Total Eye Examination Automated Module (TEAM)

摘要

Currently there are several AMEDD electronic medical record initiatives, however none include eye examination data entry capability. WRAMC and other medical treatment facilities have recently employed the Integrated Clinical Database system (ICDB). The ICDB has addressed the access and legacy interface issues for a free-text template record. However, the ICDB does not have an eye examination data entry capability or eye examination record template. As primary eye care providers, optometrists need electronic access to medical information and the ability to add pertinent medical data to the ICDB. Recently a WRAMC contract optometrist was hired as part of an outcomes management initiative (now referred to as HEALTHeFORCES). This optometrist is mainly examining patients with diabetes and other systemic diseases, who have a higher incidence of ocular manifestations of systemic diseases. The Total Eye examination Automated Module (TEAM) was incorporated into the WRAMC HealtheForces web-based electronic medical record (EMR), where it is called the EyeNote. The EyeNote EMR is fully operational and in wide use, both at WRAMC as well as at other MTFs that have implemented it. The Marco optometric equipment has been integrated with the HealtheForces EyeNote, allowing fully electronic capture of digital optometric patient data to the web- based intake form, and ultimately, to the HealtheForeces/ICDB Oracle database EMR.