Pulmonology
Pulmonology clinic software
In respiratory disease, follow-up rests not on one measurement but on how measurements move: spirometry, saturation, symptom score and exposure history build up in the same patient over the years. HekimBis gathers these data on the same card and overlays the spirometry curve on the previous measurement.
All the data of a chronic check-up is on the first screen
In a pulmonology clinic the patient often comes for the regular check-up of a chronic disease. The screen is built for that check: the latest spirometry, symptom score, current medications and exposure history are on the first screen, and you take the new measurement beside them.
Exposure type, duration and period are recorded in defined fields and appear in a separate section of the patient card, so the same history is not asked again at every check-up but updated.
Three needs of a pulmonology clinic
Working areas that run from the respiratory complaint to chronic follow-up.
Complaint, symptom score and exposure history are kept in defined fields and compared over time.
Measurements, medications and the check interval are tied to the plan; a patient who does not come generates a task.
The plan, inhaler and medication information, patient education and document templates are published in the portal with your approval.
The flow-volume curve opens together with the previous measurement
The spirometry result is drawn as a flow-volume curve; the patient's predicted curve and the previous measurement are overlaid. Under the curve are the measured values, their percentages of the reference and a quality note on the measurement. You follow the chronic course with the time slider, while symptom score and saturation accompany it as thin lines on the same time axis.
- FVC
- 3.60
- 86%
- FEV1
- 2.70
- 79%
- FEV1/FVC
- 0.75
- 93%
- PEF
- 7.80
- 91%
Symptom score: 9 · Saturation: 97%
Table view
| Value | Current measurement | Predicted value | % |
|---|---|---|---|
| FVC | 3.60 | 4.20 | 86 |
| FEV1 | 2.70 | 3.40 | 79 |
| FEV1/FVC | 0.75 | 0.81 | 93 |
| PEF | 7.80 | 8.60 | 91 |
Flow-volume loops
Names, values and records on screen are examples prepared for illustration.
From the device result to the physician's approval
A spirometry or oximetry result is received and matched to the patient; you review it, a critical finding is notified, and the result attaches to the record. A result that does not match goes into quarantine, and portal publishing happens with your approval.
Linked to record and portal
The result is linked to the record; portal release needs physician approval.
- The process is complete here.
All steps
- 01 Device result received (Device) A spirometry or pulse oximetry result arrives as measurements and a curve.
- 02 Patient and order matching (Matching) The result is matched to the patient identity and the order.
- 03 Physician review (Physician) The physician reviews the result together with earlier records.
- 04 Critical finding notification (Physician) A critical finding is notified to the responsible physician and acknowledgement is awaited.
- 05 Linked to record and portal (Record and portal) The result is linked to the record; portal release needs physician approval.
Alternative path from 02 Patient and order matching; it returns to the main flow at 03 Physician review.
- 02a Non-matching result: quarantine (Matching) If the identity does not match, the result is never linked automatically.
- 02b Human review (Matching) The result is matched to the right patient or rejected.
Alternative path from 04 Critical finding notification; it returns to the main flow at 04 Critical finding notification.
- 04a No acknowledgement yet (Physician) If no acknowledgement arrives in time, the task stays open.
- 04b Escalation (Physician) The notification is escalated to a second person and retried.
05 Linked to record and portal
A patient with a chronic cough
A patient who comes with a chronic cough performs spirometry; the curve and values appear in the record, overlaid on the previous measurement. You calculate the symptom score, open the X-ray report, update the exposure history and write the treatment plan. The check interval is tied to a reminder, and the plan you approved appears in the patient portal.
Respiratory device flow
The spirometer and pulse oximeter are the core devices of a pulmonology clinic; imaging and lab results stay on the same card.
- Spirometer
- The flow-volume curve and measured values enter the record.
- Pulse oximeter
- Saturation and pulse readings are carried into the visit.
- X-ray and CT
- The image and report link stay in the patient file.
- Laboratory
- Routine panels and the result trend are shown.
Common questions about pulmonology software
Is there a separate profile for pulmonology?
Yes. Pulmonology is one of the defined clinical profiles: respiratory complaint, exposure, symptom scores, chronic follow-up and treatment plan. It is versioned and passes two separate clinical sign-offs before release.
Is my spirometer supported?
Device connections are verified per manufacturer, exact model, protocol and version, and the verified ones are listed. A report or file from a device that is not on the list can be imported with a note that it is not integrated.
Where do predicted values come from?
Validated reference definitions with a recorded source and usage right are used, and they are versioned. Interpretation belongs to the clinician.
How is exposure history kept?
Exposure type, duration and period are recorded in defined fields and shown as a separate section of the patient card.
Can it be used together with cardiology?
Yes. The two profiles in the cardiopulmonary family are defined separately, and one clinic can use both.
How are images used?
X-ray and CT reports attach to the patient card, and the HekimBis viewer is for clinical assessment and comparison.
How do reminders and tasks work for chronic patients?
The check interval, spirometry repeat date and medication plan are defined; a patient who is due falls onto a list. A patient who does not come generates a task, and the reminder message carries no health data.
How are symptom scores kept?
Validated scales with a recorded source and usage right are used; the score is calculated automatically and drawn as a series. The scale version and interpretation limit are stored with the record.
Can the patient see their own result?
Results and plans you approve are published in the patient portal. Content that is not approved does not appear in the portal, and notifications carry only a secure link.
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