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ICD 10 CM Diagnosis Code parser in Python for AuShadha Electronic Medical Records Project

AuShadha Logo
AuShadha Logo

AuShadha Open Source Electronic Medical Records Project Update:

AuShadha is an electronic medical records project in Python, Django and Dojo.
AuShadha is getting ICD 10 Ready….  Just building an XML parser using elementtree module to parse the ICD 10 codes into a DB.

Know more about AuShadha at: http://facebook.com/AuShadha

Live Demo at : http://tinyurl.com/byaorgq

Dr.Easwar
http://www.dreaswar.com/

Hosted Live Demo for AuShadha Open Source Electronic Medical Records Project

AuShadha Logo
AuShadha Logo

Hosted Live Demo for AuShadha Electronic Medical Records Project

Finally my Open Source Electronic Medical Records using Django, Python, and Dojo has a hosted Live Demo.

This features the ‘master’ branch from Github.
Issues:

  • Initial screen load takes some times with un-styled display.
  • This will be fixed later.
  • Please take it as a prototype and explore and let me know.
  • Physical Examinations and Admissions management has not been integrated, will do it soon

Login as below:

username : demo_user
password : demopassword

URL:  http://powerful-earth-4121.herokuapp.com/AuShadha/alternate_layout/
Please leave your comments here.

Thanks,

Dr. Easwar T.R
http://www.dreaswar.com/

AuShadha Open Source Electronic Medical Records Project : Version 1 at the Horizon

AuShadha Open Source Electronic Medical Records project is coming along nicely.

This has been done in Python, Django and Dojo.

The project introduction is here

This is an update to AuShadha on the walk up to Version 1

I am rather busy lately which is why there has not been a post on this; its been quiet for a while, a little longer than I would have liked. The project though, has been far from quiet. Several Improvements both in UI and the back-end has been done and is continuing in a walk up to Version 1 vision put down in the Github Wiki Roadmap.

The gallery below is some samples of the improvements that have come along. These would not have been possible without the help of Dr. Richard Kim, whose constant advice , criticisms helped shape this and continues to do so. Developers involved with the project has been credited and integrated into the UI.

Predominantly the focus is on a balance between minimalism and functionality. It is known that minimalism is beautiful, but in a non-linear system like EMR the issue is that there may not be a workflow to speak off. People often need to random things at various times and expect the UI to keep things within reach. Initially I was not convinced about this, and my focus was more on workflow. Richard convinced me about this and now I see the light. However, my attraction towards minimalism has not been totally abandoned and try to achieve a balance.

As we see version 1 at the horizon, it will be nice to have your feedback. Do leave your comments and criticisms here.

Head over to Github , grab the code and let me know.

Invitation to Join Dr. Easwar’s Paediatric Orthopaedic and Limb Deformity Community at Facebook

A Reblog worth the noble cause..

This is an Invitation to Join Dr. Easwar’s Paediatric Orthopaedic and Limb Deformity Community at Facebook. This is meant as a forum to discuss Paediatric Orthopaedic Problems, Limb Deformities, Limb deficiencies like Proximal Focal Femoral Deficiency, Fibular Hemimelia etc.., conditions like Skeletal Dysplasia, Cerebral Palsy, Scoliosis etc…

 

War of the Python EMRs Starts this week at my Hospital – GNUmed v/s GNUHealth

My Hospital has requested me to install Electronic Medical Records (EMR).

We are planning, as always, an Open Source Based EMR Solution.

I have desisted from offering my Open Source Electronic Medical Records -AuShadha as one of the options as its still in heavy development.Therefore I have advised two Open Source Implementations that I have short listed after scouring all the available choices that are listed in Wikipedia and Medfloss.

While some of the implementations are not in active development, others are not specifically meant for private clinics like ours. They are for developing nations to keep track of communicable diseases and other specific diseases and treatments. While it is possible to adopt and modify them , there are two Open Source EMR implementations that are reasonably good straight out of the box.

1) GNUmed

2) GNU Health

Why did I choose them ?

I have to implement and maintain them. I know Python. They are in Python.

Implementation should be easier and so will the maintenance.

Tweaking them to closely fit our hospital’s work flow and adding specific forms for data collection and research work should also be possible.

I personally tend to favour GNU Health, because of installation woes on GNUmed’s previous versions and what I thought was a complicated UI layout but recent communications with Mr. Stephen Hilbert and Mr. Karsten Hilbert, developers of GNUmed and an India doctor who uses GNUmed have forced me to take a second longer look.

