This study introduces the necessary ontological redesign regarding patient-oriented frameworks. Different national healthcare frameworks around the world as well as semantic gaps have been discovered and demonstrate the need for a new healthcare management framework. This study's Patient-Oriented Management and Reporting framework (POMR framework) will introduce and measure the concept of value-added, patient-oriented flow. The ontological introduction of leading patient-oriented measures is also considered as a novel approach to solving problems. These measures are included in this POMR framework which introduces a unique ontological model redesign (POMR model) and its patient-oriented supporting information system (POMRS) adding value to the concept's implementation in CLIPS technology.