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Bahmni - An OpenMRS based Electronic Health Record System (Demo)

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Bahmni - An OpenMRS based Electronic Health Record System (Demo)

  1. 1. BAHMNI – AN OPENMRS BASED ELECTRONIC HEALTH RECORD SYSTEM DEMO December, 2015 Anant Raut, MSc Healthcare Systems Engineer, Possible Collaborator, Healthcare Systems DesignGroup
  2. 2. Click anywhere to move on to Orders anyway (since it’s only a demo)
  3. 3. Patient identifying and health info obscured Patient identifying and health info obscured
  4. 4. Patient identifying and health info obscured
  5. 5. Patient identifying and health info obscured

Editor's Notes

  • Login page
  • Home – which modules you see depends on your user role. A clinician for example would only see “Clinical” and “Inpatient” module.
  • Patient search by ID or Name/village.
  • For example, I want to search for patient BAH200052
  • The search results pop up like this. I could also search for the patient using name and village, even if I don’t know the full name or the first few letters of the village. Click on view to see the patient registration profile.
  • Patient registration info is captured here. Photo of the patient can also be taken.
  • To start a visit for the patient click on “Start General visit”. This essentially means that the patient is now an “active” patient, and clinicians can enter consultation notes against the patient record. Patient records without an active visit are view only. A visit is started for each patient that comes to the hospital. A visit is automatically closed in 2 days time, except for admitted patients.
  • Details specific to this particular visit, example department sent to, or where the patient was referred from, can be input here. To create a new patient, click on “Create new”.
  • This is where you enter all the details for a new patient.
  • For certain items like the vdc/muni, we have suggestions to avoid registration clerks entering misspelled village names. This is critical if we want to ensure that we can accurately report by geographic location.
  • Home – which modules you see depends on your user role. A clinician for example would only see “Clinical” and “Inpatient” module.
  • Active patients can be viewed in this clinical dashboard. The search box allows you to look for a specific patient by name or ID.
  • Typing just “dum” for example brings up “dummy patient”
  • This is the patient dashboard. It’s highly configurable (what to show, how many visits to show, in what order). You can also easily switch to another patient you have recently seen using the “switch” button.
  • You get a list of 10 (configurable) most recent patients to quickly switch to. You can also view X-rays right from the dashboard.
  • This is the patient dashboard. It’s highly configurable (what to show, how many visits to show, in what order). You can also easily switch to another patient you have recently seen using the “switch” button.
  • The x-ray is viewed in a new browser tab, through an open source dicom viewer called Oviyam. Click anywhere to go back. Note: it’s a chest x-ray from a different patient, rather than the hip one linked from the dashboard.
  • In order to enter consultation notes for the patient, click on “Consultation”.
  • Here you will find templates that clinicians can use. There are more templates available which have been modeled from the latest HMIS forms. For more, click on the green circle icon
  • There are templates that are specific to HMIS, and others (like the chronic disease progress templates) that we use for our internal programs (like chronic disease management).
  • This is an example of a template based on HMIS. We have tried to simplify the forms to be easy and fast to use by using buttons, and minimal need for long entries.
  • Example of clicking a button. Our clinicians use touchscreen chromebooks, which makes it even more efficient as less time is wasted fiddling with mouse. It’s much more intuitive for folks that are less computer literate.
  • Certain fields have been marked as required, based on requirement for HMIS. You can’t save a form without completing all the required fields. This helps guide the clinician to ensure completeness of data, something that we struggled with on paper. Since it’s a demo, go ahead and click “Orders” to move on anyway.
  • Clinicians can order labs for the patient from this screen. Pick a sample from the left, and the panels (pre-defined group of tests) or individual tests from the right. These are the tests and samples available for blood.
  • These are the tests available for stool. Click on the panel/test to select it.
  • When a panel is selected, you can also see all the tests that it includes. The orders can then be viewed from the lab. Similarly, x-ray orders can also be made here. Click on “Radiology Orders”.
  • Similar to the lab orders, x-ray orders can be placed here. This links seamlessly to our Carestream digital x-ray software to create orders, which the x-ray tech can then fulfill. Next is “Diagnosis”
  • Start typing the diagnosis in the box.
  • Suggestions are provided based on the input letters. Each of the diagnosis is linked to an ICD10 code. Only rarely should clinicians make a diagnosis that’s not included in the list.
  • Next is treatment
  • Start typing a drug name
  • Suggestions pop up from which you can select a drug to prescribe.
  • # of tablets per dose, frequency and # of days is filled by the clinician. Then click “add”.
  • A preview of the prescription is given, it can be changed until the record is saved.
  • The disposition is the final step where you input what the next step is for the patient. Click on the red link to take the next patient. You can go back to the home screen from there.
  • Home – which modules you see depends on your user role. A clinician for example would only see “Clinical” and “Inpatient” module.
  • This screen gives you a list of wards, and the details for all patients in the ward. Click on the green button…
  • .. to get a graphical layout of the ward and easily see which beds are occupied and which ones are empty. Click on an occupied bed…
  • … to see who’s in that bed.
  • Home – which modules you see depends on your user role. A clinician for example would only see “Clinical” and “Inpatient” module.
  • The reports module has all predefined reports that are needed for populating the HMIS forms and more. You can run a report for any date range, and in excel, html or pdf.
  • This is a sample of one of the reports produced for August.

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