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An Analysis on the effectiveness of Dynamic Clinical Framework for Information Capture in a Hospital Management Informa

What is Clinical Content?. Clinical content includes but is not limited to theChief complaints Medical historyClinical signs and symptomsLaboratory and imaging resultsPhysicians' consultations Bedside/Chart vital signs flow sheets etc. Capturing Clinical Content in a HMIS. Free Text Indiv

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An Analysis on the effectiveness of Dynamic Clinical Framework for Information Capture in a Hospital Management Informa

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    1. An Analysis on the effectiveness of Dynamic Clinical Framework for Information Capture in a Hospital Management Information System

    2. What is Clinical Content? Clinical content includes but is not limited to the Chief complaints Medical history Clinical signs and symptoms Laboratory and imaging results Physicians’ consultations Bedside/Chart vital signs flow sheets etc

    3. Capturing Clinical Content in a HMIS Free Text Individualized Clinician narrative Not standardized Important content may be missed. Templates Encode Information using controlled vocabulary. Information capture in a structured manner

    4. Capturing Clinical Content in a HMIS Static Templates: As per end user requirement by developers. For every change Intervention of developer required Changes at Application and Database level. Dynamic Templates: Design by the end users as per their requirement. Presentation of form can be revised and re-revised by end users. No changes at Application or Database level

    5. Static Template

    6. Static Template

    7. Problems with Static Templates Ensuring completeness at outset in static templates. Cannot create new templates on the fly. A missing item cannot be added on the fly. Cannot revise with ease and without developer Intervention. Changes required at application as well as database level.

    8. HMIS: Dynamic content capture Need: HMIS application to allow the flexibility to the hospital to customize clinical content as required.

    9. HMIS: Dynamic content capture Need: HMIS application to allow the flexibility to the hospital to customize clinical content as required. Solution: A Framework has been integrated within e-Sushrut which serves as a support or guide for the building of clinical templates.

    10. e-Sushrut: Dynamic Clinical Framework Maintains a repository of default minimalistic specialty wise clinical templates Allows editing/revisions/maintenance of the standard repository Allows creation of completely new Speciality wise clinical templates Loosely coupled with the Database and Application.

    11. e-Sushrut: Dynamic Clinical Framework Maintains a repository of default minimalistic specialty wise clinical templates Allows editing/revisions/maintenance of the standard repository Allows creation of completely new Speciality wise clinical templates Loosely coupled with the Database and Application.

    12. Clinical Content:Hospital Manual Forms

    13. Dynamic Templates :Requirements Broad template types: Simple parameter based. Matrix based relationships.(Parent-Child) Standard forms Medical certificate Fitness certificates Consent forms etc.

    14. Dynamic Templates: Implementation Dynamic Template Designer Controls placed in a n x n matrix in the template. Drag and drop mechanism. Controls allowed are Textbox Label Text Area Combo box Custom Controls etc. Property Sheet for each control

    16. Property Sheet: Textbox Control

    17. Additional Template Features Provision to embed formula . Fields shown or hidden selectively. Defining custom controls. Re-usability within the parameters Handling Performance Issues

    18. Additional Template Features Provision to embed formula.

    19. Additional Template Features Fields shown or hidden selectively.

    20. Additional Template Features Custom controls Treating multiple controls as a group. Incorporating text editor within Text Areas

    22. Additional Template Features Provision to embed formula . Fields shown or hidden selectively. Defining custom controls. Ensure Re-usability within the parameters. Handling Performance Issues

    23. User Interface using Dynamic Template

    32. Clinical Content: Hospital manual forms

    33. Forms using Dynamic Template

    34. e-Sushrut : Integration of Dynamic Template

    35. Conclusion Dynamic Clinical templates ensure Standardized EPR (Electronic Patient Record) using controlled vocabulary. Reduced clinical variance in care of patients. Flexible and customizable (within policies and guidelines) information capture. Disallows disparate data in a variety of unsearchable formats. Meaningful analysis of data leading to Clinical Research. Improved quality and efficiency of patient care

    36. References http://en.wikipedia.org/wiki/Framework Last Accessed 26-Feb-2010. Architectural Frameworks for Business Information System Analysis and Design by Jacques Trienekens1, Hans-Henrik Hvolby, Kenn Steger-Jensen, Peter Falster http://www.ehealthonline.org/interview/interview-details.asp?Title=Clinical-Reporting-A-fresh-perspective&interviewid= 644# Last Accessed 26-Feb-2010.

    37. Thank You

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