How important is Electronic Medical Records Software Database Schema?

Behind every amazing feature of an Electronic Medical Record (EMR) application is a database solution working from behind that holds every piece of information the EMR processes. A database is simply a repository where information gathered by the EMR is directed and stored for future uses. Databases are termed as back-end supports since end users of database dependent applications do not necessary need direct access to it when processing information. Data is inputted on the database through interfaces of applications such as EMR and the document management systems.


A database schema on the other hand, simply speaking, is a blueprint or diagram of the database associated with the application. An EMR database schema specifically contains the tables, fields, data types, and other objects needed by the EMR application to efficiently hold, preserve, and secure the data stored on the database. But what importance does a database schema have when, as end users, all we are looking for is the information that we need to access? Though end users rely mostly on the front end application to read the database, it is wise and in the best interest of the organization to have the EMR application’s database schema documented. It is among the things that should be listed in a contract before the acquisition of the EMR is established.

An Electronic Medical Records software database schema is the key to a successful data migration. In the event that one wishes to upgrade an EMR system or acquire a new system from a different provider, the focus of the shift is not solely on the application seen by the end user or how limitations of the older system is solved, but also on how underlying data is to be transferred from an old repository to a new database. Application providers with responsibilities of assisting their buyers in data migration would definitely require documentation of the database schema in order to track and map data stored on the old database system to fit into a new database.

An EMR database schema is also important when opting for enhancement supports. EMR users who wish to perform enhancements on their application can explore the application’s database schema in order not to corrupt existing data stored on the backend. This practice is usually performed by third party application providers when sought by EMR users due to end of life support for their application. Therefore, it is recommended that before setting a deal with an EMR provider, buyers must see to it that the emr database structure of the application is readily available. The absence of documentation can leave an application upgrade an intricate if not impossible task.