Page 11 - Informatics, April 2022
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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



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