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Non-Physician Primary Healthcare Workers
life log and Figure 12.11 shows it further. Examples include recording of cold cough, fever,
vomiting, etc. whenever they occur.
As depicted in Figure 12.12, during the next visit, the previous occurrences of illness
recorded to the system through mobile will be discussed by the physician.
The second component is handled by the paramedical worker. When the child comes to
the hospital, the complaints are further discussed in detail and recorded to the system, as
shown in Figure 12.13.
This can save tremendous time for the physician. For example, we can consider a very
common problem diarrhea. World Health Organization classifies diarrhea into three
groups: Those requiring admission to hospitals—children who have not passed urine in
the last 8 hours or sick looking children; children requiring antibiotics and children who
need only oral rehydration solution. It will take latest 2 minutes to gather all the information and to take a decision. So for 50 patients in a day, it would mean 100 minutes. This
can be easily done by the paramedical worker. The software discussed here helps them
to do so. Moreover, even if data are entered wrongly by the worker, this can be always
be corrected by the physician. This portion of the data can be stored in both the hospital
computer and parent mobile.
After the basic complaints are entered, the growth of the child is recorded. One distinguishing feature of children is their growth. Weight recording tells about the immediate
past events of the child (Figure 12.14).
For example if a child had weighed 9 kg last month and now it is 8 kg, then the cause
should be found out.
Head circumference measurement is a quick guide to the brain development of the
child. Any child delay in brain development has to be picked up in the first year of life.
BOX 12.4 SPECIAL FEATURES OF THE HELYXON® EHR SYSTEM
1. Migrated to the latest Python 3.4 and Django 1.8.
2. Added support for use by multiple physicians.
3. Enhanced account management and registration API to support registration
of children and access of child data by parents.
4. Improved messaging by adding support for email and SMS integration.
Developed scheduled jobs which will automatically message parents for
appointment, vaccination reminders, inform parents of any communication
from physicians, etc.
5. Developed an appointment system which supports both slot and tokenbased booking.
6. Developed a vaccination system for managing child vaccination as per IAP,
reminders to parents, advisory information for parents, etc.
7. From the physician’s perspective, inventory management for stocking vaccination, automated order processing for vaccines with the vendors/pharmacist chosen by physician, forecast to the physician for managing vaccination
inventory.
8. Growth charts for track and monitor child growth as per Indian Academy of
Pediatrics (IAP) standards.
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