Individual Data Form

  • Identification Data, Insurance, Contacts & Program Enrollment Information
  • Medical Profiles including Diagnoses, Allergies & Medications
  • Guidelines, Information & Contacts for emergencies involving an individual

The Individual Data form (IDF) is designed to help users maintain essential information such as race, religion, SSN, Medicare, Medicaid number, admission date, program enrollment date, etc. for individuals, along with their basic identification details such as name, date of birth, physical features, etc. Users are able to attach to this module two photographs and scanned documents and store them in a HIPAA compliant form.

When entering medical information in the IDF, users can easily refer to a list of ICD10 codes and select the medical diagnoses that apply to an individual. Users can also look up the individual’s physician, dentist, hospital and pharmacy from the medical contact list. Users also have the option to Resolve a Diagnosis and document the date it was resolved and by whom.

Information on the IDF can be updated by users who have been assigned appropriate privileges.

Demographic Report

  • An essential tool for agency data analysis
  • Shows counts of active and inactive individuals in different programs
  • Report displays demographic statistics from the information entered in the Individual Data forms

Demographic report is a useful tool for agencies to get all the relevant demographic statistics by language, gender, mobility, communication modality, country of origin, top 10 diagnoses [ICD-9/DSM-4/Other] and others. Each agency can generate a demographic report, which is based on the information entered in the Individual Data forms. The report also shows counts of individuals enrolled in different programs and supervision schemes.

Emergency Data Form

The Emergency Data form (EDF) is a special form where a user can view the data about an individual that would prove to be useful in emergency situations. Data is automatically extracted from an approved Individual Data form and shown in a read-only view.

EDFs can be printed out or exported to PDF format for viewing on a computer when disconnected from the Internet. The EDF’s usage also extends to temporary staff who need to get an overview of the individual.