Orthopedic clinic management software, with surgery estimates you build yourself.
Avinya Plus is a configurable EMR for orthopedic clinics. In the block builder you assemble a named implant-and-surgery cost estimate with money columns, a sumColumn total and amount-in-words, log an operative note on the visit timeline, attach the X-ray, and GST-bill knee or hip packages with HSN/SAC. In early access.
The implant quote lives in a spreadsheet, and the OT note lives nowhere
Orthopedics runs on two documents no generic EMR pre-builds: a surgery cost estimate the patient signs before a knee or hip replacement, and an operative note after it. Most clinics keep the estimate in Excel, retype the implant brand and price every time, and total it by hand, so a missed line or a wrong GST split goes straight onto the patient bill. The operative note ends up on paper, disconnected from the appointment and the invoice, and the pre-op X-ray sits in a separate folder nobody can find at follow-up. When the family asks 'why is the implant package this much?', front desk has nothing itemised to show. You don't need a rigid 'orthopaedic module'. You need the estimate, the procedure note, the imaging, and the GST bill to be one connected record.
Built for how clinics actually work.
Build a named implant-and-surgery cost estimate in the builder
Orthopedics' signature document is the surgery estimate, and you assemble it yourself in the block builder rather than waiting for a pre-made one. Add a block-database table with money columns for implant cost, surgeon fee, OT charge and consumables, set a formula column with sumColumn to total them, and add an amountInWords field so the figure prints in words for the consent; formatCurrency renders the total as ₹1,20,000.00. The same 21 block types, 23 field types and ~30-function formula engine that power every document back it, and merge tokens drop your clinic name, GSTIN and the patient's name into the header automatically. Print it to A4, A5 or 80mm thermal on your own letterhead.
Log the operative note on the visit timeline, not a loose paper sheet
The medical record timeline carries a 'procedure' record type, so a fracture reduction or a post-op note is logged against the patient and the exact appointment that produced it, alongside diagnosis, note and imaging entries. You build the body of that note as a builder document, so your operative template, fields and headings read the way an orthopaedic surgeon writes. The catch: role permissions exclude Front Desk from clinical records (the seeded Front Desk role gets patients, scheduling and billing but no medicalRecords or prescriptions access) while doctors get the full record, so the OT note stays clinician-only.
Attach the X-ray or MRI to the record: upload or in-app camera
Orthopedics lives on imaging, and Avinya does store it on the record today. From the patient or consultation record you open Add Document and either upload a PDF or image of the X-ray, MRI report or post-op film, or capture it with the in-app rear-facing camera; images are compressed automatically and saved to a private clinical-documents storage bucket, then surfaced behind one-hour signed links. Each file lands on the visit as an attachment alongside the 'imaging' and 'procedure' record types, so the pre-op film and the operative note sit on the same timeline. There is no DICOM viewer or PACS: it stores and previews the file, it does not render slices.
Bill knee, hip and trauma work as GST surgery packages
Each procedure becomes a service in your catalogue with a base price, a tax rate and its own HSN/SAC code, so 'Total Knee Replacement' or 'Hemiarthroplasty' bills as one priced line, single or as a package. Once your clinic enters a GSTIN, an A4 tax invoice splits tax into CGST plus SGST within your state or IGST across state lines, and HSN/SAC is required on every GST line so high-value implant bills stay audit-clean. You raise the bill in one click from the appointment, and the estimate and the final bill draw from the same catalogue.
Per-clinic medicine ranking on your orthopaedic drugs, allergy-checked
Orthopedics prescribes a narrow, repeated set: analgesics, NSAIDs, calcium and vitamin D, DVT prophylaxis and antibiotics. The prescription medicine search ranks suggestions per clinic, so your most-used orthopaedic drugs surface first instead of a generic alphabetical list, and you can add a custom medicine inline when a brand is missing. When you prescribe, the chosen medicine is cross-checked against the patient's recorded active allergies before save.
A 'Procedure' appointment type and a validated visit lifecycle
Every new clinic is seeded with a 'Procedure' appointment type alongside Consultation, Follow-up, Treatment and Check-up, and you can rename or add your own such as 'Plaster' or 'Suture removal'. A visit moves through a validated lifecycle (scheduled, then in visit, then completed, with cancelled and no-show as terminal states) and the API enforces the transitions rather than letting them be free-typed, so a completed or cancelled visit can't be quietly reopened. The day dashboard shows live Total, Arrived, Waiting, In Consultation and Completed counts so a busy fracture OPD stays legible. Note: there are no automated reminders and no recurring-series scheduler, so you book each follow-up explicitly.
