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- Show 1st lab test result only (to be delivered in 0.71)
- Printout weight both at admission and discharge. Right now this only prints on discharge weight. (to be delivered in 0.71)
- Should be able to correct OT information in the discharge summary – It will be possible to do easily in 0.71 but in a slightly different way than JSS is thinking of. Instead of correcting procedure details from discharge, one would be able to correct it by opening the operation template. Also, the previously filled details would be shown in the form itself (instead of having to see it from the dashboard).
- Sometimes the diagnosis has to be entered again because it was done in the last visit and it doesn’t show up in the print. We have already suggested a way to handle this, by just entering some notes against the diagnosis that will make it appear on the print. Requires special training.
- ALL information that is required in discharge summary is already filled earlier and shouldn’t have to be filled again. Need examples for this if there are ones other than (c, d). We think that only information that is filled is one not captured anywhere in the system – like hospital course, etc.
Diagnosis codification
It was decided in Dec 2014 that various doctors would divide this up and correct the diagnosis for their specific sections. There has been no progress in this direction. With Diabetes, we thought we would take a different approach i.e to fix the diagnosis for the diseases that are getting templatised. It worked well with diabetes. But with TB this failed again, because Yogesh said it will be too difficult to standardize diagnosis. If it cannot be done for TB then how will it be done for everything is not clear. Also here TW would not be able to help much because it needs medical understanding.
Presenting complaints codification
The issues are similar here as diagnosis.
Child Growth Chart
Retrospective Comment: Nutrition for child is still awaited. Not sure whether it is the same thing or something else.
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Template: Some doctors do not want to use the template even though repeatedly the items in the checklist are not actually followed when doing it on paper. We had discussed in December whether we can ask the counsellors to fill a larger part of the template. At that time Yogesh wasn’t comfortable with the idea and wanted the doctors to do it.
Option1: Counselors fill larger part of the template
One problem with this approach is that currently the doctors don’t capture this information even on paper. How will the counselors or transcribers get this information?
Option2: Reduce the number of fields in the template
Also we should perhaps call template, checklist instead.
TB
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Template: Same issue as diabetes
Drug order generation: Here the real benefit comes from the fact that doctors do not have to do the calculation of drug dosages. Currently there is an issue with date of the drug order that will be fixed in 0.72.
Cancer
Template has too many fields and takes a lot of time. Raman to reduce the number of fields.
Drug order generation: Apart from not having to calculate the drug dosoges it is also useful because the number of drugs are a lot. So it is worth using even before the date issue gets resolved.
Regarding the issue of multiple drugs of same type – we already have ability to specify the dosage in mg. So even if we choose 50mg we can give dosage as 65mg. We can train the billing person to change this. The ideal solution would have been to allow ordering by the medicine name but even if it is implemented it will not solve the billing problem.
X-rays not getting digitised on same day
We found that the quality of the picture wasn’t always good. In order for this to not affect patient care, it was agreed that doctors would see the physical film and the X-ray technician would upload the picture the next day. Has anything changed?
We also found that X-rays are sometimes photographed as mirror images. Raman wanted the ability to turn the image around, but it seems too difficult to do, as just rotating in 2D would not help.
What is the ETA on digital x-ray machine? This can solve all these issues.
Importing data from old excel sheets
There are errors in the data and this has lead to wrong history for certain patients. While we can put in some additional checks, this will not be completely error free. What is the solution
Do we not import the old data because it has errors
Do we live with some errors
Do we give doctors ability to correct the data when the patient visits next time? Will the doctors actually correct?
Best solution (not fool proof) is to do manual check of names before or after importing. We should do this for diabetes and TB.