The first version of Care 3.0 will target at building the minimum required flow for an hospital to support an OP consultation.

graph LR
    A[Registration] --> B[Billing for Registration]
    B --> C[Consultation Request]
    C --> D[Token Issued]
    D --> E[Consultation Starts]
    D --> F[Vitals Recorded]
    F --> E
    E --> G[Service Requests]
    E --> H[Prescription Issued]
    E --> I[Inpatient Admission]

The minimum viable product will require the following features.

• Patient Management (Registration, Encounter, Consultation, Progress Notes)
• Scheduling (Tokens, Slots)
• Billing
• Inventory
• Pharmacy
• RBAC

Basic EMR of a Patient in OP flow

The Patient Management system will have the following key element.

Patient Registration

1. Basic details
   • Phone no.
   • Name
   • father/husband/mother/wife’s name
   • Sex
   • Age (Year of Birth, Date of Birth)
   • Address
   • Landmark (free tex space)
   • Emergency Phone No. and name
2. Social Profile
   • Occupation [Choice]
   • Ration card status [APL/BPL…]
   • Socio economic status; Well off/Middle Class/Poor/Very poor
   • Has domestic healthcare support? < no / yes, family member / yes, paid caregiver >

Patient Health Profile

1. Past Medical History

   1. Diagnosis

      code: SNOMED CT code for the diagnosis

      description: Description of the diagnosis (derived from the code)

      date: Date of diagnosis

      status: Current status of the diagnosis (e.g., ongoing, resolved)

   2. Procedures

      code: SNOMED CT code for the procedure

      description: Description of the procedure (derived from the code)

      date: Date of the procedure

   3. Ongoing Medications

      code: SNOMED CT code for the medication

      description: Description of the medication (derived from the code)

      dosage: Dosage of the medication

      frequency: Frequency of administration

   # With SNOMED CT the object would possibly look like this. 
   {
     "diagnosis": [
       {
         "code": "38341003",
         "description": "Hypertension",
         "date": "2018-03-15",
         "status": "ongoing"
       }
     ],
     "procedures": [
       {
         "code": "80146002",
         "description": "Appendectomy",
         "date": "2016-08-10"
       }
     ],
     "ongoing_medication": [
       {
         "code": "389012000",
         "description": "Lisinopril",
         "dosage": "10mg",
         "frequency": "once daily"
       }
     ]
   }
   

2. Health Information

   • Blood Group
   • Allergies
   • Immunisation records [we should have an option to record Immunisations in the system]
   • Wellness Records [Not sure what this is]
   • Disability status
   • Mobility Status
   • Use of assistive devices
   • Enteral and Urological Access Devices

Consultation

OP Setting

• Chief complaints
• Presenting illness
• Past history - medical history [HP], diagnosis, procedures done, [All with dates]
• Personal History → habits, cycles [HP]
• Allergy History [HP]
• General Examination, can capture vitals
• Local examination → free form text / templates / re consider the design choice
• Investigations
• provisional diagnosis
• treatment plan

IP Setting

• A large text box where the doctor suggest