Doctor Desktop:

System will be having a predefined glossary. Which will help the doctor in writing his clinical notes. Doctors can add new data in this glossary as and when they want.

The system will hold the Drugs list with brand name and generic name. The doctor can chose his prescription from Drug list and Dosage from Dosage list.  Also system can hold details for the commonly used medicine in the diagnosed disease.

It will not be possible to edit clinical notes once they are entered and saved.

The doctor’s module will capture patients demographic details filled in at the reception.

Laboratory results will be received via the network.

An out-of-stock list will be available from both the drug store and the pharmacy.

It will be possible to search for patients records using either the name or patient number.

The following information about each patient is captured during registration.

This module consists of administrative portion of the inpatient related functions and handles patient Admission, Discharge and Transfer. Typically, rooms, wards are allotted at the time of admission. Booking for surgery etc. is done from the nurse station. The doctor gives discharge or transfer advise through the nurse station. Actual discharge is done through this module.

Transfer: This function allows user to transfer the patient from one ward/room to another ward/room

Discharge: This function allows the ward to discharge patient from the ward after complying with all formalities. Discharge may be Normal, Maternity, Death, Maternity death and others. Accordingly reports such as birth report ,death report will be generated.

Reception Module:

This module will carry out patient Registration.

This module will query patient appointment scheduling, Billing enquiries and location.

A Kiosk could be put at reception to help the relatives and friends to find out the patient locations.

Clinic Management:

The system will allow for as many as clinics run by the hospital as well as by consultants.

The system makes it mandatory for patients to pay before they arrive at the clinic areas.

For all clinic payments made, the receipt number and amount paid will be reflected in patients records by the time they arrive at that specific clinic.

Patients details will be picked automatically from the outpatient department entry.

The following are possible.

(a) Pre-definition of clinic rules such as start, recess, stop time.

(b) Doctor defined/patient requested time slot for consultation/surgery should disable holidays.

(c) System can permit over riding of holidays if required by doctor.

(d) Pre-definition of doctors availability based on his days, other engagements, leave etc.

(e) Maintenance of any number of clinics of any specialty.

(f) Ensuring pre-requisites for any clinic.

(g) System can record grade of doctor scheduled to see patient and who actually saw patient

(h) System can generate list of patients seen by doctor on any day any time.

(I) System can generate bills for services as desired.

Scheduling/Rescheduling:

(a) Maintenance of personal diary for clinical and non-clinical or personal engagements of doctors.

(b) Scheduling of future appointments of doctor upto one year rolling.

(c) Joint consultation by more than one doctor.

(d) System can generate multiple appointments for same clinic or different clinics on same day.

(e) The system can permit re-scheduling of appointments forwards or backwards

(f) System provides clinic vacancy summaries in a user definable format. Consultants can be given request lists of their booked clinics one month in advance so that they can see vacancies and schedule follow up appoints accordingly.

(g) System is capable of giving priority to patients previously cancelled.

(h) System permits cancellations and rescheduling of outstanding of appointments by patient, clinic, doctor

(i) System records referral letters from other consultants.

(j) System permits query if patient does not remember his hospital ID while seeking appointment.

Pre-Consultation:

(a) The system records time of arrival and departure of patient in a clinic.

(b) The system checks compliance of pre-clinic requirements pertaining to each clinic, such as vision test for eye clinic etc.

(c) System allows patients to be marked urgent, Soon, Routine etc. so that they can be given preference over normal patients. These patients will be given preference even if a reschedule is undertaken.

(d) System allows patients to be given VVIP/ VIP / Normal status, to decide the priority to permit walk-in without prior appointment.

(e) The system can serve a decision support role to the doctor or clinic manager.

(f) The system permits carry forward of patients not seen to the next day or permits doctor to extend his clinic hours till the last wait listed patient is seen.

(g) A patient arriving at hospital clinic for first time having made appointment over phone is directed to registry on arrival at the clinic for the registration formalities.

(h) Visits involving a particular illness or any reason is treated as episode. Visits continue till patients get well and episode is closed - Patients can have concurrent episodes.

(i) Priority is provided for Could Not Attends (CNA) for reasons not attributable to them.

