Configurable Clinical Summary
During the implementation, the implementation team, which consists of the Doctors also, soon realized that, due to the flexibility in the HTMLForms and Concept Dictionary, any type of data can be captured very effectively using multiple modularized forms. But, as the patient data entered using multiple forms will span across multiple encounters, a Consultant Doctor needs to look up each of the forms to get an idea of the Patients medical condition. The Doctor has only few minutes to go over each patient record in an already crowded public health domain. It will increase the Doctors work several fold. As a result, it seems, currently in several OpenMRS implementations there is a tendency of creating one long form with multiple sections and data is entered retroactively for a period of time, so that the patient record is viewed at once.
We are proposing a Patient Clinical Summary Module to be developed in this project
a) To realize the true potential of encounter concept, so that a Patients medical history is time-stamped and b) the data entry is easier with multiple form based encounter
As OpenMRS implementation can be very different from one site to another, so the Patient Clinical Summary View will be different from one implementation to another. So, it is important that the Clinical Summary need to be configured based on concept dictionary and encounters chosen.
Implementation: MissionArogya - ArogyaNet
A. Clinical Summary Template function :
Users (Doctors) should be able to select concepts to define the template for a clinical summary.
It can be implemented as
a) Tag in HTMLForm (example: A tag to display a table of lab results)
b) A wizard like tool , where the user can choose the different concepts and ordering of the concepts in the form
c) An ideal solution will be to have a WYSIWYG editor, which combines the wizard concept as well as the formatting concept
The doctor may decide to include specific "Encounters" that are important to create a final template of clinical summary
The doctor may save this template , so that it can be used by other doctors.
(I am not sure if these nice to have can be implemented easily)