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OVERVIEW
This module is used by doctors when they are having a patient consultation. Through this module you can view information from a patient's previous visit(s), enter complaints and details from the current visit, and create lab, pharmacy, and radiology orders in response to the patient's condition.
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GOALS AND NON-GOALS
Goals:
- Allows the doctor to conduct a patient visit. During this visit, the doctor will be able to enter details of patient history, examination, diagnosis, and treatment.
- Doctors have an up-to-date list of patients, which have been assigned to doctor(s) by the head nurse.
- Doctors can receive alerts (from Pharmacy, Lab, others) to inform them of important cross-system updates.
- Allows doctors to refer patients to other doctors for a follow-up OPD consultation.
- Can view a patient record, showing registration information, vitals, and visit history.
Non-Goals (out-of-scope):
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FUNCTIONALITY
View List of Patients Assigned to a Doctor
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Diagnosis
The purpose of diagnosis is to compile the information found during the visit (vitals, history, examination) and suggest a root cause for the health problem.
Our diagnoses will be categorized according to an existing medical classification system, such as ICD-10.
Treatment
Treatment is the set of
- medicines
- instructions
which are given to the patient following the diagnosis.
Past Visits
The purpose of viewing past visits is so that a doctor can look at prior patient records and inform her current decision making. We propose organizing this information via a "timeline" functionality. This will show a date which corresponds to each prior visit along a timeline. By clicking on that date, you will be taken to a read-only version of that OPD consultation, allowing you to see all doctor's notes which were written at that time. Additionally, this read-only version should surface the most important data easily; for example, if social history wasn't entered for a given visit, then that tab should be disabled/greyed out to prevent a user from wasting time clicking on a page with no information.
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DEPENDENCIES
(IN) signifies that data flows "into" OPD from that module.
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- (IN) The screening nurse may assign a patient to a one or more specific doctors for a full OPD consultation.
- (IN) The screening nurse may request a lab order for a patient. This request must appear in the OPD in order to be approved by a doctor (which doctor?).
- (IN) The screening nurse may request a prescription (pharmacy order) for a patient. This request must appear in the OPD in order to be approved by a doctor (which doctor?).
- (OUT) A doctor may unassign a patient from himself, returning the patient to the screener list.
- (OUT) A doctor may assign a patient to other doctors, causes the patient to appear in other doctors' lists.
Pharmacy
- ()
Laboratory
- ()
Developer Design
Test Design
Notes
DEVELOPER DESIGN
TEST DESIGN
NOTES
JIRA tag: "outpatient"/"opd"
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OPEN ISSUES
| Issue | Who Asked | Last Updated | Answer |
|---|---|---|---|
| Can the head nurse screen a patient to more than one doctor? Or should a patient always be assigned to exactly one doctor? What about emergency situations? | Nathan Leiby | Jul 25, 2012 | ?? |
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REFERENCES
- Medical Classification, Wikipedia – http://en.wikipedia.org/wiki/Medical_classification
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