Some businesses are highly complex whereas other businesses have a simple business model and very few employees. If you see your doctor for a personal health check they will start off with some standard tests and progress to more detailed tests if required. It is the same with businesses, there are significant similarities between most businesses so much so that standard health checks can be performed on almost any business. It is possible to run a business health check based on benchmarks from similar businesses. This however does not tell the business owner or manager if the business is going in the direction that they would like to pursue.
There are three types of medical document management solutions namely, Paper Charts, Spreadsheet files and OpenMRS EMR applications. The paper and spreadsheet files have certain limitations when it comes to their performance and availability of storage space. Spreadsheets, created in Excel with a VBA backbone, for instance may lose data, and can only keep not more than 100 patient records efficiently. There are citations from various users implying that Microsoft Office Excel 2003 can perform a better job when it comes to analysis using the Pivot Tables than a spreadsheet which merges several spreadsheets. Thus, complex data takes a lot of time to analyze. Although, a paper chart does not limit the number of patient records it can hold and have organized data, it does not have the flexibility to manage complex disease treatment like human immunodeficiency virus (HIV) and Tuberculosis (TB) properly.