Page 11 - Informatics, April 2022
P. 11
In Focus
returns the probability of COVID-19 infection that and 7549 officials have been trained on differ-
with a confidence score which is sent to the ent applications and their modules.
Radiologist for validation. Once the validation is
-Hospital Suite has been strength- done by the Radiologist, the result is sent back Way Forward
eening the patient’s and hospital to the requested health facility for further action. It has been realized that Healthcare delivery
back-end services in public hospitals Similar work has been done for detection of requires every healthcare professional to leverage
in India since 2010. Services like Online technology. To bring fast implementation, provide
Appointment, Registration, Viewing of Tuberculosis (TB) through Chest X-Rays. scalability and better UI/UX, Next-Gen e-Hospital
Lab Reports, IPD (ADT) and Billing had CollabDDS has been implemented in Karnataka Suite has been initiated and agility has been
left significant mark in the hospitals and more than 1700 cases have been diagnosed brought into development. CollabDDS is being
like KGMU, Lucknow, AIIMS, New Delhi, by remote radiologists. enhanced with the support of Artificial Intelligence
NIMHANS, Bengaluru, Dr RML Hospital, (AI). It will help radiologists to find anomalies
New Delhi and about 200 district hospi- Development Stack &
tals across the country. Architecture that could escape the human eye or are simply
I congratulate State Governments, e-Hospital Suite has been developed using missed because of overworked experts. Patient
Hospital Administrators, Nodal Officers open source technologies with Linux as Operating Services will be further strengthened on ORS so
and NIC officers, who worked tirelessly System, Apache as Web Server, Tomcat as that patients get more services at their homes.
to bring e-Hospital Application Server, PostgreSQL as database, Java Solutions around AI based disease-specific
tool implementa- as Programming Language. HL7 Development analysis especially to end TB are being developed.
tion to this level. Big Data Analytics is required as lots of patient
Framework has been used as per recommendation data has already been accumulated. IoT based
of MoHFW. Health Standards for EHR including wearable devices integration with e-Hospital
SNOMED CT, ICD, LOINC and DICOM have been HMIS is another area where exploration is.
used. There are immense possibilities to integrate
Coverage of e-Hospital Suite numerous applications, devices and platforms
The e-Hospital suite has touched upon all with e-Hospital Suite to realize the dream of
electronic health records of every citizen of India.
the states implementing one or more of its ap-
plications. But some of the implementation has
left major impact and come up after facing lots
Sunil Kumar of challenges. Major hospitals which implemented
Deputy Director General & HOG e-Hospital HMIS includes AIIMS - Delhi, Rishikesh,
e-Hospital and ORS Bhopal; NIMHANS Bengaluru; Dr. RML Hospital,
NIC, New Delhi Delhi; Safdarjung Hospital, Delhi; King George’s
Medical University, Lucknow; NDMC Charak Pa-
lika Hospital, Delhi; Silchar Medical College, As- Naveen Kumar
sam; RIMS Manipur; NEIGRIHMS, Meghalaya; Lady Scientist -F and HoD
Hardinge Medical College, New Delhi. e-Hospital and ORS, CollabDDS
first teleconsultation is also available, which Major hospitals, which implemented ORS in- naveenkumar@nic.in
can be accessed during subsequent follow-up cludes AIIMS – Delhi, Rishikesh, Bhopal, Patna,
consultations. During COVID-19 pandemic, more Jodhpur, Bhatinda; RIMS Jharkhand; NIMHANS
than 17,000 teleconsultations have been done in Bengaluru; IGIMS Patna; Dr. RML Hospital, Delhi;
44 hospitals/institutions across the country. Safdarjung Hospital, Delhi; PGIMER Chandigarh; Bhuwan Chandra Mishra
Lady Hardinge Medical College, New Delhi; Sports Scientist-F
CollabDDS Injury Centre, New Delhi. bcmishra@nic.in
CollabDDS (Collaborative Digital Diagnosis Karnataka and Tripura have been able to im-
System) is a teleradiology application by which plement e-BloodBank effectively in their states
health facilities, not having radiologist, can covering most of their Blood Banks. Karnataka
upload the x-ray images and radiologist sitting state has implemented CollabDDS in effective Sandeep Chopra
at the remote location can visualize image data manner however tele-medicine has been imple- Scientist-E
online and prepare the report. Such reports and mented in Uttrakhand effectively during Covid-19 sandeep.chopra@nic.in
images are also visible to doctor, who uploaded it, era.
for further diagnosis and prescription.
Different modules of the CollabDDS are hospital Training and Capacity Building
and user registration, role-based authentication Once a hospital takes the decision to imple-
and authorization, Collaboration/Reviewer, ment any of e-Hospital suite’s application, the re- Nilkamal Dey Purkayastha
and DICOM/Image viewer with functionality to quest for training and capacity building is immedi- Scientist-D
image manipulation and annotations. CollabDDS ately received and hospital identifies officials for nilkamal.dp@nic.in
is also integrated with external applications the training. Mostly, training is provided to Nodal
like telemedicine for uploading of images from Officer, Doctor, Nurses, Hospital Staff, Data Enter
application side. Operators. The training is customized as per the
Artificial Intelligence (AI) enabled CollabDDS plan of implementation based on ICT infrastruc- Contact for more details
has been envisaged during COVID-19 pandemic ture and staff availability. Mostly, training is im- Naveen Kumar
to detect COVID-19 through Chest X-Rays. In parted module by module on the training server. Scientist -F and HoD
CollabDDS, an interface has been developed to Handholding is done during the practice sessions. e-Hospital and ORS, CollabDDS
upload an image from the health center which is User Manuals are made available to the end-us- NIC HQRS, A-Block, CGO Complex, New Delhi- 110003
sent to the AI model for prediction. The AI model ers. 474 Training Sessions have been conducted so Email: naveenkumar@nic.in
14 informatics.nic.in April 2022

