Specialty

EMR and hospital software for general & internal medicine

The everyday OPD backbone: queue, consult, prescribe, bill, and chronic disease over years.

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About general & internal medicine

General and internal medicine is the front door of most Indian hospitals: fevers and infections, diabetes, hypertension and thyroid disease, and the long tail of symptoms nobody has named yet. The physician sees the most patients and keeps the longest relationships, so the work is half acute care and half watching chronic conditions move towards or away from target.

What the practice sees most

Viral feverDengue, malaria and typhoidUrinary tract infectionHypertensionType 2 diabetesDyslipidemiaThyroid disordersAnemiaVitamin D deficiencyObesity and metabolic syndromeRoutine health checks

What makes this specialty hard to run

The operational problems a system has to answer, before any feature list.

  1. 01

    The highest volume of any Indian outpatient department, with the least time per patient.

  2. 02

    Chronic disease is the bulk of it, whether diabetes, hypertension or thyroid, and the value is in the trend rather than in any single visit.

  3. 03

    Most patients are also seen elsewhere, so the record is always partial.

  4. 04

    The same consultation produces a prescription, an investigation and a bill, and re-typing any of them is time nobody has.

How Nirogix supports general & internal medicine

Grouped the way the day runs. Every line says whether it is in the product today or planned.

Available todayPlanned, not available yet

Clinical pathways are reference content your clinical team reviews and edits as its own; nothing is ordered or prescribed until a doctor chooses it. Calculators inform a decision and do not write to the record. A line that needs a particular module names it.

The consultation, at OPD speed

  • Symptoms as chips with duration and severity, a free-text examination with structured signs (pulses, icterus, cyanosis, clubbing, lymph nodes, edema) and a line each for CVS, RS, abdomen and CNS
  • Fifteen general medicine and fourteen infectious disease pathways ready on day one, from viral fever, dengue and typhoid to hypertension and type 2 diabetes, each offering its usual symptoms, tests and medicine names until you choose them
  • Your own most-used complaints, findings, medicines and tests from your last 150 consultations, one tap away
  • Dictation into any text step in Chrome or Edge, in English, Hindi and eight other Indian languages

Chronic disease registers

With the General Medicine and Primary Care module.

  • Registers for thirteen conditions, including hypertension, diabetes, dyslipidemia, thyroid disease, asthma, COPD, chronic kidney disease and heart failure, each patient with the target you set
  • Each review records the measurement that judges control (blood pressure, HbA1c, LDL or TSH) and keeps the verdict against the target in force at the time
  • A register per condition showing who is controlled, who is not and who is overdue for review
  • Framingham, IDRS, CHA₂DS₂-VASc, eGFR, PHQ-9 and other scores stored with their inputs, and care-plan goals with a review date
  • A preventive screening schedule and a family health record(planned)

Investigations

  • Tests ordered in the consultation, with each result beside its order: value, unit, a flag against your own reference ranges, and whether it is verified
  • A critical value flagged on the worklist, the result and the printed report
  • Chest X-ray and ultrasound ordered from the same screen with the Radiology module, and the signed report returned to the record
  • Calculators in the consultation: BMI, eGFR, Framingham, CURB-65, Centor, Wells and more
  • A trend chart of lab values across visits(planned)

Prescriptions and certificates

  • Prescriptions from your formulary with dose, frequency (1-0-1, BD, TDS), route, duration and food timing, printed on your letterhead
  • Recorded allergies shown above the medicines, and the exact drug an allergy names flagged
  • Fitness and sick-leave certificates, referral letters and consultation summaries on your letterhead, numbered and frozen once issued
  • Drug interaction checking(planned)

Follow-up and continuity

  • A follow-up date in one press, carried into the booking form and listed on your dashboard until it is booked
  • A reminder by SMS or WhatsApp before a booked visit, through your hospital’s own accounts, with the Communication module
  • A trend chart of any vital sign across visits, and the last plan reusable as a tick list
  • Recall campaigns for patients overdue for review(planned)

Reports and registers

  • Your dashboard: today’s queue by stage, notes to sign, recent results, and the week’s follow-ups with whether each is booked
  • The condition registers, filtered to the uncontrolled and the overdue
  • The OPD register, daily collections and pending lab results for the front office, as CSV
  • Patient lists by diagnosis(planned)

What changes for the practice

Chronic care you can see

The register shows which patients are off target or overdue, so review is a list rather than a memory.

Less typing per patient

Pathways, your frequent items and dictation turn the common consultation into choosing rather than writing.

One visit, one bill

Consultation, tests and medicines post to the same visit and invoice, so nothing is re-entered at the counter.

Scores you can audit

A stored risk score keeps the inputs that produced it, so anyone can see how the number was reached.

The modules a practice like this turns on

Modules are entitlements: enable what you need now and add the rest when you are ready. Nothing is re-implemented per specialty.

What gets configured for you

Vitals captured at the point in the visit your practice usesDrug catalog and investigation catalog with your own pricesEach patient’s targets on the chronic condition registers

Most specialties differ in configuration rather than code: the same modules are enabled and set up differently. Where a specialty has a module of its own (twenty-three today, from Pediatrics, Obstetrics and Dentistry to Cardiology, Oncology and Nephrology), it is switched on per hospital. Where a specialty needs a capability the platform does not have yet, we say so during the demo rather than after you buy.

See the full module catalog

Questions we are asked

Do we need the General Medicine module to use Nirogix as a physician?

No. The consultation, pathways, prescriptions, investigations and billing work without it. The module adds the chronic condition registers, stored risk scores and care-plan goals.

Are the clinical pathways guidelines?

No. They are reference content written as a starting point: usual symptoms, tests, medicine names without doses, advice and warning signs. Your clinical team reviews and edits them as its own, and nothing is ordered or prescribed until the doctor chooses it and signs.

Does Nirogix set targets for blood pressure or HbA1c?

No. Every target is set by the clinician for the patient. A condition with no target says so and is not judged.

Can we code diagnoses in ICD-10?

Yes, from a checked list of common ICD-10-CM codes. A condition the list does not hold can still be recorded, marked as not coded.

Does it check drug interactions?

Not automatically. Recorded allergies are shown on the prescription and an exact match is flagged; automatic interaction alerts are planned.

Related specialties

See it running with your own workflows.

Book a walkthrough and we will map your clinic or hospital onto the platform, module by module.

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