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  1. If lab results indeed have to be put on discharge summary - then there are few ideas for it.
    1. Show 1st lab test result only for all the tests done
    2. Show 1st lab test results and last results
    3. 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.
    4. 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.
  2. Treatment given should be displayed in a way that medicine names are not repeated. This is planned in 0.71.
  3. Treatment given and treatment ordered should be separated. This will be done in 0.72.
  4. Printout weight both at admission and discharge. Right now this only prints 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.
  5. 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 than expected. 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).
  6. 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. If broken it would be fixed in 0.71.
  7. Put lab and treatment as last section. This should be possible via configuration right now.
  8. 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.
  9. Shortcut for discharge summary on side menu so that it is accessible in two clicks 0clicks 0.72.

Diagnosis codification

As decided Dec 2014 that various doctors would divide this work, provide the list and correct the diagnosis for their specific sections. There has been no progress in this direction. With Diabetes, we took a different approach to see if it would work, i.e to fix the diagnosis for the diseases that are getting templatised. It worked well with diabetes. But with TB this has failed, because of number of diagnosis involved in TB. Before we take a more ambitious target, the doctors should try to create diagnosis list for TB. Unfortunately TW would not be able to help much because it needs medical understanding. We will find out list of 400 diagnosis at a Nepal's government hospital. Vivek will provide this soon.

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