The advantages of a structured patient record

 

At Omnimed, we truly think that the real revolution of the computerization of patient records is directly linked to the use of structured data. For more than 30 years, we’ve been working on the development of advanced support and follow-up tools that use intelligent data.

For a couple of years now, we’ve undertaken a major shift by beginning to use web technologies. Our main priority shifted to the entry of structured information in the application by following the most recent trends in terms of system ergonomy. The ultimate goal is to accompany doctors and healthcare professionals in having a structured process that follows the best practices in order to facilitate their daily work.

We encourage users to enter structured data in different ways depending on their practice context. Every operation is saved in action logs and is added to a clinical note. Scanned documents are joined to clinical notes and laboratory results are compiled in the Results section of the patient’s record. Several modules exist in the patient record allowing the information to be regrouped by theme and to be easily found, for example allergies, medications, personal history, and family history, etc.

Entering data directly in the application by typing it, receiving electronic results, using voice recognition or templates, allows us to reuse them and make statistics, search the data through a search engine, create tables and graphs, etc. which facilitates the patient care and follow-up. This is a great advantage compared to what can be done with images and PDF.

The development of our product is orientated and influenced by this idea of valuing intelligent, reusable, and structured data.