Organized patient charting for comprehensive health insights


Healthcare, EHR, Chiropractic


Python, Angular, TypeScript, REST, SOAP, Web Services


The client is a highly esteemed chiropractic specialist and a well-known chiropractic specialized Clinic founder. They are leading healthcare providers with a strong presence in the field of chiropractic care. The chiropractic Clinic operates with a significant patient intake of 150-200 patients weekly. The clinic boasts a comprehensive team of 15 physicians, 20 staff members, and five administrators. With a commitment to providing comprehensive and personalized healthcare services, the client has expanded their practice to multiple locations across the United States. To align with their longstanding dedication to patient care, the client is actively seeking an EMR solution.

Business challenges

The client has reached out to our team seeking assistance in enhancing the patient charting process within his existing Electronic Medical Records (EMR) system. In terms of the success and growth of chiropractic-specialized Clinics, he has identified certain challenges in the current patient charting workflow. Also, they were facing challenges like difficulty in incorporating Prebuilt Chiropractic Forms, specifically those related to Musculoskeletal (MSK) assessments and annotations of radiographs from the Head, Eyes, Ears, Nose, and Throat (HEENT) assessments.

Thinkitive Solution

In terms of addressing these challenges and delivering a customized solution that not only meets but exceeds the expectations of clients, Thinkitive business analyst teams and SMEs connected with clients multiple times to get complete requirements. After connecting with the client multiple times, the team finalized the requirements per the understanding and priority.

As per the client's requirements, the client has given the introduction of their software. On that basis, we have introduced the implementation of a feature for organized patient charting to enable the efficient extraction of comprehensive health insights. Also, in terms of focusing on MSK assessments and HEENT assessments, we have Integration of Prebuilt Chiropractic Forms, particularly focusing on MSK assessments and HEENT assessments. Enhancement of radiograph annotation capabilities within the existing EMR system to facilitate thorough documentation and analysis.

workflow diagram of a chiropractor in a chiropractic EMR software

Solution Highlights

    1. Organized Patient Charting

    Our team has developed a solution feature that helps to establish relationships between different data entities to ensure a comprehensive and cohesive representation of patient health records. In terms of accommodating relevant patient information (demographics, medical history, chiropractic assessments, treatment plans, progress notes, and imaging data) specific to chiropractic healthcare, our team has introduced a robust data model. It includes allowing easy input, retrieval, and modification of patient data. We have Implemented structured forms for chiropractic assessments, ensuring standardized data entry to facilitate consistent and meaningful analysis.

    2. MSK Assessment Integration

    With complete and detailed research, our technical team has designed and developed a prebuilt MSK assessment form that helps providers capture comprehensive information related to a patient's musculoskeletal system. This includes details about the patient's medical history, specific complaints, pain levels, range of motion, joint functionality, and any relevant past injuries or surgeries.

    Moreover, to ensure seamless compatibility with the digital platform, our team has integrated those forms into the chiropractic EHR system. This Integration ensures the use of standardized MSK assessment tools to help chiropractors adhere to best practices and guidelines. Using this integration, chiropractors can quickly retrieve relevant MSK assessment data during patient visits, which helps in more informed decision-making.

    3. Radiograph Annotation

    To annotate and manage radiographic images effectively and accurately, it is essential to have radiograph annotation capabilities within an Electronic Medical Record (EMR) system. Our team has developed a robust annotation tool, which is essential for chiropractors to mark specific points, areas, or structures on radiographic images. Using this tool, it is possible to highlight abnormalities, structural issues, or relevant anatomical features. Also, this tool supports the seamless import and integration of radiographic images. It ensures compatibility with various image formats commonly used in chiropractic healthcare, such as DICOM (Digital Imaging and Communications in Medicine).

Value Delivered

  • Future-Ready Solution

    We have delivered a feature solution that makes the system capable with flexibility and adaptability to achieve future needs.

  • Efficient Patient Charting

    Our provided solution of patient charting will help in making the patient charting process more streamlined, which leads to improved efficiency

  • Cost-Efficiency

    Using the provided feature for patient charting will assist in the reduction of operational costs associated with manual charting and data inconsistencies.

  • Improved Decision-Making

    Using patient charting features, MSK assessments, and HEENT assessment templates it gives ultimate access to detailed and well-organized patient data for informed decision-making.