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EMR Apples + Oranges

By BBS Science

October 13, 2025

“Comparing apples and oranges” is a fitting metaphor for the challenge of evaluating disparate data types, workflows, or documentation standards across electronic medical records (EMRs), especially in complex fields like ART and fertility care. Here's how this analogy plays out in practice:

1. What “Apples + Oranges” looks like in EMRs

Orange: General EMR

Apple: Fertility-Specific BabySentry

Data Structure

Standardized templates for vitals, labs, medications

Custom modules for cycle tracking, stimulation protocols

Clinical Language

ICD-10, SNOMED, HL7-compliant

Fertility-specific lexicons (e.g., E2 levels, AFC, AMH) in addition to EMR HL7 + ICD 10 standards

Workflow Logic

Linear, encounter-based

Episodic, multi-phase (consultation → stimulation → retrieval…)

Documentation Needs

SOAP notes, discharge summaries

Consent forms, embryo grading, lab chain-of-custody logs

Compliance Focus

General HIPAA, billing codes

Medico-legal traceability, cross-site audit trails, HIPAA

Patient Engagement

Portal for appointments, results

Cycle calendars, medication reminders, emotional support via app + portal tools

Data Points

Most variables are inherited or re-purposed for ART usage

Native variables proper to fertility. Count = 19400+ / patient

2. Why This Comparison Matters

Interoperability Challenges: Trying to integrate ART workflows into a general EMR often leads to data loss or misrepresentation. Apples don’t fit in orange crates.
Medico-Legal Risk: Fertility care demands granular documentation (e.g., embryo traceability) that general EMRs may not support natively.
Operational Inefficiency: Staff may resort to workarounds: Excel sheets, paper forms when EMRs can’t capture nuanced ART data.
Patient Experience: A fertility patient’s journey is emotionally and logistically complex. BBS supports personalized treatments, not flattened into generic templates.

#ARTsystems
#ARTemr
#FertilityEMR
#FertilitySystems
#Interoperability
#PatientExperience
#IVFpatients
#ARTpatients

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	Orange: General EMR	Apple: Fertility-Specific BabySentry
Data Structure	Standardized templates for vitals, labs, medications	Custom modules for cycle tracking, stimulation protocols
Clinical Language	ICD-10, SNOMED, HL7-compliant	Fertility-specific lexicons (e.g., E2 levels, AFC, AMH) in addition to EMR HL7 + ICD 10 standards
Workflow Logic	Linear, encounter-based	Episodic, multi-phase (consultation → stimulation → retrieval…)
Documentation Needs	SOAP notes, discharge summaries	Consent forms, embryo grading, lab chain-of-custody logs
Compliance Focus	General HIPAA, billing codes	Medico-legal traceability, cross-site audit trails, HIPAA
Patient Engagement	Portal for appointments, results	Cycle calendars, medication reminders, emotional support via app + portal tools
Data Points	Most variables are inherited or re-purposed for ART usage	Native variables proper to fertility. Count = 19400+ / patient