Consultation Management:

(a) Consultation start time is flexible and determined by the doctor after returning from his ward duties, emergencies etc.

(b) The doctor can preview various lists like joint consultation for the day, patients with urgency flag, patients Could Not Attend (CNA) in same episode, patients rescheduled earlier etc.

(c) The doctor calls in a patient, previews his past records, his initial diagnosis prescribes a medicine, orders a test etc.

(d) System gives a prior warning when it to go and readies next patient.

(e) Doctor may suspend consultation and order for another test on pre defined formats which can be called on screen and post the patient to be seen later in the day or another day with test results.

(f) Doctor may refer the patient to another doctor in which case system generates a referral number with date.

(g) Doctor may admit the patient in which case the patient is treated as I/P or he may close the episode.

(h) At the end of pre-appointed time slot system gives message consultation over. Doctor may overshoot by ignoring the warning.

Laboratory Module:

This module {also known as Lab Information System (LIS)}, facilitates in carrying out investigations and entry of investigation findings. Initially, investigation advice is given by consultants to diagnostic centre.

Diagnostic centre gets instructions from consultants through TEXHMS from clinics or wards. The patients sample is collected and his ID is bar-coded and loaded on to the machine with bar-coded instructions for the test. The machine is linked to the LIS portion of TEXHMS for bi-directional communication. The results are updated on to LIS and patients medical records.

For pathological tests microscopic examination results is manually entered

Bar coding and bi-directional communication ensure that correct tests are carried out and results posted to the correct patient every time. Since manual entry is done away with, chances for data entry error are eliminated.

Investigation, code wise, analysis wise and doctor wise diagnostic reports are taken for analysis.

The module will also be able to accept data about patients who:

*  self request for particular tests

*  External referrals

If any test is performed twice, an alert will be send out.

It will be possible to perform more than one test on a single specimen.

With appropriate security measures and approval from doctors pathologists will have access to records of patients for whom testing are being carried out.

The Laboratory module will keep track of patients movement within the hospital for purposes of result distribution i.e. inter-ward transfers.

The total cost for laboratory tests per patient will be calculated depending upon the number of tests performed.

For inpatients with tests prescribed daily for a specified duration, a standing order with the time of test specified will be placed.

It will be possible to track specimen from collection point to processing and finally the release of results.

Results that are not ready will have a processing message for any inquiries made.

The system will have a memo field for comments on unusual results.

The system will allow verification and approval of results by either the lab manager or the pathologist on duty.

Pharmacy Module:

This module facilitates creation and maintenance of different stocking locations within a hospital with one main drug store and geographically dispersed sub stores. Reorder level is maintained for all items and purchase order is generated.

·         While receiving drugs, stocks and corresponding details have to be updated.

·         Expiring drugs are forecast.

·         User can see supplier wise, location wise expiry list.

·         System generates MIS reports as combination item, daily issues summary and daily purchase summary.

The module will accept prescriptions from the following sources:

·    Outpatient department

·    Inpatient department - treatment sheets

·    Consultants

·    Walk-ins

Prescriptions will give the following information:

·    Patients details picked from OPD or ward

·    Medicine and dosage

·    Quantity of drug(s)

·    Prescribing doctor

·    Doctors signature

The system will be able to print prescription dosage labels.

The system will have a list of all drugs stocked in the pharmacy, their codes and prices per unit. New or revised prices will be entered periodically.

When drugs are returned from the ward it will be credited to the patients account. (Inpatients only)

Main Store:

The activity of the main store includes Maintaining Item and Vendor masters, Raising of Material Purchase Request, Receipt of material from Factory store/supplier, Processing indents and issue of material to different sections (like OPD counter, Laboratory, X-Ray dept, Nurses Room), Generating issues returns to the vendors and stock adjustments.

SCOPE:

·         Main Store

·         Vendor Details

·         Raising MPR

·         PO Entry

·         Items Receipt

·         Inspection

·         Return Note

·         Damage Note

·         Issues

·         Local Purchase

·         Adjustment of stock

·         Valuation of items

Page 1 - 2 - 3 - 4 - 5 - 6 -7 -8 - 9