Re: [Health] My updates on GNUHealth Implementation

[Luis Falcon]

Dear Yusif

Thank you for your email, and for the feedback on GNUH Health at your 
Hospital!


On 10/18/21 22:16, Yusif Suleiman wrote:
> Dear All,
> *I write to report on the progress so far gone and then seek for a 
> solution to our challenges on the implementation of gnuhealth.*
> *
> *
> **Installation Overview**
> **GNUHealth was installed on OpenSUSE Leap 15.3 on VirtualBox via 
> Windows10 host machine for the purpose of managing Medical Microbiology 
> test results.*
> *
> **
> **
> ***Installation and configuration of institute was successful, system 
> users were added, gnuhealth can now be access from the computers on the 
> network using Windows Tryton client. *

I recommend using the native GNU Health client.
> **
> ***
> ***
> ***Background of the Hospital***
> ***
> ***
> ****The Institute where gnuhealth was installed is decentralize 
> settings, where different software applications are deployed for 
> different purposes.*
> ***
> ****
> ****
> ****Hundreds of patients are visiting the hospital on daily basis. 
> Patients basic information are collected in the records office at the 
> general out patient department (GOPD), each patient is assigned with a 
> unique hospital number (unit Number), this unit number is what records 
> officer is using to retrieve patient folder in case of revisit, and the 
> number goes along any request of the individual patient (ie. Lab test, 
> xray and others), see attached lab form 
> https://paste.opensuse.org/29814996 <https://paste.opensuse.org/29814996>.*
> ***
> ****
> ****
> *****Among the patients, similar names (both surname & othername) are 
> commonly found, the patient unit number is used to differentiate those 
> similar names.*
> ****
> *****
> *****
> *****Microbiology Lab*****
> ******Because of the nature of the hospital (see attached flowchart 
> https://paste.opensuse.org/82473828 
> <https://paste.opensuse.org/82473828>), only a paper lab request form is 
> directed to the laboratory for investigation, see attached lab form 
> ****https://paste.opensuse.org/29814996 
> <https://paste.opensuse.org/29814996>****. ******
> ******
> ******
> ******A lab number will also be generated at the reception to assigned 
> for an individual specimen going to the lab. Therefore, a laboratory 
> staff has to initiate a lab request at that lab reception in the 
> computer for any request directed to the lab. This will allow a staff in 
> the Lab computer room (LIS) to retrieve that patient request and input 
> his results on the software for printing.*
> *****
> ******
> ******
> ******Challenges ******
> *******>>On the request forms, patients’ date of birthcannot be attained 
> because only age is on the request forms sent to the lab, and some 
> request forms are sent with ‘Ad’, written as adult on the age field.*

The date of birth in your report and the "Ad" remark can be added in 
your custom report. That should be no problem.

> ******
> *******
> *******
> ********When Ad is written on the request form, we keyed in A on the DoB 
> field, gnuhealth accept but nothing appears at age field on patients 
> record.*

The DoB is a date field. We can not type in different characters, just 
numbers.

We could easily add a field that shows whether the person is an adult 
based on the date of birth and age of adulthood for a particular country.

> *******
> ********
> ********
> ********>>*When adding a new patient to the Patients module, lists of 
> all patients with similar names are showing (see attached adding a 
> patient name https://paste.opensuse.org/55877373 
> <https://paste.opensuse.org/55877373>). this may cause confusion on 
> which name to select between names on the list.*********

Always use the person unique ID to create the patient. Just type in the 
person ID in the patient field and it will retrieve the right person, 
always.
Using person's name for identification purposes is not a good idea :)

> *********
> *********
> *********>>*The lab number generated at the reception do not have space 
> in gnuhealth, and we try to use gnuhealth lab order number or Test ID, 
> but both numbers do not display at a point of making the request, they 
> only shown on Lab Test Requests module & Lab Tests Results module 
> respectively.**********
> **********
> **********
> ***********In view of the workflow on this kind of environment (see 
> attached workflow https://paste.opensuse.org/82473828 
> <https://paste.opensuse.org/82473828>), those numbers cannot be use to 
> retrieve a request for the results to be entered, since the numbers 
> don’t show when making the request.*
> **********
> ***********
> ***********
> ***********>>*In a situation when two same names (i.e Rose Ene) 
> requesting same lab request (ie. both swab mcs), see lab test request 
> https://paste.opensuse.org/42612665 
> <https://paste.opensuse.org/42612665>. Those two names will not be 
> differentiated at a point of entering the patients' results, especially 
> when those similar names are many on the system.************

As in the case of the person, we should always use the order ID for lab. 
There will be people that share the same name and lastname, and there 
will be many labs from the same person.
It's always recommended to use the order ID. That will always work.

> ************
> ************
> *************I am sorry for this long text; I make it possible to 
> summarized but still to be clear.*
> ************
> *************I want to use this opportunity to appreciate the support 
> from all the community members, especially Dr Edgar for his diligent & 
> attentive effort.***************

Yes, Edgar is always there to help. Thank you, Dr Hagenbichler!


> **************I hope to find a solution to the above problems. *
Let's coordinate a conference one of these days with you, Edgar and 
myself, so in addition to the tips on this mail, we can discuss in 
detail the best approach.

Thank you again for using GNU Health, sharing your ideas and feedback.

Looking forward to the talk!

--
Dr. Luis Falcon, MD, MSc
President, GNU Solidario
Advancing Social Medicine
www.gnuhealth.org