At a glance
- Orthopedics is one entry in a 42-specialty configuration list in Avinya Plus, not a pre-built clinical module; only four feature flags ship and none is orthopaedic.
- The block builder offers 21 block types and 23 field types, including a distinct money type, plus a ~30-function formula engine with sumColumn, formatCurrency and amountInWords, so a surgery estimate can total money columns and print the figure in words; documents print to A4, A5 or 80mm thermal.
- The medical record timeline carries a 'procedure' record type and an 'imaging' record type, each linked to the appointment; Front Desk role permissions exclude medical records, keeping the operative note clinician-only.
- X-ray, MRI and other files attach to a record via upload or in-app camera capture, stored in a private clinical-documents bucket behind one-hour signed links; storage and preview, not a DICOM/PACS viewer.
- Surgery packages are billed as catalogue services with a price, tax rate and HSN/SAC; tax auto-splits into CGST plus SGST (same state) or IGST (inter-state) once a GSTIN is set, with HSN/SAC required on every GST line.
- Appointments follow a validated lifecycle of scheduled to in visit to completed, with cancelled and no-show terminal and a seeded 'Procedure' type; there are no recurring schedules and no automated reminders.
See how it stacks up.
| Feature | Paper / Excel | Legacy EMR | Avinya Plus |
|---|---|---|---|
| Implant/surgery cost estimate | Excel, retyped | Fixed form | Built in the builder |
| Estimate total + amount in words | Manual | Partial | sumColumn + amountInWords |
| Operative note on the visit timeline | No | Partial | 'procedure' record type |
| Attach X-ray/MRI to the record | No | Partial | Upload or in-app camera |
| Surgery package billed with GST | Manual | Partial | HSN/SAC + CGST/SGST/IGST |
| Orthopaedic drugs ranked first, allergy-checked | No | No | Yes |
| Pre-built orthopaedic module | No | Sometimes | No, you configure it |
Questions, answered.
Is Avinya Plus an orthopaedic-specialist EMR?
No. Avinya Plus is a generic, configurable EMR, and orthopedics is one entry in a 42-specialty configuration list, not a clinical module; there's no fracture-classification picklist or implant inventory. Instead, the block builder lets you assemble the surgery cost estimate and operative note your practice needs, with money fields, a sumColumn total and amount-in-words, and you attach the X-ray to the same record. You shape the workflow; the platform underneath is shared and shipped.
Can I build a surgery cost estimate for a knee or hip replacement?
Yes. In the builder you create a table with money columns for implant, surgeon, OT and consumables, total them with sumColumn, render the figure with formatCurrency, and print it in words using amountInWords for the consent. Merge tokens drop in your clinic name, GSTIN and the patient's name, and you can print it on A4, A5 or 80mm thermal on your own letterhead.
Can I upload an X-ray or MRI into a patient's record?
Yes. From the patient or consultation record, Add Document lets you upload a PDF or image of the X-ray or MRI, or capture it with the in-app camera; images are compressed and stored in a private clinical-documents bucket behind one-hour signed links, attached to the visit alongside the 'imaging' and 'procedure' record types. It stores and previews the file; it is not a DICOM/PACS viewer, so it won't render image slices.
Where does the operative or procedure note live?
On the patient's medical record timeline, which carries a 'procedure' record type linked to the appointment that produced it, alongside diagnosis, note and imaging entries. You build the note body as a builder document so it reads the way a surgeon writes. Role permissions exclude Front Desk from clinical records (they get scheduling and billing only) so the operative note stays clinician-only.
How does GST work for high-value implant packages?
Each procedure is a service in your catalogue with a price, tax rate and HSN/SAC code, single or as a package. Once your clinic has a GSTIN, the tax invoice auto-splits into CGST plus SGST within your state or IGST across states, and HSN/SAC is required on every GST line, so an implant bill stays audit-clean. You raise it in one click from the appointment, and the estimate and final bill use the same catalogue.
Does Avinya Plus send appointment reminders or do recurring follow-ups?
No. There's no automated SMS or email reminder and no recurring or series-scheduling engine. Appointments follow a validated lifecycle (scheduled, then in visit, then completed, with cancelled and no-show as terminal states enforced by the API) and you book each follow-up explicitly. We list only what the code actually does.
Run your clinic on Avinya Plus.
Patient records, billing, and scheduling in one system your team will actually use.