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.
Now that we have some test dummy data on our spreadsheet we can go ahead and reformat the column widths. You can add more data if you would like or even use an already existing spreadsheet. The choice is completely up to you; however the steps to reformat the column widths are all the same as you will soon see. The next step is to highlight the columns that you want to reformat. To reformat the columns we are using in our example, using the month names, you need to click on the column header labeled ”A”. Now hold down the ”shift” key and click the column header labeled ”L”. In other words you are clicking the first column and the last column. If you chose to use your own spreadsheet, your columns that you use may be different. You could also click on column header ”A” and holding down the left mouse button, drag the cursor over top of the final column, in this case ”L”, and let go of the mouse button. Either way is fine.