C-DAC Products in Health Informatics
Healthcare is one of the most important aspects of human life.
C-DAC's Sushrut, a Hospital Information System (HIS) has been developed with the objective of streamlining the treatment flow of a patient in the hospital, while allowing doctors and other staff to perform to their peak ability, in an optimized and efficient manner.
The HIS developed by C-DAC is modular, thus ensuring sustained benefits through changes in technology, protecting and providing optimal returns from the investment. It is modeled on a unique combination of a 'patient centric and medical staff centric' paradigm, beneficial to the recipients and the providers of healthcare.
HIS uses a network of computers to gather, process, and retrieve patient care and administrative information for all hospital activities to satisfy the functional requirement of the users. It also helps as a decision support system for the hospital authorities for developing comprehensive health care policies.
MERCURYTM, C-DAC's Integrated Telemedicine Solution
Telemedicine is the use of Tele-communication and information technologies to provide clinical care at a distance. Consider a typical Telemedicine interaction, The Patient goes to a Doctor, who after examination of the patient's file, feels the need for a second opinion? The Doctor then consolidates the relevant clinical data into the patient's Electronic Medical Record
(EMR) and then seeks an opinion of the Specialist using Tele
Consultation. A connection to the Specialists Workstation is initiated from the Patient end and the Patient's data is uploaded, The Specialist then examines the data, makes a diagnosis, provides advice, and suggests a course of ;action. The two Doctors get on to a video-conference to jointly arrive at the diagnosis and the course of treatment. This advice is then transmitted back to the presenting Doctor at Patient end who takes appropriate action.
This essentially avoids patient discomfort of having to travel to the Specialist's office/ clinic without the Specialist having to visit the patient; this is especially important if the patient is in trauma, Thus right care can be provided at the right place at the right time with minimal discomfort to all concerned. This sort of interaction is becoming quite common. C-DAC’s Integrated Telemedicine Solution, MercuryTM provides an Integrated Solution to make such interactions possible and more. MercuryTM can be used to provide Telemedicine Consultation for various fields of medicine - Tele-Radiology, Tele-Cardiology, Tele-Just-About Anything.
MERCURYTM Web Telemedicine
The Mercury TM We Telemedicine Central (MWT-C) is centrally implemented Telemedicine solution that allows full web-browser based telemedicine interaction. The solution packs ability to support both multiple specialists and patient nodes. The server stores the data centrally and is accessible to any authorized RTC users and the specialists of The
The solution also includes a local server that can be used in case where continuous connection to the central server is not, Available, in such a case, the Mercury TM Web Telemedicine Distributed (MWT-D)component allows local access and storage with later synchronization with the central server. The features of the distributed module are similar to
that of the central server albeit with some restrictions.
The solution provides multiple features like security, scheduling, forms
and files data entry, image view / operation / manipulation support, offline data transfer within the deployment or such other deployments outside, and much more.
“eSanjeevani” is a web-based comprehensive telemedicine solution. It is modeled on 'Sanjeevani’ – HIE Divisions' flagship integrated telemedicine solution. 'eSanjeevani’ too extends the reach of specialized healthcare services to masses in both rural areas and isolated communities. Besides enhancing quality of medical services, addressing issues pertaining to uneven distribution and shortage of infrastructural as well
as human resources, eSanjeevani also aims to make healthcare services equitable by bridging the digital
divide that exists between the urban vs. rural, rich vs. poor etc. eSanjeevani can also be used to provide medical education to interns, people across various Common Service Centres(CSCs), etc.
Telemedicine refers to the use of electronic communication technologies to provide clinical care. Telemedicine enables a physician or specialist at one site to deliver e-health, diagnose patients, give intra operative assistance, provide therapy or consult with another physicians or paramedical personnel at a remote site. The aim of Telemedicine is to provide expert-based health care to understaffed remote medical sites and to provide advanced emergency care through modern telecommunication and information technologies. There are many different disciplines in telemedicine such as Teleradiology, Telepathology, Teleconsultation, Teleconferencing and Telepsychiatry. Telemedicine can be defined as the investigation,
Monitoring and management of patients, using systems which allow ready access to expert advice and to patient information, no matter where the patient or relevant information is located. Telemedicine involves the online transfer of records, on-line help and home care from one location to another. Earlier there were face-to-face communications that were free flowing and spontaneous. But these days through telemedicine the patients and doctors can interact through videoconferencing to another doctors sitting at another site. Increasingly, computer technology will allow much of the work currently being carried out in hospital, to be carried out in people's homes, in an effort not only to improve the efficiency and standards of patient care, but also to reduce its cost drastically. Telemedicine is not another technology but a process that focuses on the individual to provide greater access and increased knowledge on e-health. It empowers the individual to manage his/her own personal e- health, and integrates information to allow the smooth flow of services and products throughout the healthcare system. There are four main components of Telematics, all of which are applicable to e-health:
Case Handling/Message Passing
Telemedicine can benefit isolated communities and areas where access to specialized care is difficult or near to impossible. In terms of attaining equitable health care in remote and isolated areas, telemedicine software applications are of particular interest in several ways:
Physician referrals can be reduced by as much as 80% by connecting primary care physicians to specialists.
Can improve access to specialty care in some areas, particularly in rural and hilly areas.
Can improve the quality of care to patients through more timely delivery of medical services to the point of care.
TEJHAS, provides a means to deliver healthcare services that are comprehensive, efficient and accessible. This package provides total automation of patient treatment providing an integrated health record for the patient and ensures efficient and optimal performance of the hospital. This system helps the clinicians to function efficiently by providing right patient information at the right time and provide real time data for tele consultation from Nodal centres. This HIS (Hospital Information System) is a modular, thus ensuring sustained benefits through changes in technology, protecting and providing optimal returns
from the investment.
Modules of TEJHAS:
It is modeled to provide benefits to both the recipient and the providers of healthcare. The aim of HIS is
to use a network of computers to collect, process and retrieve patient care and administrative information for all hospital activities to satisfy the functional requirement of the users. It also helps as a decision support system for the hospital authorities for developing comprehensive health care policies. One of the major objectives of the TEJHAS is to enhance quality of life through an integratedâ€TM computerized information system for improved hospital administration and patient health care. HIS also provides for an accurate, electronically stored medical record of the patient. A data warehouse of such records can be utilized for statistical purposes and for Research.