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The Mustimuhw Community Electronic Medical Record (cEMR)

What is the cEMR?

The Mustimuhw Community Electronic Medical Record (cEMR) is an easy-to-use, customizable software solution that supports a broad range of services and program areas within a citizens’ circle of care. This includes Community Health Nursing, Home Care, Mental Health, Child & Family services, and other unique community and paraprofessional services.

Historically, paper-based charting, as well as program-specific tools, have contributed to fragmenting the client record. The cEMR was designed to remove information silos within your organization by increasing your staff’s ability to appropriately share information, manage follow-up tasks, and communicate within and across teams.

The Mustimuhw cEMR is seen as a key foundational component to the digital footprint of most Indigenous health and human service organizations in Canada. 
Some teams may require other specialized tools, but at an organizational level the cEMR lays the groundwork for an efficient, safe and connected organization.

cEMR Functions


The cEMR comes with a number of standard charting formats, and can be customized to meet specific organizational and program requirements. Each cEMR user-type will have charting formats specific to the role(s) and duties. PDF Forms and Templates are commonly integrated into charting as an efficient means of documenting discreet data. cEMR users appreciate the ease and efficiency of having these standardized Forms and Templates readily accessible and with the ability to generate reports based on data collected through them.



The cEMR has custom registries to track client groups, services, and programs. Registries for chronic disease, client services (services pending, wait-listed, and receiving services), equipment-on-loan, enlisted programs, and more. Registries enable organizations to run program and service reports, identify and track specific groups, and easily communicate with those client groups, when needed.

Client & Provider Registries

The cEMR provides robust client and provider registries with key information elements typically required in Indigenous service organizations. This includes family linkages between clients as well as household makeup and history.

Standardized Problem Identification

The cEMR leverages standardized problem list functionality that is consistent with health care providers in Canada. However, we call it ‘Health Check’ as many organizations also want to track health assets and strengths, which the cEMR functionality enables them to do.


The cEMR has robust referral functionality that enables organizations to generate and track referrals on all levels, whether they are referrals within the organization or referrals sent to or received from external organizations.

Follow-Up Management

Follow-up tasks can be generated within the cEMR, allowing users to set tasks for themselves or teammates within their organization.


The cEMR has extensive reporting capabilities, with over 50 reports in the system, varying from operational, program-based, performance, planning, and funding reports (eSDRT, CBRT, MedTrans, etc). Its dynamic reporting capability also provides you with the ability to create custom reports for any data within the cEMR.

Group Encounters

Many services are provided in a group setting. The cEMR supports documenting group sessions in an efficient manner that both links to the individual client records of group attendees and tracks metrics for recurring group services.

Care Plans

Supporting clinic-specific practices, assessments and care planning forms within the cEMR.


Health Centres have various approaches and needs with regards to scheduling services, clinics and appointments with their clients. Through the Mustimuhw software, organizations can schedule and manage:

  • Medical Transportation
  • Home Visits
  • Follow-up Visits

Medication Management

In partnership with RxVigilance, clinicians will have access to medication management decision support tools. This includes access to RxVigilance’s drug knowledge database, including drug interaction and dosing verification, drug monographs, Non-Insured Health Benefits (NIHB) drug benefit list, best practice guidelines and more. Supporting clinicians to make informed decisions.


PrescribeIT®, Canada’s Electronic Prescription Service, is integrated into the cEMR and allows prescribers to electronically create, receive, renew and cancel prescriptions. Prescribers can transmit a prescription electronically between the cEMR and the pharmacy management system (PMS) of a patient’s pharmacy of choice.

Core Programs of the cEMR:


The cEMR supports a wide scope of nursing practice from community health/public health, to home care and extended practice. It includes standardized tools for immunization management, maternal child health, home care management, and customized clinical documentation templates.

Immunization Data Exchange is possible with provincial instances of Panorama and efforts are underway to enable the Panorama FHIR Immunization Interface to improve Immunization Program coordination with provincial partners.

Mental Wellness

Designed for mental wellness and addictions teams to better coordinate services and supports around screening, assessments, referrals, interventions, and care. Appropriate for Clinical Counsellors, Addictions Counsellors, Family Therapists, Youth Counsellors, and NNADAP Workers as it supports their interactions and activities with community members on an individual, family and group level.

