1. Prepared to be presented in the Conference on “Electronic Medical Record Keeping” to be held on 11 th November 2015 at 10.00 AM in Bangabandhu Sheikh Mujib Medical University Prof. Md Sayedur Rahman Director (IT), BSMMU

2. Outline of presentation Present Situation EMR, EHR and PHR Structure and Features of EMR designed for BSMMU Hospital Expected benefits Future development plan and Resource requirements

3. Present Situation

4. Transformation to Paperless

5. EMR, EHR and PHR Electronic Medical Record (EMR): An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization.

6. EMR, EHR and PHR (cont.) Electronic Health Record (EHR): An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one health care organization.

7. EMR, EHR and PHR (cont.) Personal Health Record (PHR): An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual.

8. Structure and Features of EMR designed for BSMMU Hospital Outdoor Patient Management Patient Appointment Patient Registration and Admission Patients queue management Doctor’s Dashboard Laboratory investigations (if required)

9. Structure and Features of EMR designed for BSMMU Hospital Imaging investigations (if required) Prescription generation

10. Structure and Features of EMR designed for BSMMU Hospital Indoor Patient Management Patient Registration and Admission Physicians Order Form Nurse’s Dashboard Laboratory Technician’s Dashboard Discharge Form

11. Outdoor Patient Management

12. Log in Screen….…This screen only for patient registration and admission counter. A relevant person need to enter an employee ID and a password to open the screen.

13. Registration screen. This screen contains some particular necessary data of a patient and a life time unique ID number.

14. Patient will also be given a smart card having with this ID number as well as some necessary information of the patient ………….

15. This is the patient’s out-door ticket or slip……  This out-door ticket contains a serial number with some necessary information and a bar-code sign.

16. This is a digital display board for patient’s queue management. This display board shows the patient name, ID, appointment time- type, serial number, arrival time, doctor’s name, department name,room number and floor number.

17. Log in Screen for Doctors. Doctor will be provided an employee ID and a password to open his/her dashboard.

18. This is a doctor’s dashboard.

19. At the bottom of the Clinical data template there are some other necessary fields like “ Additional Question, Previous Drug History and Side Effect of Previous Dose of Drug”

20. A completed clinical data sheet

21. This is a list of around 3500 ICD 10 Diagnosis code list provided by DG health.

22. This field is used for “Provisional Diagnosis” A doctor can write here independently.

23. This button bellow is used for giving lab investigation for a patient.

24. This is the special laboratory investigation list which are frequently used by the relevant department.

25. And this is the common laboratory list for every department.

26. Click the ‘P’ button/Icon to enter the required Drug(s)

27. Select the drug from the list….enter ……. U/M…..Route…..Strength……Frequency……Duration…….Remarks……. Special Advice…..Next Visit…………………….Press F10/Save button

28. Click the R button/Icon to enter the required Imaging(X-ray/CT-Scan/USG etc)

29. Press the “Refresh” button to see all the services at a glance…..

30. To see the prescription preview…. Click the Print Prescription button

31. Preview of Complete Prescription ….

32. Indoor Patient Management

33. This is an inpatient (indoor) registration menu…..

34. This button for admit a patient

35. Patient admission form

36. Preview of the patient information and admition form…….

37. This is a physician’s order ( inpatient prescription ) menu bar……

38. This is a clinical discharge tab button.…..

39. This is a physical discharge form…….

40. Discharge patient list…….

41. Final discharge summary ( Preview )…….

42. Nurse’s Dashboard

43. Laboratory Technician’s Dashboard

44. Expected Benefits

47. Evidences and Experiences from others

53. Watch out on Starboard !! WAIT: We are in the middle of a conference on iceberg avoidance TITANIC

54. Thank You Thank You