Measurements, not fields
A blood pressure written into a paragraph is lost for good. Here it carries a code, a unit and, where relevant, a side — ophthalmology measures everything twice. Three years later, it is still on a chart.
Medical practice software
Other software lets you “customise a few fields”. Here the whole record follows your specialty: the sections of the report, the measurements you track, the length of your appointments — and what the software demands before it will let you prescribe.
No commitment — we open a trial practice configured for your specialty.
The record is what the doctor reads again. Everything else is plumbing.
And what you read again depends on the specialty: a dermatology report does not have the same headings as an ophthalmology report.The software
These nineteen screens are not mock-ups: they are photographed from the running software. The first nine come from the same record — Sofiane, thirteen, followed for nine months for nodular acne. The same story reads in the growth chart, in the lab results, on the images and on the invoice.
What the specialty changes
Adding cardiology does not call for a new version of the software. It calls for writing down what a cardiologist does.
A blood pressure written into a paragraph is lost for good. Here it carries a code, a unit and, where relevant, a side — ophthalmology measures everything twice. Three years later, it is still on a chart.
A fundus examination requires dilation: the next slot cannot be placed right after it. An excision occupies the room for forty minutes. The diary knows this without being told each time.
In paediatrics, a dose is calculated in milligrams per kilogram. Until the child has been weighed that same day, the software refuses the prescription. The weight from the last visit is not enough.
What is still there ten years on
A weight written into a paragraph is lost for good. The same weight, coded with its unit, appears on a chart and is compared against the World Health Organization reference.
“A pigmented lesion on the upper back, on the left” cannot be found again three years later. A dot on a body diagram can — and the measurement of its largest diameter compares from one visit to the next.
Back, left scapular region · 7 mm · asymmetry, irregular borders
Imaging
Your devices speak DICOM. So does the practice — and it publishes the worklist they query before every acquisition.
From the record: type of examination, title. The practice enters the patient into the worklist, with their record number.
The operator picks the patient from a list instead of retyping them. That is where it is all decided: retyped, “Nguyên Thi Mai” comes back as NGUYEN^THIMAI, and somebody attaches the images by hand — sometimes to the wrong record.
The record number comes back intact in every image. A photograph taken at the practice becomes a DICOM image just as much as a device acquisition, and lives in the record — not beside it.
Prescribing
They are computed on the composition of the medicines, which the public database gives away free. No surcharge, no subscription.
Recorded from the medicine itself, and therefore coded — not written out in words, where it compares to nothing. Prescribing a medicine containing that substance is refused.
The most ordinary overdose there is: nobody thinks that the paracetamol tablet and the flu remedy both contain paracetamol. Two lines, one molecule: refused.
It already appears in a current long-term treatment. Flagged, without blocking — because sometimes it is intended.
A check that can never be overridden ends up being worked around some other way — by retyping the medicine as free text — and the record then keeps no trace of the decision. Here you override by giving your reason, and the reason stays.
Thi Mai Nguyên, born 12/04/1987, record D000042
28/08/2026
Dr Camille Roussel
The medicines database
The French public medicines database — ANSM, HAS and the national health insurance fund. Reloaded every month, searchable by brand name or by international non-proprietary name, forgiving of typing mistakes.
Lab results
The laboratory report arrives in HPRIM format. It is read, its values are unfolded, anomalies flagged — and the original file is kept exactly as it came, because that is the one that counts.
Matching to a patient is never automatic. A test result filed in the wrong record is only discovered the day it drives a decision. The software proposes candidates and says why; a human decides.

The waiting room knows how long each person has been waiting.
Counted from the patient’s arrival, not from the appointment time: a patient who came twenty minutes early has not been waiting on twenty minutes of practice delay.Today
380 end-to-end checks, replayed at every release.
Opening hours, absences, free slots. Two appointments cannot overlap: the rule is laid down by the database, not only by the screen. Two simultaneous clicks do not get through.
History, coded allergies, long-term treatments, vaccinations, charts. A duplicate record is refused even when written without accents or capitals.
The report follows your specialty. The prescription is signed and printed in a single gesture, in international non-proprietary names.
Prescriptions, certificates, letters, reports, invoices. Each is archived with its fingerprint: it proves it has not changed since it was handed over.
Daily takings, quotations, bank deposits, accounting export. Numbering is continuous and without gaps, and an issued invoice is cancelled by a credit note — never by a deletion.
Schedule of inspections, medical device vigilance, fixed asset register. A failed regulatory inspection does not push back the due date and puts the device out of service.
HPRIM import of laboratory reports. The software proposes a patient, a human confirms — a result filed in the wrong record is only discovered too late.
Incoming letters, consent forms, colleagues’ reports. A document is not erased: it is withdrawn, with its reason.
One practice, one database schema. A colleague from another practice cannot read your records, even knowing a patient’s identifier.
Demonstration
Tell us your specialty: we open a trial practice configured for it, and you take it in hand.