greater bulk of documentation has been documented pre-consultation, any bit of information which could have been disregarded during the documentation process can be recorded during the consultation.

 Thus, Arintra makes sure patient-history has been triple-checked before it is recorded.

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