This week then I will be installing both on our servers and opening it for use by doctors at our hospital for a month. The user friendliness and ‘tweakability’ will be assessed and then we will decide a month later on which to choose.
Keeping fingers crossed. Will give Installation reports, issues, user experience here once it is through.

Cerebral Palsy : Importance of Walking aid and Splints

This post is to stress the importance of Walking aids and Splints in Cerebral Palsy.
Very often we see children with Cerebral palsy operated upon and then they complain that even after surgery, there is no difference. On further probing they confide that there is no improvement after surgery and continuous physiotherapy. Then it slowly comes to light that due to social stigma and fear of being labelled ‘crippled’ these children / parents tend to avoid brace.
This results in children losing the improvement they would have obtained after surgery and physiotherapy and child loses muscle strength, balancing abilities and retards the improvement of the child. This results in poor self esteem, loss of confidence and the child tends not to walk. The child then enters a vicious cycle.
The video at Paediatric Orthopaedic and Limb Deformity Community at Facebook illustrates the importance of splints and walking aids in child’s gait. The left side video shows the child trying to walk without walker or splint, the center video shows child walking with only the walker and the right extreme shows the child with both splint and walker.
Thanks,
Dr.Easwar T.R
Paediatric Orthopaedic & Spine Surgeon
Coimbatore

Dr.Easwar’s Paediatric Orthopaedic and Limb Deformity Community started at Facebook

Paediatric Orthopaedics & Limb Deformity Spectrum
Paediatric Orthopaedics & Limb Deformity Spectrum

I have created a Facebook Community to foster awareness about Paediatric Orthopaedic Limb & Spine Deformities, Bone Dysplasias, Growth Disturbances and Rare Orthopaedic Disorders in Children.

 

Paediatric Orthopaedic Problems cover a varied spectrum of disorders that require extensive training to handle well.These include congenital (birth defects) of limbs, scoliosis, hip and foot deformities, metabolic disroders like rickets, dysplasias, bone and joint infections and trauma (fractures).

May be you would have seen a child known to you with a bone problem, or may be one of your dear ones has a problem and didnt know whom to ask. Many parents delay the treatment either because of financial constraints or delay seeking treatment thinking that nothing can be done. Awareness is very important. With a specialised Paediatric Orthopaedic and Limb Deformity Surgeons advise these children can get better results it treatment is started early.

This Community will help parents discuss matters pertaining to treatment of these conditions. I will also be posting awareness articles, images periodically.
Please visit my Facebook Page to  join, like and share the group. Please help raise awareness among general public that these children can get specialised treatment and can improve their quality of life.

Thanks,

Dr.Easwar T.R
Paediatric Orthopaedic Spine Surgeon
http://dreaswar.com/
http://spine-india.com/

Dr. Easwar launches a Spine and Scoliosis Surgery Community discussion page at Facebook

 

Image

 

Dr.Easwar T.R , Paediatric Orthopaedic and Spine Surgeon practising at Coimbatore, India has launched a new Spine & Scoliosis Srugery Community page at Facebook to discuss Spine & Scoliosis Surgery related disorders. This will serve as an community page for discussing various spine disorders, scoliosis, disk prolapse, spine surgery, scoliosis surgery, osteoporosis, vertebral fractures, neck pain etc.

 

 

You are invited to visit the page at http://facebook.com/Spine.India/

Dr.Easwar’s Spine & Scoliosis Surgery website : http://spine-india.com

Cures for Wasteful Healthcare – some ideas by Dr. Cutler

Three Cures for Wasteful Healthcare | David Cutler | Big Think.

As a follow up to my earlier posts and links of wasteful health care administrative expenditure, this video by Dr. Cutler , Harvard based Economist makes interesting reading.

There is video and a transcript by Dr. Cutler at the link above.

 

More ideas and videos by Dr. Cutler here

AuShadha EMR Project listed at Medfloss website !

AuShadha EMR Project gets listed at Medfloss website

http://www.medfloss.org/node/806

Thanks Medfloss for the help in listing the Project !

http://www.medfloss.org/node/806
AuShadha Project is listed at Medfloss at http://www.medfloss.org/node/806

AuShadha UI is about to get a design make over – A Preview Mockup

AuShadha is undergoing a UI desgin makeover to fit into the present role. I had Open sourced my private EMR, so essentially I am stripping it of personal features and adding in the common use ones that will serve for a multiuser clinic.

