Security

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Synapse has a mixture of roles and permissions to control access to the electronic medical record.  There are four main roles, viz:

  1. Administrator
  2. Physician
  3. Receptionist
  4. Typist

Administrator

By default, the very first person to register with the Synapse server is made administrator.  The administrator can create new staff members, assign passwords and roles.  This is done from the People/Staff tab.  The administrator has access to all functionality and is assumed to also be a physician.

Physicians

The physician role also has unrestricted access to the electronic medical record, but can not manage staff.

Typist

The typist, or transcriptionist, only ever has access to a particular medical record for the purpose of typing up dictation etc.  Once that record has been saved, their access to that record is lost.  They are unable to see the demographics for the patient.

Receptionist

As of R212B2 release, the receptionist role has a much finer set of permissions which is controlled from the People/Staff tab.

http://s3.amazonaws.com/synapse-images/reception-permissions.png

A tick (left mouse click) on a permission means that this particular receptionist has been given this permission, and a cross (right mouse click) means that they are denied this permission.  These permissions are user specific within the receptionist role.

Note that these permissions did not cover the ability to make appointments ( which is a receptionist function ) and to view diagnoses ( which is currently denied to a receptionist ). 

Add Patients

Allows new patients to be added to the system

Update Patients

Allows existing patients to have their demographics altered and saved

Update Portal

Allows patients to have their web portal permissions altered in Patients/Details/Web Permissions 

Print Demographics

Allows the patient details to be printed from the Patients/Details/Personal & Contact tab

View Consults

Allows patient consults to be viewed.  If denied, then consults will come up as blank on the screen

Add Telephone Notes

A new note can be added to the consults, usually to record a telephone conversation.  These can then be edited later on by the receptionist who authored the record.  Note that when a receptionist enters the consult editor, all the history, medication and template tabs are not accessible.  The results tabs are also inaccessible unless they also have that permission.

Print Consults

Consults can be printed.  An audit trail is kept of who prints what.

View Results

Allows the viewing of results within the consult editor, and in the Patients/Results tab

Add Scanned Results

Allows adding scanned results using the popup function.

View Medications

Allows viewing of the existing medications in the Patients/Medications tab.  Can not add new medications.   

Request Refills

Needs to also have the View Medications permission.  The receptionist then in the Patients/Medications tab then places the medications in the preview pane, and then can use the "Refill Request" button to send this to the appropriate physician.

Print Prescription

Allows the prescription above to be printed for signing.  Needs to have the View Medications permission. An audit trail is maintained.