Discharge Summary
- 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
Presenting complaints codification
Child Growth Chart
Retrospective Comment: Nutrition for child is still awaited. Not sure whether it is the same thing or something else.
Drawing diagrams
since this feature development would require a lot of effort, we would like to first verify whether this will really be used. The idea of taking picture from pre-made diagram on paper has been suggested every time this requirement comes up, but there has been no instance of doctors actually doing it. Hence we are wary of spending a lot of effort and developing something that will not be used. We should try out catalogue of paper diagrams and taking picture approach, EMR wise it has everything to support it right now.
Culture reports
The issue with culture report is that it is hard to automatically generate a form like for other obs, because of it is two (multi) dimensional nature. This is same as issue we are facing with Leprosy. But we do think that we may have a design break through and we might be able provide a real solution for this soon (before 0.75). But in the meanwhile if there is a simple solution then we should go for it.
Too much information on dashboard
Different doctors have different views on how much information should be shown on the dashboard. The key areas of contention are lab results and drug orders. We are showing information from 1 visit. What this also means is that when there is nothing in the current visit then it shows from the last visit. But we are showing everything from the chosen visit. This information becomes a lot for in-patients. Our recommendation is that we show only one-last accession and last day’s drug order. We will get this done in 0.71 release. Lets see if the users still feel that there is too much information on dashboard.
Patient record scanning at VP
Although earlier the idea was to do scanning to ensure that the patient record is available at the sub-centre and hospital both, and to do this we started with one disease at a time. But scanning is happening randomly now, without a plan and repeated persuasion to follow the original plan has not worked in VP.
We are concerned about potential loss of data as the patients travel between Ganiyari and subcenter since now we keep the documents at the subcenter. This process is not foolproof and need significant supervision. There is no quality check in place to see if the process is working or not.
One option is to stop the current process and restart it when we have an offline solution for the sub centre.
Diabetes
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