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.
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.
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.
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.
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.
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:
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.