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Electronic Medical Record

Our Electronic Medical Record (EMR) is completely configurable to support any style of practice and includes specialized Occupational Health templates, encounter note templating, ePrescribing, an HL7 interface engine, and a patient portal. You can add your own user-defined components with the ease of drag and drop functionality to make the EMR fits your organization and not the other way around.

Proactively and Automatically Monitor Employee-Patients

A connection to our Medical Surveillance Manger (MSM) allows your Occupational Health Services clinic to proactively and automatically monitor and recall employee-patients into the clinic for surveillance appointments based on workplace risks, further enhancing the EMR and helping you keep your employees healthy and safe.

Stay On-Trend

We built our comprehensive and flexible EMR on a twenty-year legacy of providing electronic medical record support to a variety of complex practice types, including radiation oncology, surgical, family, behavioral, and occupational health. As the technology and industry have evolved, so has our product. We take joy in keeping you at the forefront of clinical trends! HealthRx was an innovator in interfacing EMR with enterprise systems long before HL7 was solidified and before other connections (e.g., as with laboratory information systems) became routine. Today, we have the most configurable and interconnected system available.

Secure Employee-Patient Records

We know that your patient data is highly valuable and that you need to be able to promise the highest level of security. Our EMR is hosted in our Nexus framework, a highly-secure platform that supports the protection of sensitive personally identifiable information (PII) and personal health information (PHI). These security measures ensure HIPAA-compliant storage and transmission of employee-patient records and communications. We assume all of the risk so you can focus on your patients’ health.

Comprehensive Medical Records

Our EMR is a complete digital version of the patient chart. Out of the box, our EMR supports all common patient interaction forms and documentation, such as complex encounter notes, and there is essentially no limit to how the system can be enhanced and customized with practice-defined forms and reports to work best for your organization.

Each folder in a patient record holds all recorded instances of the record type, for instance, preplacement exams, clinic visits, or immunization records. Record type folders can be added easily to the EMR to display in the menu tree. If your organization already has valuable specialized modules built, we support incorporation into the EMR framework with very little effort.

Robust Patient Records

The Patient Record, out-of-the-box includes:

  • Patient History/Clinical Profile: a summary of important demographic and medical information about the patient for quick reference that is always accessible in the patient chart. It contains a fully configurable problems list, history summary, allergies, drug intolerances, medications list, surveillance program list, and encounter history.
  • Chronological Record: a patient chart and comprehensive multimedia record of all documents and activity relating to a patient, organized chronologically. In this record, the provider can view trend data, view lab and procedure data, search any term, and quickly skip to any part of a patient’s history.
  • Encounter Notes: highly-configurable forms that allow for complete and accurate documentation of a patient encounter. The provider can auto-fill the Subjective section with the latest data, organized by the problems list, use free text, voice recognition software, or structured free text, easily reference specific items throughout the chart directly in Encounter Note. Providers can create templates on-the-go for Physical Exams and Review of Systems, and automatically track the documents referenced during the course of the visit.
  • ePrescribing and Order Entry: modules that are accessed directly from the EMR. Our EMR provides fully-featured ePrescribing that is Surescripts and DEA EPCS certified. With permission, a patient’s medication history is directly accessible even if the prescription was not written in your clinic, using the power of the Surescripts interface to millions of pharmacy and insurance records. Prescriptions can be sent directly to the patient’s preferred pharmacy, and it becomes part of the patient record. Our order entry allows the provider to quickly write orders for subscribed services including lab, imaging, cardiac, pulmonary, and sleep orders.

Configurability and Customization

Our EMR offers unparalleled configurability and is driven by a suite of management products that allow you to configure and customize your EMR experience - the Nexus Forms Manager, Reports Manager, and Workflow Manager. These components allow your clinic to add or modify stock forms, create useful custom reports and data analytics, and define workflows in the system that match those in your real-life clinic using an intuitive drag-and-drop designer. Clinic processes change, so versioning is fully supported to ensure data integrity throughout the life of the system.

Incorporate Your Systems into Ours

We recognize that some institutions may have custom EMR-appropriate data management products already in place, and we easily incorporate those into our system. In-house legacy clinical modules are prepared for use in the EMR framework by using a simple, well-documented application programming interface (API). From the framework side, a simple user interface controls the appearance of the EMR tree folder list and how records are accessed through plug-in modules, our Nexus modules or your organization’s. The value of the framework is to allow virtually any kind of patient data to be collected and reported on -- even data you do not know you want today.

