The medical document, like all other files within the patient’s folder, is also a markdown note bearing an encoded name in the form mdocXYZ-N-K.document, where XYZ denotes the patient’s numerical identifier, N is the sequential number for the current case, and K is the sequential number for the medical document. Accordingly, within each clinical case, one or more medical documents may be created and linked. For example, mdoc100-1-2.document represents the second medical document associated with the first clinical case of the patient with the alias - NIKOLAOS_PAPADOPOULOS_6945678901.

To display this open file in the Obsidian File Explorer (left-hand panel), click on the 📄 icon located at the top right, next to its title (see Fig. 1). There is also a pages icon which, when clicked, opens the patient folder’s file in the Windows File Explorer.

As with every file in the patient’s folder, at the top beneath the banner the patient’s full name, age, and date of birth are displayed. Immediately below, there is an internal link to open the clinical case to which the document refers, followed by a link to open the patient’s record (summary). The user then selects the type of media files to be embedded in the document (text, image, etc.) and the category of medical procedures represented by the media (imaging, laboratory, etc.) (see Fig. 1).

At this point, by making use of the embedding functionality provided by Obsidian, we can view multi-media cards from the medical document. In this example, there are three: one transcribed speech from the audio file and two imaging examinations (MRI and CT) (see Fig. 2).

Here are the multi-media cards embedded one by one

The information entered in the media cards—such as date, previous and new file name, description/notes, file type, and category of examinations—is automatically recorded in the fields of the front-matter, which can be accessed from the application’s right-hand panel (Fig. 3) by clicking on the 🛈 icon.

A prerequisite for creating a new medical document for patient NIKOLAOS_PAPADOPOULOS_6945678901 is to open a clinical case, so that the medical document can be associated with it. For example, in the case of this particular patient, within the latest (his second) clinical case, the NEW DOCUMENT button is pressed.

Obsidian MEDILIG will attempt to locate media files in the predefined media_feeder folder (C:\media_feeder). You must create this folder on your PC, from which the patient’s folder will be fed with media files (image, video, text). If the application cannot locate this folder, it will display the message:

Click on the message to dismiss it.

Click on the message to dismiss it. Provided that you have correctly created the C:\media_feeder folder, placed media files in it (image, audio, video, PDF, DOC, XLSX, etc.), and your Obsidian Vault is also on the same drive C:\, the files (not folders) will be transferred (Fig. 4) from C:\media_feeder to the patient’s assets folder.

We have created a screen capture video that demonstrates the entire process of importing media into the patient’s folder, showing exactly how the medical document functions in conjunction with the clinical case and the medical library. We continue the example using the images mentioned above.

First, we demonstrate how to add files to C:\media_feeder as shown in Fig. 4. After pressing the NEW DOCUMENT button, the message New media files are added in assets folder - 40sec will appear, followed by mdoc100-2-3.document updated - 47sec. At this point, the file transfer process and the creation of the new medical document have been completed.

Next, after confirming that the files have been added to the patient’s folder and renamed, we scroll down to the clinical case, Medical Documents section (1m 14sec), and observe that the medical documents have been updated with the addition of No.3 mdoc100-2-3.document for the second (No. 2) clinical case, displaying the six multimedia files that were added.

Alternatively, we can open patient’s medical library lib100.library (1m 30sec) and view a table listing all the medical documents that have been created, with the third 3^rd medical document appearing first in sequence.

On the 2m of the presentation, we opened the Obsidian File Explorer in the left-hand panel and displayed the media files in the assets subfolder under the patient’s folder. We then opened mdoc100-2-3.document; this can also be opened from the medical library or from the clinical case by clicking the green internal link.

Within the medical document, we specify the file types (2m 13sec) (text and image) and the category of medical procedures (laboratory, other documents). We observe the changes reflected in the medical documents catalogue. Subsequently, we add a description and modify the previous names/titles of the media files, seeing once again how the table view in the medical documents catalogue is updated.

On the 3m 55sec of the presentation, we opened some of the media files. Specifically, we opened the TXT file and read its contents, viewed the discharge summary in PDF format, zooming in and out, and finally opened the doctor’s presentation in PowerPoint (PPT file).