Population health management for primary care

Chronic population care and prevention, from the records you already have.

Co-Medic structures the data already sitting in your EHR and shows in one overview who is missing follow-up, who is at risk and where care paths are waiting. Less administration, more proactive care.

Co-Medic type 2 diabetes patient list with lab values, care path status and follow-up per patient
3.7x more patients with prediabetes identified

compared with the built-in reporting of your practice software

+47% more diabetes patients identified

on the same dataset

Clinically validated methodology

Co-VIHP

Proactive chronic care, planned instead of missed

Co-VIHP builds population overviews on your own practice data. At a glance you see who is missing a care path, who is at risk and who is due for follow-up. No extra coding, no manual searching.

Care path candidates

Chronic kidney disease

Follow-up OK To plan Send invitations
PatientMost recent eGFRPrevious eGFRProteinuriaFollow-up status
Maria Peeters29.029.060.0OK
Jef Claes37.039.0-OK
An Mertens34.032.0-OK
Karel Willems24.027.0-To plan
Rita Jacobs30.032.0-To plan

For your practice

  • Population overviews replace days of manual record searching
  • Task delegation to the practice nurse becomes feasible
  • Care paths are correctly identified and started

For your patients

  • At-risk patients are found earlier, even when the diagnosis only exists in free text
  • Prevention and guideline-based follow-up instead of avoidable complications
  • Chronic care becomes planned instead of reactively followed up
Available today for: DiabetesChronic kidney diseaseHeart failure

Preventive screenings and other chronic conditions in development

The problem

The information is already in your records. It just isn't readable.

Diagnoses, lab values and treatment plans are scattered across specialist letters, discharge summaries and free-text notes. For a human that is days of searching. Co-Medic reads the free text, codes it into care data and bundles everything in one overview.

In your records

Lab 02/04: HbA1c 7.8%, eGFR 58, ACR 42 mg/g. Microalbuminuria. Initiate SGLT2.
Spec letter 14/03 dr. Peeters: HFpEF suspected, optimize diuretic, FU 6 wks.
Note: pt presented with dyspnea NYHA II, peripheral edema, BNP elevated.

Co-Medic structures

HbA1c 7.8% Lab

Lab result 02/04

eGFR 58 Lab

Lab result 02/04

Suspected HFpEF Diagnosis

Specialist letter 14/03

SGLT2 inhibitor started Medication

Lab result 02/04

Cardiology FU 6 wks Follow-up

Specialist letter 14/03

One overview

Jan Peeters

67 years

Care path candidate
Diagnoses Type 2 diabetes, suspected HFpEF
Lab HbA1c 7.8% and eGFR 58, to repeat
Medication SGLT2 inhibitor, schedule current
Follow-up Cardiology in 6 weeks

Every coded parameter links back to the source document, so information can always be verified.

From reactive to proactive

What one export brought to light

  1. 1

    The question

    A group practice in Antwerp had hundreds of diabetes patients, but no systematic way to see who needed active follow-up.

  2. 2

    The analysis

    Co-Medic processed the full records, structured and coded the content and built a population overview. Without extra coding by physicians.

  3. 3

    The result

    75% of diabetes patients turned out to have had no kidney function screening in the past year. The data was already in the records. The practice nurse now plans follow-up where it is needed.

75%

of diabetes patients were missing kidney function screening. One export made it visible and actionable.

How Co-Medic works

From export to insight in three steps

1

Export your records

You create a standardized export from your EHR and upload it securely. No installation, no change to the way you work. We guide the first export step by step.

Your EHR

  • Specialist letters
  • Lab results
  • Consultation notes
  • Medication schedules

Standardized export, securely uploaded

Co-Medic

Co-Medic

2

Co-Medic structures and codes

The model reads the free text in letters, reports and notes and codes diagnoses, lab values and medication according to international standards such as SNOMED CT and ICPC-2.

Free text converted into structured, coded care data
3

You get actionable overviews

A structured briefing to prepare every consultation, and per population an overview of who is missing screening or follow-up. Every parameter links back to the source document.

Maria Janssens

74 years

Consultation prep

Reason for consultation

Back pain, known low back pain with disc arthrosis L5-S1

Active diagnoses

From EHR

  • Atrial fibrillation
  • Hypothyroidism

From documents

  • Intervertebral disc degeneration SNOMED
  • Facet arthrosis SNOMED

Population analyses

CKD screening

Recently measured

eGFR 92

Prediabetes

Follow-up overdue

HbA1c 5.8

Same data, read properly.

Discover what is hidden in your practice records.

Book a demo

More out of your daily work

Your administration gets lighter too

Letter Processor overview with new treatment advice, care elements and medication

Letter Processor

Keep records up-to-date with ease

Incoming specialist letters and discharge summaries are processed automatically. Diagnoses, medication changes and follow-up tasks flow through in a structured way.

"My mail processed in twenty minutes. We do not just gain time, we gain quality."
Dr. Bram Spinnewijn Dr. Bram Spinnewijn GP, De Wijkpraktijk

50 free uploads, instant access

Co-Chat generates a structured summary of a patient record with ICPC codes

Co-Chat

Ask the patient record a question

A GDPR-compliant assistant on your patient records. Summarize records, draft referral letters and retrieve information, always with a reference to the source.

"Saved me 4 hours of work."
Dr. Eva Hoet Dr. Eva Hoet GP, Huisartsen Lange Velden

20 free messages, instant access

Works with every EHR and connects with external data sources

Co-Medic is EHR-agnostic and codes according to international standards. Discover how partner data such as continuous glucose monitoring ends up in your overviews.

Discover the integrations

Frequently asked questions

Everything you want to know

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