Specialty

EMR and hospital software for orthopedics

Imaging-led diagnosis, procedures, implants, and structured follow-up.

A detailed anatomical illustration of the knee joint showing bone, cartilage, ligaments and surrounding muscle.

About orthopedics

Orthopedics treats the bones, joints, ligaments and spine: injuries and fractures, degenerative disease such as osteoarthritis and spondylosis, sports injuries and deformities. Diagnosis leans on the examination and on imaging, laterality matters on every record, and care often runs from a plaster or an operation through months of follow-up and rehabilitation.

What the practice sees most

Fractures and sprainsKnee osteoarthritisLow back pain and sciaticaCervical spondylosisFrozen shoulderTennis elbowCarpal tunnel syndromePlantar fasciitisOsteoporosisJoint replacement

What makes this specialty hard to run

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

  1. 01

    Diagnosis leans on imaging that is often done elsewhere and arrives as a film or a PDF the patient carries in.

  2. 02

    Follow-up runs for months in a defined series of post-operative reviews, plaster changes and physiotherapy, and dropping out of it is common.

  3. 03

    Laterality matters, and a record that does not distinguish left from right is worse than useless.

  4. 04

    Procedure billing sits alongside consultation and consumables on the same visit.

How Nirogix supports orthopedics

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 musculoskeletal consultation

  • Ten orthopedic pathways ready on day one: low back pain, knee osteoarthritis, cervical spondylosis, sciatica, frozen shoulder, tennis elbow, carpal tunnel syndrome and more
  • The examination and the side recorded in the note, and diagnoses coded from common musculoskeletal ICD-10-CM codes
  • Ottawa ankle and knee rules, Wells and the Revised Cardiac Risk Index in the consultation
  • A structured orthopedic form set up with you during onboarding, which locks with the signed note
  • With the Orthopedics module, joint and spine examinations with range of motion per joint and side in degrees, and injury records with the Ottawa rules stored
  • Range of motion drawn on a joint map(planned)

Imaging

  • X-rays and MRI ordered from the consultation with the Radiology module, with the radiologist’s signed report returned to the record
  • Films and reports the patient brings attached to the chart at check-in
  • Viewing and annotating images in the product (PACS)(planned)

Plasters, injections and procedures

  • Plaster application, joint aspiration and suturing recorded as bedside procedures, with consent printed for signature (Clinical Support)
  • Procedures and consumables priced from your services catalog on the visit’s invoice

Surgery and implants

With the Operation Theater module.

  • Theater booking with the side recorded, the safety checklist, the anesthesia record and an operative note signed by the surgeon
  • Implants recorded by batch, serial number and maker, and posted to the inpatient bill
  • Instrument sets traced from the sterilization cycle to the operation, with CSSD
  • With the Orthopedics module, an implant record on the patient’s orthopedic chart, copied from the label so it traces to its batch
  • Joint replacement packages(planned)

Follow-up and rehabilitation

  • A treatment case for each injury, so every review and plaster change attaches to it
  • A referral to physiotherapy in the same hospital, on the same chart
  • Follow-up dates in one press, and reminders by SMS or WhatsApp through your own accounts
  • With the Orthopedics module, a fracture record with its follow-up reviews filed under it and the next review on a due list
  • Check X-rays shown inside the fracture record(planned)

How a patient moves through it

  1. 01

    Examine and image: X-ray or MRI ordered from the consultation

  2. 02

    Treat in clinic: plaster, injection or aspiration with consent

  3. 03

    Operate where needed: theater, implants, signed note

  4. 04

    Follow up and refer to physiotherapy on the same chart

What changes for the practice

Left and right on the record

The side is recorded in the note and on the theater booking, where it matters most.

Implants accounted for

Every implant carries its batch and serial number from the theater to the bill.

Reports beside the case

Imaging reports and the films a patient brings stay with the injury they belong to.

Rehab without a new file

A physiotherapy referral opens the same chart in the same hospital.

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

Procedure, implant and consumable pricesFollow-up series booked against the surgeon’s own slotsTheaters and instrument sets

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.

Questions we are asked

Can we store and view X-rays in Nirogix?

X-rays are ordered and reported in the product with the Radiology module, and films a patient brings are attached to the record. Viewing images inside the product needs the planned PACS.

Can we record implants?

Yes. In the Operation Theater module the charge sheet records each implant’s batch, serial number and maker, and posts it to the inpatient bill.

Is there a fracture register?

Yes, with the Orthopedics module: one record per fracture from diagnosis, its follow-up reviews filed under it, and the next review on a due list. The check X-ray is attached to the patient’s documents.

Can we refer patients to physiotherapy?

Yes, within the hospital. The referral is raised from the consultation and the physiotherapist opens the same chart.

Is there an orthopedics module?

Yes, switched on per hospital: joint and spine examinations, injuries, fractures with their follow-up and implant records. Its forms are being reviewed by an orthopedic surgeon before customer use. Operations stay in the Operation Theater module, and a joint map is planned.

See it running with your own workflows.

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