This is the list of outstanding issues at and request from JSS. This doesn't cover one-off smaller issues. If you do not see your issue or request here, please contact Vivek vsingh@thoughtworks.com . Roughly for release dates --- 0.71 March; 0.72 April; 0.73 May; 0.74 June; so on.
Discharge Summary
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This list should also help JSS in prioritising some of this work.
Discharge Summary
While deciding discharge summary contents it is important to remember that it is not meant to be used by clinicians at JSS, because they have access to the complete patient record and not just the discharge summary. Discharge summary will be used primarily by clinicians outside JSS. Most discharge summaries do not provide information about two things - lab results while admitted and drugs given during the same. This raises few questions, how many of these admitted patients would go somewhere outside JSS; of these, how many clinicians would look at lab results and drugs given while admitted. Considering all this if it is still felt that it is worth providing this information then we would implement this at JSS in release 0.72 (some which are easily doable would be available in 0.71). Details in point 1 and 2 below.
- If lab results indeed have to be put on discharge summary - then there are few ideas for it.
- Show 1st lab test result only for all the tests done
- Show 1st lab test results and last results
- Show all and let the doctor choose which ones go on the print out. This is hard to implement and would require a lot of development for comparably small benefit.
- Show results from first few accession and last few accession. Here few is determined by how many can fit on paper. This may miss some tests which were done in middle, but should cover most of it.
- All unique medicines
- Treatment given and treatment ordered should be separated. Treatment given should be consolidated based on the drug name. This will be done in 0.72.
- Printout weight both at admission and discharge. Right now this only prints on discharge weight. When we would have the ability to print initial and last value we should be able to do this. This is coming 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).
- The diagnosis has to be entered again when it was done in last visit since it doesn’t show up in the print because it doesn't below to this visit. To handle this, just enter some notes like "admitted or similar" against the diagnosis, and that will make it appear on the print. This should be already working unless it is also affected by some of the diagnosis issues we saw in 0.70; Arjun can you verify this. If broken it would be fixed in 0.71.Treatment given and treatment ordered should be separated. Treatment given should be consolidated based on the drug name. This will be done in 0.72.
- Put lab and treatment as last section. This should be possible via configuration right now.
- Rename discharge summary to discharge note so that it indicates that there are more information than discharge details in the discharge summary printout given to the patient. This can be done in production now itself.
- Shortcut for discharge summary on side menu so that it is accessible in two clicks. 0.71 or 0.72
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