MED Intelligence Software - Innovative Technology

MED Intelligence Electronic Medical Record (EMR) / clinical information management technology comprises a comprehensive suite of software tools for clinical, demographic and lifestyle data capture, with flexible reporting capabilities for managing and reporting on HIV/AIDS, STI, TB and MALARIA patient characteristics, population health, history, medication strategies and treatment outcomes.

MED Intelligence software enables the secure electronic, paperless support for medical diagnosis and treatment.

MED Intelligence enables health care professionals to record clinical information in an easy step-by step way following the patient journey through established clinical protocols for diseases. This includes capturing medical history and examination data, prompting relevant investigations leading to accurate diagnosis and appropriate treatment regimes.

The software is built to streamline and make intuitive the clinical management process, while enabling the discovery of emerging patterns by providing value-added medical intelligence reporting to healthcare professionals.

Key features and benefits of the MED Intelligence software include:

  1. Paperless Clinical Management that address the issues around storage, retrieval, update and management of medical records, audit and clinical governance, with significantly reduced
    possibility of loss of notes or data.
  2. Predesigned History Sheets that helps in maintaining consistency in patient management irrespective of the user, which will improve the quality of patient care.
  3. In recording clinical notes, ensure consistency, quality, completeness and accuracy of data by:
    • Frequently asked questions as drop down boxes.
    • Prompts appropriate history taking, examination and investigation.
    • Diagnosis of each episodes recorded correctly by all users.
    • Standard treatment for each diagnosis as per guidelines provided as drop down boxes.
    • Prompts to record full management plan for the episode.
  4. Intuitive screens and workflows that increase efficiency and ease of use by following the patient journey through the established clinical processes and protocols.
  5. This facilitates the ability to easily audit and monitor clinical governance.
  6. Supports clinician mix optimization since various levels of healthcare workers can use the software without much difficulty having a more hands-on role in delivery of care. It is possible
    for nurse practitioners and physician assistants to use the system, rather than a doctor, when there is a lack of resources especially in remote rural settings.
  7. Easy to retrieve historical data on diagnosis, test results, treatment, medication, compliance and efficacy of treatment regimes will improve the quality, efficiency and effectiveness of disease management.
  8. Global and local funding sources are increasingly demanding auditable positive outcomes from incumbent projects when making future funding decisions. The ability of our software to collect accurate and timely healthcare data will provide baseline numbers along with longitudinal (improvement) statistics. This will help to support additional future funding.
  1. Timely and accurate data collection using MED Intelligence software in an electronic format will support quick, flexible and precise data analysis that will for example enable identifying specific locations and demographic groups impacted by pandemic outbreaks. This will facilitate the timely and focused containment and preventative programs that are supported by hard data.
  2. The data driven decision making for prevention and containment strategies will effectively maximize the deployment of scarce human and economic resources.
  3. This capability of our MED Intelligence software to support data driven decision making will also bolster more informed, defendable and effective public health policy formulation.
  4. Additional multiple data analytical capabilities including:
    • Reporting of individual patient data pertaining to diagnosis and treatment outcomes.
    • Aggregated reporting of data pertaining to diagnostic and treatment efficacies by demographic slicing to support population health analytics, pattern recognition and evaluations.
    • Reporting and analytical capabilities by geographic locations such as state, district, postal/zip code, etc.
    • Support Clinical Audits on adherence to WHO and local guidelines for HIV, STI, TB and Malaria for patients accessing health services.
    • Support provision of Public Health data such as prevalence of HIV, STI, TB and Malaria infected patients in the country, prevalence of infected patients by districts/regions, effectiveness of prevention interventions, etc.
    • Support Service Planning and Funding through providing clinical data to monitor demand and capacity including total number of infected patients treated. Based on this information one could plan development of appropriate health services at the district, state or the country-wide levels.
  1. The MED Intelligence software will also provide the availability of rich clinical, demographic and lifestyle data in electronic format to support future HIV, STI, TB and Malaria related clinical research, and longitudinal and cohort studies.
  2. The cumulative results of the above will facilitate the overall improvement in mortality and morbidity rates relating to HIV, STI, TB and Malaria in the country.

PaJma Model HIV-AIDS-STI - Pictorial Representation


Sexually transmitted infections (STIs) are the most common infectious disease from a public health perspective. Although STIs are preventable, the control efforts have continued to fail. These infections not only cause acute morbidity but also lead to chronic complications.

STIs affect people of all ages. Each year there are an estimated 340 million new cases of curable STIs, as well as many millions of incurable viral STIs, including 5 million new HIV infection diagnosed globally

STIs are caused by more than 30 different bacteria, viruses and parasites. Majority of STIs are asymptomatic until complications develop.

Increased awareness and education about STIs and methods of prevention are vital in combating the epidemic

Key factors in the management of STI’s

  • History taking and examination
  • Accurate diagnosis
  • Early and effective treatment
  • Sexual health advice
  • Partner/s notification
  • Treatment and follow-up to ensure treatment compliance and microbiological cure

Med Intelligence software will enable health care professionals to address these issues in an easy step by step guide to history and examination, prompting on relevant investigations leading to making an accurate diagnosis and providing appropriate treatment.

