Rheumatology
Rheumatology clinic software
Following rheumatic disease stretches across years, and the same questions come up at every check-up: which joints are affected, how active is the disease, what did the drug achieve. HekimBis brings the joint chart, activity and function scales, lab trends and medication plan onto the same timeline.
The same questions are answered on the same line at every check-up
Rheumatology works closely with internal medicine, physical therapy and orthopedics. So although the profile is defined separately, it uses the records of those three fields: labs and medication connect through internal medicine, function and exercise through rehabilitation, and joints and imaging through orthopedics.
For a patient at a three-month check-up, you mark swollen and tender joints on the joint chart; the disease activity score is calculated and added to the serial line. Inflammation markers from the lab appear on the same time axis, and if you change the dose, the change is drawn together with the score.
Three needs of a rheumatology clinic
- Activity and function scales
- Validated scales are kept with source and version; the score is calculated automatically and drawn as a series.
- Medication plan and monitoring
- Medication, dose, monitoring tests and side-effect notes sit together; plan changes are tracked.
- Rehabilitation and chronic follow-up
- Function and exercise link to the physical therapy record; a patient who does not come generates a task.
The activity score and the joint chart are read together
Hands, feet and large joints are shown on a schematic figure; each joint is marked tender, swollen or both and compared between visits. Beside it, the serial line of a validated disease activity score, the function scale and the lab's inflammation markers appear on the same time axis; medication start and dose change marks overlay the line.
Tender joint: 3Swollen joint: 2
Activity score 3
The score is calculated from the marked tender and swollen joints; the scale definition comes from versioned content.
Table view
| Visit | Activity score |
|---|---|
| 1 | 5.1 |
| 2 | 4.6 |
| 3 | 4.2 |
| 4 | 3.7 |
| 5 | 3 |
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Names, values and records on screen are examples prepared for illustration.
The rhythm of follow-up across the years
Diagnosis and first assessment
The joint chart, history and labs enter the record.
Scale and goal
Disease activity and function scales and starting values are set.
Medication plan
Medication, dose and monitoring tests are defined.
Regular check-ups
The activity score, lab trend and side-effect note are followed.
Plan change
A dose or drug change is recorded with its reason.
Rehabilitation link
The function and exercise plan continues.
Monitoring safeguards in the rheumatology record
- Monitoring testsMonitoring tests tied to the medication plan are reminded.
- Reason for a changeA dose or drug change enters the record with its reason and is marked on the score line.
- Mismatched-comparison warningIf the lab unit or method changes, a mismatched-comparison warning appears.
- Patient formThe patient form is completed within the scope the physician defines.
Imaging and result flow in rheumatology
In rheumatology, ultrasound, imaging reports and lab results together tell the course of the disease.
- Ultrasound
- The joint ultrasound image and measurement file enter the record.
- X-ray and MRI
- The image and report link stay in the patient file.
- Lab analyzers and LIS
- Inflammation markers and trends are shown.
- Rehabilitation link
- The record moves into the physical therapy plan.
Common questions about rheumatology software
Is there a separate profile for rheumatology?
Yes. Rheumatology is a separately defined clinical extension that uses the internal medicine, physical therapy and orthopedics families: disease activity and function scales, serial follow-up, medication plan and the rehabilitation link. It is versioned and passes two separate clinical sign-offs before release.
Which disease activity scores are used?
Validated scales with a recorded source and usage right are used; the scale name, version and interpretation limit are versioned inside the definition. Interpreting the score belongs to the physician.
Where does the lab trend come from?
From the connected laboratory or as a file. Device connections are verified per manufacturer, model, protocol and version; a file from a source that is not on the list is imported with a note that it is not integrated.
Is there a medication safety warning?
Allergy, duplicate ingredient and interaction warnings appear as you prescribe. Warnings are advice and the decision belongs to the physician.
Can it be used together with the internal medicine profile?
Yes. A clinic can use several packs together, and the patient stays in the same file.
Can the patient complete their own score or form?
The scale form in the patient portal can be completed within the scope the physician defines. Content shared with your approval appears in the portal.
Are monitoring tests reminded?
Monitoring tests and check intervals tied to the medication plan can be defined; patients who are due fall onto a list and a patient who does not come generates a task. Reminder messages carry no health data.
Keep reading
Related pages
Features
- Reporting and analyticsOperations, clinical quality, finance, inventory, diagnostics, and messaging reports.
- Laboratory and LISOrders, specimen barcodes, analyzer results, verification, and critical values.
- Patient portalA clinic portal where patients follow appointments, forms, consent, results and payments.
Specialties
Solutions and process
Software guides