Therapy Planning & Documentation in the Patient Chart

In the MC³ Psychiatry department, we offer powerful tools for efficient therapy planning and documentation within the patient chart. We simplify your daily tasks and enhance the quality of your documentation.

Customized Chart

Use the customized chart for the PIA, specifically tailored to the requirements of psychiatry. It enables comprehensive medical orders from a department-specific catalog, including coercive measures, intensive features, leave of absence, hospitalizations, vital signs, and appointments. Suicidality, risk to self and others, and risk of absconding can be assessed daily, and leave regulations, home visits, and other special occurrences can be documented with ease.

Therapist Calendar

The calendar view for the logged-in therapist in the patient context offers a clear overview of upcoming appointments. Therapists can view their scheduled sessions and tasks here.

Therapy Documentation

Document your therapy services intuitively, quickly, and efficiently (drag and drop), including time and personnel effort. Group therapies can also be easily recorded. The execution documentation is compliant with MDK requirements, including employee initials and color-coded appointment categories.

Anamnesis Documentation

Capture all relevant anamnesis data comprehensively and in a structured way for psychiatric care. From medical to psychological, nursing, and therapeutic aspects – including admission diagnosis, psychopathological admission findings, and more – always stay on top of things.

Nursing Documentation

Our nursing documentation is aligned with the requirements of the psychiatry-specific OPS. With a dedicated nursing chart, you can enter the time required for specific interventions and record nursing minutes.

Progress Documentation

Document the progress of medical, psychological, nursing, and therapeutic measures both in structured and unstructured formats. Profession-specific and interdisciplinary views facilitate orientation.

Flat-rate Payment System (PEPP)

The system automatically derives OPS codes from chart documentation, pseudo-OPS codes from PPP-RL documentation, and therapy units. It provides detailed explanations for code generation and an approval function, along with suggestions for correct documentation – including the consideration of special groups and effort.

Scales and Scores

Dokumentieren Sie beliebige Zielgrößen als visuelle Analogskala und nutzen Sie integrierte Ansichten verschiedener standardisierter psychometrischer Instrumente. Spezielle psychiatrische und psychosomatische Scores helfen Ihnen, den Zustand Ihrer Patienten genau zu beurteilen.  

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Included in or compatible with these solutions

Psychiatry
The Psychiatry module in MC³ provides you with a comprehensive suite of tools specifically designed to meet the unique demands of psychiatric documentation and therapy planning. From curve documentation to billing, our system helps you make your processes more efficient and accurate.