Software Overview

overview Med Intelligence software is a HIV / AIDS, STI and other contagious disease clinical management and medical intelligence software. The Clinical Management component of the software deals with the effective and efficient support of the diagnosis, treatment and management of diseases such as HIV / AIDS, STI, TB, Malaria and other contagious diseases leveraging information technology based systems. Med  Intelligence helps to provide a paperless support for medical diagnosis and treatment.

Key usability features include:

    • Intuitive, user friendly and efficient User Interface
    • Intuitive screen / works flows that increase efficiency
    • Context Sensitive “Help” functionality to aid user training
    • Calendar / Diary scheduling functionality for medical appointments

The Medical Intelligence component deals with software capabilities such as:

  • Reporting of individual patient data pertaining to diagnosis and treatment outcomes captured using the system
  • Aggregated reporting of data pertaining to diagnostic and treatment outcomes by demographic slicing to support analysis and pattern recognition that helps in public health interventions and health care service planning

User Roles and Access

  • The Med Intelligence application is configured to support the following user roles:
    1. Clinician (Doctors & Nursing staff)
    2. Clerical
    3. Diagnostic Technician
    4. System Administrator
  • Screen level access and functional permissions can be specified using the user role administration functionality.

Security and Confidentiality of Information

  • Med Intelligence software deals with highly private and confidential medical data pertaining to patients which may be regulated by specific legislation in the country deployed. There may also be issues or concerns related to movement / transportation of medical data within national and across international borders.
  • Med Intelligence software will need to be deployed within secure client infrastructure environment. The end client will own and all medical data within the system and will be responsible for ensuring
    appropriate information security policies and practices and put in place to secure the clinical data stored within the system.
  • Use of 128 bit (or 256 bit) encryption for data movement inside and outside the DMZ firewall is under consideration.

Application Performance and Usage Load

  • Application performance and response time for the initial deployment release will be optimised for 10 hospital sites with a maximum 500 users.
  • The software deployment is expected support about 10 to 50 users in the proposed 10 hospital locations.
  • The application will be architected to for optimal software performance with up to 100 concurrent users within the above deployment scenario of maximum 500 users.
  • The enterprise version of the application will be scalable and capable of supporting up to 10,000 users in about 700 to 1,000 clinical locations.

Usability Engineering Features

  • The Clinical Management component of the software deals with the effective and efficient support of the diagnosis, treatment and management of diseases such as HIV / AIDS, STI, TB and Malaria leveraging information technology based systems.

Key usability features of the Med Intelligence software include:

    • Ease of use through intuitive, user friendly and efficient User Interface. Intuitive screen / works flows will increase efficiency and ease of use.
    • Calendar / Diary scheduling functionality for medical appointments.
    • Context Sensitive “Help” functionality to aid user training and ease of use.

Multi-Language Support Capabilities

  • The application will support English and French user interface for multi-language capabilities.
  • Reporting and Analytical Capabilities

The Medical Intelligence component deals with software capabilities such as:

  • Reporting of individual patient data pertaining to diagnosis and treatment outcomes captured using the system
  • Aggregated reporting of data pertaining to diagnostic and treatment outcomes by demographic slicing to support analysis and pattern recognition

Reporting & Analytical Capabilities:

  1. By Geography, location, postal code, etc.
  2. Demographic slicing for analytics by:
    • Age
    • Racial group
    • Sexual Behaviour / Preference
    • Socio Economic Distribution
    • Education / Profession
    • Employment Status
    • Marital Status
    • Alcohol Consumption / Abuse
    • Recreational Drugs Consumption / Abuse
  3. Analytical Reports to support prevention strategies and related pattern recognition
  4. Historical success and failure rates, and related reasons, correlations etc.
  5. Analytical Reports to support Treatment Strategies and related  pattern recognition.
  1. Log-in and Security
    Log in: Password protected.
    Enables you to keep track of the clinician who made the entry
  2. Main Menu
    Enable you to choose the 4 main user roles and related functionality.
  1. Clinical details
  2. Diary
  3. Clinical report
  4. Maintenance

Clinical detail:

    • Provides Easy & quick access to individual Patient Record


    • Daily clinic activities
    • All clinics for the day are clearly identified
    • Patient flow through the clinic from arrival to discharge is highlighted by different symbols, which helps to locate patient within the clinic.

Clinical Reports:

    • Most of the relevant information is recorded from “drop down” boxes — helps to create many reports valuable to clinicians and administrators.
    • Essential reporting facilities are programmed thereby enables the health care team to obtain report with a click of a button.


    • All essential tools to run this programme is accessible to add new information. E.g. A new drug could be added to the list of drugs.
    • Different user levels give different access to programme.
      This helps to prevent “interference” by healthcare professionals with individual records.
    • Enables one to nominate selected individuals to have administrative rights so that new information can be added.