Communication is Key

Communication is key in medical practice. Messages can be sent to staff that are accessed and archived in the patient chart, so they are always in context and never get lost, providing convenient coordination with office staff and other providers in the clinic. Providers and staff can securely email or fax documents to patients and other providers directly from the EMR and easily attach any type of documents or images.

The Patient Portal is a tool for patients to communicate with the clinic. It is HIPAA-compliant with 256-bit encryption and accessible from any web-enabled device, including smart phones. From an intuitive user console, staff can set up patient accounts and control which patients are invited or disabled, control what patients see, securely share messages, reports, referral orders, consent forms, and educational materials.

Mobile by Design

Our EMR supports providers engaging with patients by getting away from the computer and working face-to-face. Our tablet EMR feels like a chart in allowing providers to be in close proximity of a patient while having all pertinent data in hand. Technology finally supports the way medicine has been practiced for centuries – one-on-one. Once the visit is complete, all findings are available at the desktop.

We Understand Occupational Health’s Needs

Patients come to the clinic in traditional medical disciplines for a wide range of reasons; therefore, the format of most encounter notes has evolved to support that. In contrast to traditional clinics, Occupational Health Services clinics do not see patients for the same reasons, and, in fact, most cannot see patients for routine medical problems.

Visits primarily are to:

  • Report and document a workplace injury or illness, from simple mechanical injury (slip or fall) to complex injuries, like those involving needle sticks with biohazards, a chemical splash, or a non-human primate bite
  • Complete a recall for a medical surveillance program action, such as a blood draw for antibody titer, placement or reading of a tuberculin skin test, or a medical evaluation for a respirator fitting
  • Conduct a Fitness for Work evaluation
  • Complete miscellaneous clinical activity, including a preplacement exam, disability evaluation, medical concern, or EAP appointment

OHS-Specific Health Information

Because Occupational Health is such a different type of clinic, we have leveraged our experience in the field to develop patient health records specifically for Occupational Health Services; for visit information:

  • Vitals
  • Risks/Surveillance program enrollment
  • Subjective - History of Present Illness
  • Objective - Past Medical History, Allergies, Medications, Social History, Family History, Review of Systems
  • Assessment - Interpretation of information gathered above
  • Plan - What will be done, e.g., referral, specific follow up

These records connect to workplace risks, surveillance programs, and other Occupational Health modules to give the provider a full picture of the employee-patient’s health.

Employee-Patient Health Record Security

Under normal circumstances, you would want for all health care providers to have access to all patient records, at least as appropriate for care. As an Occupational Health Services clinic, it is unwise, and maybe even illegal, to use your hospital patient EMR for occupational health documentation. In keeping the patient and employee-patient data separate, your organization is at less risk for data contamination and legal risk.

EMR Review and E-signature

Our EMR supports a review and e-sign workflow for all patient records managed by the system. After the health care provider completes the encounter note, or any other patient medical data input, she uses a simple e-sign process to complete the record. For records that need physician review, the health care provider can send the record to a separate queue that allows the physician to easily review and finalize it. Providers can quickly see what entries need to be reviewed and signed or returned for clarification. Records that are not signed within a specified period cause an alert to go to the provider, and eventually to the clinic manager, to ensure all medical records are reviewed and signed in a timely manner.

The review and e-sign workflow follows Health Information Management industry standards for documenting Intent, Identity, and Integrity of medical records. This governance provided by our EMR dramatically eases the burden on providers for keeping complete, auditable records, and it serves to significantly reduce organizational risk.

Occupational Health – Medical Surveillance

The Medical Surveillance Manager (MSM) lets your organization track and oversee medical compliance for workers associated with specific non-traditional workplace risks like exposure to hazardous materials or non-human primate bites. Our MSM reflects the needs of serious medical surveillance requirements based on our experience with research in biological, radiological, chemical, animal, and human subjects, and collaboration with the industry-leading occupational health program thinkers at the National Institutes of Health and FDA.

Connect Researchers to Potential Medical Risks

Typical research facilities need to track how researchers are connected to potential medical risks. For example, it is part of the Occupational Health Service’s responsibility to offer surveillance programs and/or immunizations to workers exposed to tracked pathogens, and the MSM provides tools to maintain the links between these offered services, risks, and workers. Once MSM is in place in your OHS clinic, all health care providers can know instantly when seeing a patient what risks the patient is registered to work with and what, if any, services need to be offered. This reduces risk to both the employee-patient and to your organization.

