MedLexis Workflow

Clinical language organised around the patient's pathway

Medical dictionaries organise information alphabetically. Clinical work does not. Healthcare professionals do not usually encounter terminology as isolated dictionary entries. Clinical communication occurs within a sequence:

assessment → investigation → explanation → treatment → monitoring → follow-up

MedLexis Workflow is designed to organise language, templates and professional communication around these real clinical processes.

 

Diabetes Workflow

1. Presentation and assessment

Relevant language includes:

  • symptoms of hyperglycaemia;
  • family history;
  • cardiovascular risk;
  • previous gestational diabetes;
  • medicines;
  • lifestyle;
  • comorbidities.

2. Investigations

Relevant concepts include:

  • HbA1c;
  • blood glucose;
  • renal function;
  • urinary albumin;
  • lipid profile;
  • blood pressure.

3. Diagnosis and explanation

The same concept may need to be expressed as:

professional terminology

→ for documentation and professional communication;

and

patient-friendly language

→ for explaining the diagnosis and its implications.

4. Treatment

Relevant language includes:

  • metformin and other glucose-lowering medicines;
  • insulin;
  • dosage;
  • adverse effects;
  • adherence;
  • self-monitoring.

5. Complication screening

Relevant areas include:

  • renal disease;
  • retinopathy;
  • diabetic foot disease;
  • neuropathy;
  • cardiovascular disease.

6. Follow-up

Relevant language includes:

  • treatment targets;
  • repeat blood tests;
  • medication review;
  • lifestyle;
  • safety-netting;
  • next review.

[Explore the Diabetes Workflow]

 

Hypertension Workflow

1. Detection

Relevant language includes:

  • raised blood pressure;
  • repeated measurement;
  • symptoms;
  • cardiovascular risk.

2. Confirmation and monitoring

Relevant concepts include:

  • clinic blood pressure;
  • home blood-pressure monitoring;
  • ambulatory blood-pressure monitoring.

3. Clinical assessment

Relevant areas include:

  • cardiovascular history;
  • renal disease;
  • medicines;
  • adherence;
  • family history;
  • smoking;
  • alcohol;
  • weight and physical activity.

4. Investigations

Relevant terminology includes:

  • renal function;
  • electrolytes;
  • urine testing;
  • glucose/HbA1c;
  • lipid profile.

5. Treatment

Relevant language includes:

  • antihypertensive medicines;
  • dose changes;
  • adverse effects;
  • adherence;
  • lifestyle measures.

6. Follow-up

Relevant communication includes:

  • home readings;
  • treatment response;
  • adverse effects;
  • repeat investigations;
  • treatment adjustment;
  • next review.

 

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