3. Patient Record:
Every patient will have a unique sheet with multiple subheadings, designed in a very user friendly way following a standard method of how a patient journey will take place. Separate sheets are designed for male & female.

4. Patient Details
Obtain patient demography and other relevant information essential in patient management.

5. Current Entry – History
Current: enables one to record clinic visits in the order a medical consultation will take place.

6. Sexual History:
Drop down boxes for all relevant questions.

7. HIV Risk Assessment:
Drop down boxes for all relevant questions which will alert the clinician of potential risks.

8. Medical History:
Free text to record relevant details.

9. Examination:
Drop down boxes of relevant examination sites are displayed with space to write free text.
Diagrams for male and female genitalia are provided with facility to mark abnormal physical signs.

10. Tests:
Drop down boxes are provided to indicate tests carried out. This enables clinicians to access upto-date test results while the patient is in consultation.

11. Diagnosis and treatment:
A list of diagnoses is provided with appropriate treatment.

12. Management:
Overall management plan can be recorded

13. Follow up:
Provides sheets for free text to add during patient follow up visits

14. HIV – History Sheet 1:
Records date of diagnosis, route of transmission and other relevant medical and social factors.

15. HIV – Antiretroviral Therapy Sheet 2:
Record of all antiretroviral therapy, date of initiation, date of discontinuation and the reason for stopping therapy.

This information is important in the decision process for future line of therapy

16. HIV Review:
Records HIV markers and other relevant investigation with free text for follow up notes.

17. Booking History
Patients’ entire visits can be viewed.

User Friendly:

  • Various levels of healthcare workers can use it without much difficulty.
  • Users with administrative capability can add new lists without assistance from IT personnel

Paperless System:

  • No loss of notes
  • Significant savings on time to prepare clinical notes
  • Records always available when seen in the Clinic
  • Easy to Audit and monitor clinical governance

Recording Notes:

  • Frequently asked questions as drop down boxes. This helps quality of information.
  • Prompts appropriate history taking, examination & investigation.
  • Diagnosis of each episode recorded correctly by all users.
  • Standard treatment for each diagnosis as per guidelines provided as drop down boxes.
  • Prompts to record full management plan.


  • Essential reports are predesigned and tailored to the requirement of the users.
  • This enables the user to produce various reports within minutes.

Infrastructure Requirements and considerations at Client Deployment Sites

  • The MED Intelligence software is a client server application and requires (as a minimum) at each hospital site where the software is deployed, a secure Local Area Network (LAN) infrastructure.

Considerations for Deployment at Multiple Client Sites

  • For the 1 database model to work for 2 (or more) geographically dispersed hospital sites there should be secure network connectivity between the 2 (or more) hospitals and the main hospital where the database and application server is hosted. They will need to have a Virtual Private Network (VPN) between all the hospitals and the location where the database server and application server is hosted.
  • For example, in an implementation scenario where the software is to be deployed at 10 different hospital or clinic sites. If no VPN / secure network connectivity is available, then we would need to
    install 10 instances of the database and application at each hospital site that uses MED Intelligence software. The downside here is then there won’t be a consolidated database of all 10 hospitals
    clinical data.
  • However, in this scenario we can look into software design alternative and/or other client manual processes that enable consolidation of clinical information for reporting purpose. A software solution by MedGlobal Health will require additional design and development effort and must be priced separately (not part of current contract proposal) based on the client specific infrastructure scenario at the hospital deployment sites.

It is not recommended deploying the software using an unsecure public internet cloud (without a secure VPN) to access the application / database due to privacy, confidentiality and security considerations and concerns related to STI / HIV / AIDS related data, general medical and private patient information.

Local Area Network (LAN)

  • A Local Area Network (LAN) is a secure computer network that interconnects application server hardware, database servers, storage devices, personal computers and mobile laptops and notebooks in a limited area (generally not exceeding 1 km) using network media and connectivity devices. LANs are used in homes, schools, computer laboratories, office buildings and hospitals. The defining characteristics of LANs, in contrast to Wide Area Networks (WANs), include their usually higher datatransfer rates, smaller geographic area, and lack of a need for leased telecommunication lines.
  • Ethernet over twisted pair cabling and Wi-Fi are the two most common networking technologies currently used to build LANs. However, ARCNET, Token Ring and other technology standards have been used in the past.

Virtual Private Network (VPN)

  • A Virtual Private Network (VPN) is a secure network that uses primarily public telecommunication infrastructures, such as the Internet, to provide remote offices or traveling users an access to a
    central organizational network.
  • VPNs typically require remote users of the network to be authenticated, and often secure data with firewall and encryption technologies to prevent disclosure of private information to unauthorized parties.
  • There are two types of VPNs; remote access VPNs and site-to-site VPNs. Remote access VPNs are for individual users who are not in a fixed location (e.g. remote or roaming users like doctors or
    medical staff working in the field). Site-to-site VPNs are for multiple users in a fixed location (e.g. like regional offices or hospitals.