Have a Complete View of Employee Risk

Oversight and administrative officials in your organization can have a complete view of all employee-patient risk and care through MSM – especially if your organization also runs our tightly coupled Electronic Medical Record which provides a superset of patient documentation modules. 

Comprehensive Medical Surveillance Programs

Our MSM comes with the following comprehensive medical surveillance programs that support periodic recalls and governance. You can easily customize your own surveillance programs based on your organization’s needs.

  • Preplacement Exam: provides all the information necessary to document an employee’s workplace risks in order to drive enrollment into proper surveillance programs.
  • Immunization Enrollment Program: supports complex protocols for documentation and recalls, including appropriate boosters, and it is tied to workplace risk of Influenza, Anthrax, Hepatitis A, Hepatitis B, Human Papillomavirus, Japanese Encephalitis, Measles Mumps and Rubella, Meningitis, Pneumococcal, Polio, Rabies, Tetanus Diphtheria and Pertussis, Typhoid, Tick-borne Encephalitis Virus, Vaccinia, Varicella, and Yellow Fever.
  • Animal Exposure Program: protects workers and animals from hazards, for example, tuberculosis for working with non-human primates, and provides “viewers” for outside the clinic use to validate employees’ compliance in the program without disclosing protected health data.
  • Asbestos Surveillance Program: documents an employee’s risk for certain lung disease based on smoking history and asbestos exposure and documents pulmonary studies and consultations.
  • Biosurety Program: provides a comprehensive program to ensure suitability of workers for high-containment environment and select agents and toxins, including medical and psychological evaluation protocols.
  • Firefighter and Police Programs support recalls for these employees based on their particular and unusual exposure risks.
  • Hearing Conservation Program: supports a program of enrollment and recall for workers at risk in high-noise environments and documentation of their hearing testing and referrals.
  • Retrovirus Exposure Surveillance Program: supports a program of enrollment and recall, allowing documentation of exposures and treatments provided, enhancing communication between health care providers and this special set of workers.
  • Respiratory Protection Program: includes tracking for evaluation, training, fit, and annual medical clearance for respirator use.
  • Rabies Program: documents detailed risk assessment and ties to Rabies immunization program to ensure compliance.
  • Tuberculosis Surveillance Program: assesses periodicity requirement of tuberculin skin test or IGRA based on what the employee works with (TB bacteria, non-human primates, patients) and manages recall and compliance.
  • Pathogen Exposure Checklist: automatically validates that appropriate medical surveillance enrollments match pathogen and toxin work that an employee is associated with on registered protocols in our PI-Dashboard product.
  • Incident Reporting: supports recording and follow up for detailed research-centric cases, such as non-human primate injuries, retrovirus exposures, and other lab-related injuries or illnesses. This module provides tracking protocols and verification based on the type of exposure, as well as necessary OSHA reporting data. Various types of “time away from work” are tracked to determine the total cost of the injury and to support compensation reporting.


A major challenge for Occupational Health Service clinics with medical surveillance programs is tracking, recalling, and gaining compliance for surveillance program follow-up. MSM provides the above surveillance program modules out-of-the-box, but there is virtually no limit to the number of modules that can be created and linked to it. Our included surveillance programs, and those you configure yourself, set up a formal, tracked interaction with the employee-patient to ensure that all protocols are followed. With our dynamic recall workflow, you can account for – and not miss – an employees’ noncompliance. The recall process is driven by emails to workers and includes escalation to supervisors in cases where compliance is deemed to be a condition of employment or access to a space.

Medical surveillance programs that come pre-configured in Nexus:

  • Preplacement Exam
  • Immunization Enrollment Program
  • Animal Exposure Program
  • Asbestos Surveillance Program
  • Biosurety Program
  • Firefighter and Police Program
  • Hearing Conservation Program
  • Retrovirus Exposure Surveillance Program
  • Respiratory Protection Program
  • Rabies Program
  • Tuberculosis Surveillance Program
  • Pathogen Exposure Checklist
  • Incident Reporting

Want more information?

Contact HealthRx by clicking the button below or call us at 1.800.690.3530.


With over 25 years of passionate presence in life sciences research and clinical medicine, Nexus has evolved as the most powerful and flexible research portfolio management, safety, and occupational health system on the market.

Kelly V. Morgan, PhD, CEO Tsirona Health

The Numbers Tell the Story

Nexus currently manages hundreds of thousands of research protocols, lab inspections, employee-patient records, workplace incidents, clinic encounters, and mass immunizations. Consider joining these satisfied users today by reaching out for a demonstration.