Medisoft EHR Architecture: Six Core Databases and Integration

Medisoft's EHR platform relies on six tightly integrated databases for clinical and administrative workflows:

Database	Core Function	Key Data Elements
Patient	Demographics & identity	Name, DOB, MRN, contacts, insurance, consent, alerts
Physician/Provider	Credentials & scheduling	NPI, taxonomy, specialties, licenses, DEA, availability templates
Billing	Revenue cycle	Charges, payments, adjustments, claims (837), remittances (835), aging
Insurance	Payer management	Plan contracts, fee schedules, eligibility, authorizations, COB rules
Scheduling	Resource allocation	Appointments, rooms, equipment, provider blocks, waitlists, reminders
Chart Notes	Clinical documentation	SOAP notes, orders, results, documents, problem list, medications, allergies

Integration Benefits

• Real-time data exchange eliminates duplicate entry
• Single source of truth for reporting/analytics
• Role-based access controls per database
• Audit trails for compliance (HIPAA, MIPS, MACRA)

This modular architecture supports scalability and interoperability (FHIR, HL7).