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Disease Registry Design

Cohesion Medical has significant experience designing data models and delivering integrated database management systems for a Disease Registry.


We have created and designed several detailed data models of the logical and physical attributes and entities underlying the clinical data structures, forms and queries for many database management systems used by specialist medical clinics.


Design Features
Our software processes are specifically designed to deliver clinically-usable tools for patient consultations. Primarily, our software is designed to allow medical staff to manage patient records and clinical data including detailed diagnosis, co-morbidity conditions, treatment plans and measurements and assessments. Furthermore, our applications also provide data and graphical analysis of treatment-outcomes. In addition, the software is designed to provide advanced features for generating reports, research studies, clinical audits and includes a powerful search engine for data queries, such as conducting freedom of information requests.


Multi-Clinic Setup
The underlying technology platform makes it a highly modular, flexible and scalable solution. As such, the database is designed to allow multiple Clinic setups with each clinic locally administered and managed independently with their own data protected. system can be used as a clinic-wide networked installation allowing multiple users access at multiple consulting rooms or offices.


Collated Data Views
The greatest advantage is that a Collated Data View can gather all data from each clinic to provide "live" statistics on the treatment of patients across all clinics, offering potential for regional and even National Registries to be delivered.


The Transfers section allows a "joined-up" approach to the clinical management of Patient Records. Users can easily transfer/refer patients between clinics  and back again for consultations. "Ghost Patients" can be created to allow clinics to retain copies of patient record details.


The Incident section is designed to allow users to report specific incidents relating to the treatment of patients. This section allows user to record an "Internal Incident" and share this "note" on concerns with other users within  the same clinic or shared with all other clinics in a multiclinic setup.


The Resources section provides users with a "common access point" to standardised resources and clinic information such as Patient Assessment Sheets (PAS). Users can also download patient information sheets and other literature added to the system.


Data Integration
A very important aspect of our software system is to in ensure the application's integration with existing systems used by the organisation in order to have users share and use data with full efficiency. Cohesion Medical's software is designed with Enterprise Application Integration (EAI) which allows compatibility and communication with currently installed general software such Patient Management Systems (PMS), SCI Store and other appointments systems such as TrakCare.


Technical Specifications
Our software systems are developed as n-tier scalable solutions based on a web-based client-server technology framework. In this way, the whole system can be run from the current server infrastructure using permissioned firewall access for clinics on the NHS network. We have also developed a proprietary "Cohesion Manager" platform which serves as a Server Applications Manager in order that there is greater monitoring and management of server services to ensure a higher level of service in terms of database delivery to users. The application uses Cohesion Medical's proprietary "Vibe Engine" technology and thus has a generic platform making it a highly modular, flexible and scalable solution.