Dojo 1.8 migration has already started and is currently in testing.

UI design for the pane controlling an admitted patient is as below. This is a mock up in inkscape and is likely to change.

Once the UI is finalised and Dojo 1.8 is tested locally, I will push it to github repo at http://dreaswar.github.com/AuShadha/

Please watch this space and http://facebook.com/AuShadha for further news on the project

 

AuShadha UI Mockup
AuShadha EMR project UI mock up

AuShadha Icon Pack nearing completion !

This is a preview of AuShadha Icon Pack.

AuShadha my Electronic Medical Records project will be using this.

If is nearing completion and soon will be released.

The project is hosted on Bitbucket and is private now.

I am finalising the icon licences and attributions. Hence the watermark on the Screenshot.

Most icons are derived straight / modified from NounProject.

Please keep a watch on http://facebook.com/AuShadha/

Please watch this space as I will announce it here or on Facebook

Image.

Is Medical Administration a wasteful expenditure ?

In continuation of my previous blog article: How many Administrators does it take to run a Hospital ?, the brevity and conclusion of which interested me so much that I went deeper into this subject.

A link from that article drew me to an article by Kevin MD on the subject of health care spending.

In India, as in the USA where health care spending is something worrisome, this should make very interesting reading.

It is no secret that there is no love lost between Administrators and Doctors in most institutions.

Usually the Administration claims that the doctors don’t justify the amount being spent on them by the Hospital in terms of salary and other facilities provided. This data seems to point otherwise.

As the final word on this is yet to be spoken, still every bit of more reading I do on this topic seems to affirm the feeling I always had : That I was right

See the link below for an interesting article on what the author thinks about this.

Claims are backed up with some data from US Presidents advisors…

Administration comprises one of the biggest factors for health care waste.

But does health reform do enough to streamline it? It’s doubtful.

Consider the following chart presented by David Cutler, a President Obama advisor:

Health care administration is a source of medical waste

In other words, for every one doctor there are 5 more are employed to do administrative tasks.

And, frankly, it’s ridiculous. As Dr. Cutler says, “There is a lot of money spent doing things that in no other industry do we tolerate.”

Health reformers are hopeful that the money spent for electronic health records and claims processing will cut down on the bureaucracy. But it’s doubtful. Because universal standards for health IT are fragmented and difficult to implement, it’s unlikely that digital systems are a viable answer. If anything, I can see electronic records creating more positions, such as IT support, that will further bloat the administrative side of health care.

This is compounded by the impending transition to ICD-10 — with a 10-fold increase in coding complexity.

Read More Here:

http://www.kevinmd.com/blog/2010/04/health-care-administration-source-medical-waste.html#more-43828

How Many Administrators Does It Take to Run A Hospital?

Dr. Wes: How Many Administrators Does It Take to Run A Hospital?.

I always asked myself this question…

How many administrators does it take to run a hospital smoothly.

They are apparently employed to make doctors life smooth which leads to better working environment and better patient care. .. well, at least in theory. In practice, things are a lot different.

So, I started searching. I was sure I was not the only one who was having these thoughts.

This is an interesting blog article on that subject. A very short one, but serves the purpose.

How Many Administrators Does It Take to Run A Hospital?

From KevinMD:

… for every one doctor there are 5 more are employed to do administrative tasks.

And, frankly, it’s ridiculous. As Dr. Cutler says, “There is a lot of money spent doing things that in no other industry do we tolerate.”

If you want to find out how many administrators it takes to run a hospital, ask yourself how many work on the weekend.

That number should be just about right.

-Wes

 

Once you have finished that,  please see this article for more data on this and wasteful hospital expenditure

Dr.Easwar’s Spine & Scoliosis Surgery Website launched at http://spine-india.com

My spine clinic website has been launched !

Dr.Easwar's Spine Collage
Thanks to all my patients who have trusted me and helped me be part of their healing
Dr.Easwar Spine Website - Logo
Dr.Easwar Spine Website – Logo (All Rights Reserved)

Find it at http://spine-india.com

All queries regarding Spine Surgery, Scoliosis, Paediatric Deformities can be posted and I will get back to you

Thanks,

Dr. Easwar

AuShadha Open Source Public Health Management EMR System at GitHub has a official logo

Image Image

LICENSE: Image

Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License

AuShadha Project home: http://dreaswar.github.com/AuShadha/