Columna – electronic health record (EHR)

You record notes, measurements, observations, diagnoses, and treatments in structured templates in one place. The information can be reused across the patient's record, and you have an overview and easy access to information from connected systems. The templates follow the organisation's own clinical model, and you can adapt them locally. Data is available for quality work and research.

You handle the medication process in the record: prescribing, dispensing, administration, and supply. Columna supports both simple and complex drug treatment and is integrated with pharmacy and medication systems. The current treatment looks the same wherever in the hospital the clinician is working. That eases the documentation work around medication and makes clear what the patient has received.

You plan appointments, rooms, equipment, and skills in the same system as the patient's care journey, from series and group appointments to waiting lists and capacity planning. The department and the clinician can follow the day's schedule easily and keep a running view of patient flow.

You order examinations and tests, and receive the results in the record: radiology, microbiology, biochemistry, pathology, and genetics. You can follow a requisition along the way, and the result arrives in the same place as the rest of the documentation. You configure thresholds and reference ranges yourself, so deviations are visible when a result is read.

Administrative registrations around the patient are part of the clinical documentation. Contacts, pathways, billing, and reporting are handled in the same system, so information as a rule only needs to be recorded once. The administrative work follows the treatment and adds no separate task on top.

You have your own overviews in the emergency department, where you can prioritise and follow patients while they are in the department. You coordinate bed capacity and patient flow across departments, so it's visible where there is space and where the patient goes next. The area is closely linked to the rest of the documentation, so the information follows the patient further into the hospital.

Beyond general clinical documentation, Columna supports areas with their own requirements, including anaesthesia and intensive care, chemotherapy protocols, paediatrics with linked mother and child records, compulsory treatment with support for the legal processes, infection tracing and major incident preparedness. These areas sit in the same record as the rest of the documentation.

Patients can follow their own course of care, communicate with the department, book appointments themselves, read their record, and take part in video consultations. Patient-reported information can sit alongside the clinicians' own registrations in the clinical overview. That gives the department a picture of the patient between visits.

You open the record in the browser, and on mobile and tablet you carry on where the patient is. Documentation, requests, prescribing, and further planning happen at the bedside. The task list shows what needs doing now, and the messaging function lets you reach a colleague about the same patient.

Systematic also supplies community care systems and cross-sector data sharing, so the record connects to the care that comes before and after the hospital. When a patient is discharged or admitted, professionals in the other sector can follow along. Community health and care staff can see, in their own system, the latest record notes, the discharge summary, medication administration and test results, along with circumstances for the patient. If the community care provider offers equivalent access, hospital staff can in turn see the observations, medication administration, and the care and services given in the patient's home. Access is controlled by role, so each professional sees what their work requires.

The record is built to work with the rest of your systems through an open API based on HL7 FHIR. You can:

• Connect: add your own and third-party solutions

• Extract: pull data into your own data warehouse without affecting operations

• Carry context: pass the patient context into third-party clients where a deep integration isn't necessary