Home & Community Care

The Mustimuhw cEMR is used by First Nations Home and Community Care teams across the country. It is customized to support the unique needs and HCC workflow of each organization. This includes customized and standard charting and assessment tools, referral management, intake and HCC program admission, and follow-up and task management. The cEMR has a HCC scheduler to manage recurring services by assigned staff and client. The cEMR can generate a number of standard HCC reports including eSDRT, Home and Community Care Annual Report, and CBRT, as well as reports that position managers to evaluate and plan for continual service improvements.

Medical Transportation

The cEMR assists in the coordination and tracking of local and long-distance medical travel. This functionality includes tracking appointment and travel allowances (accommodations, escorts, meals, etc.), generating travel itineraries, appointment attendance forms, cheque requisitions, NIHB application, vehicle driver pick up/drop off report, and funding reports.

Dental & Children's Oral Health Initiative (COHI)

The cEMR also includes, Children’s Oral Health Initiative (COHI) and dental therapy services. Supporting the workflows from screenings, to planned and receive treatments, and imaging. Including client and program tracking, and all the necessary reporting.

Jordan’s Principle

The cEMR enables teams to meet the holistic needs of their community’s children, allowing for appropriate sharing of resources, data, and information. Using a case management, client-centric approach, the cEMR tracks the client’s progression through the program, their receipt of resources and supporting services, and meets documentation and reporting requirements.
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Allied Health

Supporting the broad range of allied health services and professionals and their interactions with citizens in an individual and group setting. The cEMR enables access, documentation and information sharing for dietitians, occupational therapists, physical therapists, speech language therapists, and other allied professionals.

Community Programing

Acknowledging the diversity of programs from community to community, the cEMR is appropriate for capturing individual and group community programs such as school programs, elder groups, family support/counselling, infant and child development, children and youth programs, pre and postnatal education, group counselling, and more.

Child and Family Services

Reflecting an intimate working knowledge of the requirements and needs of Indigenous Child & Family Services, the cEMR aids in the delivery of services, including: Intake, Counselling, Support, Advocacy, Reunification, Risk Assessment, Care Planning, Client Travel, and Cultural Activities in both groups and one-on-one sessions. Also supported is the tracking individuals and families that are in kinship arrangements, customary care agreements, protection orders, apprehension, at risk, reunification, and children in care of the ministry.

cEMR Features

Disconnected-Use Mode

The cEMR has been designed to work in situations where there is limited internet connectivity. For instance, when staff travel and deliver services away from the office (e.g. within a client’s home). Our Disconnected-Use Mode allows staff to chart in the cEMR as normal and then seamlessly synchronize their data once internet connectivity is restored.

Role-Based Access Controls

Ensures that a user’s access within the cEMR system is based on their scope of practice and provides access only to what they need to perform their job. Using these controls provides a balance between protecting a citizen’s right to privacy while allowing for the coordination of wellness services the citizen needs.

FIPS Certified Encryption

The cEMR utilizes Federal Information Processing Standards (FIPS) certified encryption to protect your data at rest and in transit.

Multiple Deployment Options

There are a number of options to deploying the cEMR at an organization, depending on the infrastructure constraints and customer preferences. These deployment options are designed to meet an organizations’ unique needs, ranging from a local on-premise infrastructure deployment to a low infrastructure, secure cloud-based deployment (ASP).

Technical Standards

Throughout the cEMR, care is taken to use clinical and technical standards, e.g. ICD-9, ICD-10, SNOMED Clinical Nomenclature, LOINC document ontology standard for document classification, Unicode character support (enabling unique Indigenous language sets), etc.

Clinical Standards

The cEMR is a configurable tool, designed to meet ongoing clinical requirements, as well as an organization’s preferences around clinical standards

Privacy & Security Controls

The cEMR meets the Federal & Provincial privacy and security standards and requirements. As part of our implementation, we provide organizations with a complete privacy and security policy manual that is compliant with their jurisdiction/province.


The Community Electronic Medical Record (cEMR), version 12.01.05, of Mustimuhw Information Solutions Inc. has received Canada Health Infoway Pre-Implementation Certification as an Electronic Medical Record.

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CANADA HEALTH INFOWAY and the CANADA HEALTH INFOWAY logo are registered and unregistered marks of Canada Health Infoway, used under license.

Empower your organization with the Mustimuhw cEMR for improved clinical documentation, collaboration and coordination