The annotated CRF as a part of automated medical information system 

Are you looking for a way to optimize your medical information system and improve the quality of your company’s work? Then you probably thought about organizing your business with a 24-hour automated online solution that would simplify your employees’ day-to-day operations and increase patient traffic. Such software helps organize the online sessions, keep a detailed history of each patient, and automatically remind your customers of future receptions. There’s a massive amount of data to be dealt with across the whole industry. So it’s essential to make sure all data submitted is standardized and consistent.

What is sdtm annotated CRF?

Let’s start from the very beginning. An annotated CRF (case record form) basically means a case record form filled with markings and annotations. Each data point of this form is coordinated with the correlative name of the dataset. Thus, an smtd annotated CRF shows the location of each question in the database.

Sdtm annotated crfs: how to automate the process

Medical centers and municipal hospitals have been using only the simplest electronic patient records installed on computers in the registries for a long time. Such maps were created in order to simplify and speed up the process of diagnosing, collecting data about the patient, and prescribing treatment. But as the practice has shown, such cards are overloaded with unnecessary features; they lack simplicity and ease of use. As each person, organization, city, or state pursues its own goals and creates a software product for its own purposes and needs, there are many such programs.

Therefore, you should be careful when choosing software for sdtm annotated crfs. The modern ones use the experience gained from reviewing many similar programs to create comprehensive software for electronic records that will fulfill current requirements and meet the expectations of doctors and patients.

The component should automate the following processes:

– maintenance of all documents of all electronic medical records and display of all its components in the patient’s record;

– formation of all types of arbitrary documents for the medical records (a full set of documents, including protocols with an arbitrary set of credentials) with statistical processing and reporting;

– recording in the electronic medical record the outcomes of admission, functional studies, laboratory tests, and all other descriptions of medical processes or their results, in connection with a specific patient, in the form of standard medical documents utilized by health facilities;

– adding a new and maintaining an existing patient card. This includes all medical records, data from the outpatient card, and data about the services provided by third-party medical institutions – storage of the results of diagnostic and therapeutic manipulations.

In addition, you can also add the following information:

– life story;

– medical history indicating previous treatment;

– complaints at the time of inspection;

– inspection data;

– preliminary and final diagnoses;

– direction for research;

– necessary consultations;

– appointments;

– research data and conclusions of specialists;

– data on performed operations.

The component should automate the following processes:

– maintenance of all documents of all electronic medical records and display of all its components in the patient’s record;

– formation of all types of arbitrary documents for the medical records (a full set of documents, including protocols with an arbitrary set of credentials) with statistical processing and reporting;

– recording in the electronic medical record the outcomes of admission, functional studies, laboratory tests, and all other descriptions of medical processes or their results, in connection with a specific patient, in the form of standard medical documents utilized by health facilities;

– adding a new and maintaining an existing patient card. This includes all medical records, data from the outpatient card, and data about the services provided by third-party medical institutions – storage of the results of diagnostic and therapeutic manipulations.