The CORE-AT EMR system consists of documentation capabilities including individual patient/athlete registration (e.g. sex, age, grade), injury demographics (e.g. sport, season, position), comprehensive patient evaluation (e.g. diagnosis, injured body part, side, mechanism of injury), and daily treatment, progress, and discharge (e.g. athletic training interventions, rehabilitation protocols, date of return to play) notes.
A necessary feature of the patient record is the ability to assign ICD-10 CM and CPT codes to patient diagnoses and treatments, respectively, to enable the characterization of athletic training practice, and to generate cost-estimates for athletic training services.
Also included in the system are single and multi-item patient-oriented outcome measures, both generic and region specific.
Outcome instruments are automatically generated and included as part of the patient evaluation process based on diagnosis and injury region. An automated system not only assures collection of appropriate patient information, but also promotes the use of outcome instruments as part of standard athletic training practice.