Scalpel at the Cross EMR solution

Scalpel at the Cross

Complex EMR solution with a built-in surgery planning and inventory management system for coordinating off-site medical missions.


Scalpel At The Cross is a not-for-profit organization that provides orthopedic and surgical care to people living in the Peruvian Amazon region of South America.

A few times a year doctors go on off-site missions and visit their patients in distant locations. The EMR system they used to keep patient records didn’t meet their needs: synchronization took about a month and the data was constantly lost. Being a leader in EMR and EHR software development, EffectiveSoft was chosen to develop an electronic medical record (EMR) system from scratch.


When creating the EMR system, it was necessary to ensure the doctors’ collaboration and access to patient records that were often created by different medical professionals. All the results of patient diagnostics (e.g. blood or urine tests, X-ray examination results, etc.) together with follow-up prescriptions needed to be stored in the patient card to manage patient’s health care comprehensively.

Our engineers were also required to provide a proper data exchange between the doctors’ devices, where they keep records (often offline), and the central storage.


The team at Effective Soft developed applications for iPads and the admin panel local server, which allows the doctors to work with the EMR system in distant locations without the Internet connection and then analyze the results of a medical campaign.

An extensive patient card contains all the necessary information (e.g. medical alerts, history of injuries, etc.) and supports uploading videos, photos and X-Rays.

Our client was satisfied with the work done and decided to continue collaboration. So the team at EffectiveSoft is currently working on a surgery planner and an inventory management system to complement the EMR system.  The surgery planner allows booking an operation room, viewing the schedule, specifying information about the surgeons, and creating a surgery materials pick list.

The inventory management system helps to track usage of the instruments and supplies, thus ensuring the transparency of medical campaigns.


OS: Windows
Languages: C#, TypeScript, T-SQLBackend: ASP NET Core 3.1, MSSQL Server Express, Postgresql, Identity Framework, Entity Framework Core, ADO NET
Client: Angular 8, Angular Material 8
Tools: Microsoft Management Studio, PgAdmin 4
Continuous deployment: Jenkins

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