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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 Counsellors 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.
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- 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 dosages 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.
- The nurses will need a printout of the order so they can carry it out.
- Ability to generate the lab orders - Release not decided yet, will publish soon.
- Collapsible section in templates - 0.75
X-rays not getting
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digitised on same day
We found that the quality of the picture wasn’t always good, making the quality of taken image even worse. 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.
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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.
Best solution (not fool proof) is to do manually check the names before or after importing. We should do this for diabetes and TB since they have been already imported. This would This would be done soon, sometime in March/April for TB/Diabetes.
Preventing infection by patients who have been tested positive in the lab
The lab paper on which the signature is done and handed over to the patient on completion of lab test, could contain a checklist which says: "should the patient wear a mask?". This would act as reminder. This checklist can be used during the lab in charge validation or lab result handover process. Eventually an event based alert would be useful in the EMR itself, but it is not planned right now. Provide a tab which shows the list of patients who have abnormal results or create a report. (0.72)
Generation of lab orders
This is on our backlog. We will publish the release for it soon.
ECG image extraction
This is on our backlog. We will publish the release for it soon.