342 lines
11 KiB
Markdown
342 lines
11 KiB
Markdown
# E-Atria Hospital Management System (HMS)
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## Complete Feature Overview — Presentation Reference
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---
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## 1. Patient Management
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> Unified patient registry — single source of truth for every patient interaction across all departments.
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- **Patient Registration** — UHID auto-generation, demographics (name, DOB, gender, address, contact)
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- **Multi-mode Search** — by name, UHID, phone, Aadhaar, old UHID (migrated legacy records)
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- **Identity Documents** — Aadhaar, insurance card, ABHA card storage and display
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- **Patient Photo Capture** — webcam or upload; displayed across all modules
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- **Document Attachments** — scan and attach files to patient record
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- **Family Tracking** — link relatives/guardians
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- **ABHA Integration** — create, verify, and link National Health ID (ABHA)
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---
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## 2. OPD — Outpatient Department
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> End-to-end outpatient workflow from appointment to e-prescription.
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### Appointments
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- Doctor-wise appointment scheduling and calendar
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- Walk-in and pre-booked slots
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- ABDM Scan & Share QR-based token check-in
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- OPD queue management with token-based access display
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### Clinical Documentation
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- **Vital signs** — BP, pulse, temperature, SpO₂, weight, height, BMI
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- **Chief complaints** — structured master + free text
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- **Diagnosis** — ICD-linked disease master with SNOMED-CT coding
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- **Prescription** — medicine, dosage, frequency, duration; group prescriptions for common regimens
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- **Lab investigations** — inline requisition from consultation
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- **Clinical advice** — reusable templates
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- **Drug allergy tracking** — ADR history with structured capture
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- **Previous visit history** — timeline across consultations
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### AI Clinical Assistance
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- AI-drafted chief complaints
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- AI-drafted full prescription
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- Auto-fill clinical sections from patient history
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- AI extraction of lab values from scanned reports
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### Templates & Configuration
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- Custom print template builder (letterhead, plain paper)
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- Section templates for reuse across visits
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- Investigation shortcut groups
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- Prescription group management
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### Printing & Sharing
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- OPD invoice generation and printing
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- Prescription PDF (letterhead & plain paper formats independently)
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- Referral letter generation (PDF)
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- FHIR e-Prescription bundle generation and ABDM sharing
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---
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## 3. IPD — Inpatient / Admission Management
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> Full hospital admission lifecycle including nursing, charges, and discharge.
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### Admission
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- Patient admission registration linked to bed
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- Admission history / HPI (History of Present Illness) documentation
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- Multiple attending doctor assignment
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### Nursing & Clinical Care
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- Nursing notes / charting by shift
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- Bedside item charges (consumables, nursing items)
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- Doctor visit charge recording
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- Paper-based nursing form scanning and digitisation
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### Bed Management
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- Multi-level hierarchy: Department → Ward → Category → Individual Bed
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- Real-time bed occupancy dashboard
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- Bed transfer tracking with history
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- Maintenance log for beds
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### IPD Billing
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- Charges: bed, nursing, doctor visits, investigations, procedures, consumables
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- Package-based billing (fixed-rate procedure bundles)
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- Ayushman Bharat / insurance package mapping and claim sheet generation
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- Multiple payment modes: cash, bank, TPA
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- Payment deduction / adjustment
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- Cash balance report and export
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### Discharge
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- Discharge summary generation with configurable HTML editor
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- Section templates for clinical course, diagnosis, procedures, dietary advice
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- ICD diagnosis coding on discharge
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- Surgery / procedure documentation
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- Discharge PDF with letterhead / plain paper template selection
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- FHIR discharge summary bundle for ABDM sharing
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---
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## 4. Diagnosis — Laboratory & Imaging
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> Covers all diagnostic modalities from pathology to advanced imaging.
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| Modality | Type |
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| Pathology | Lab tests, panels, reference ranges |
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| Biopsy | Histopathology reporting |
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| X-Ray | Imaging report + file upload |
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| Ultrasound | Report + image gallery |
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| MRI | Report + DICOM viewer |
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| CT Scan | Report + DICOM viewer |
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| Echo | Echocardiography report |
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### Core Lab Features
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- Lab request from OPD, IPD, or walk-in
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- Sample collection tracking
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- Test parameter entry with normal range validation
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- Combined / compiled multi-test PDF reports
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- Lab number and timing tracking
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- Report verification workflow (technician → doctor sign-off)
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- NABH-compliant audit trail for edits (reason required)
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### Imaging Features
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- Image and scan file upload per report
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- DICOM image viewer
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- AI-assisted DICOM diagnosis suggestions
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- Image gallery per patient
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### Reporting
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- Professional print-quality PDF reports (letterhead and plain paper)
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- Compiled multi-modality reports
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- AI extraction of values from scanned/photographed lab slips
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---
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## 5. Pharmacy / Medical Store
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> Comprehensive pharmacy operations from purchasing to dispensing.
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### Dispensing
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- OPD, IPD, and counter-sale pharmacy billing
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- Patient-linked, IPD-linked, and organisation-linked invoices
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- Medicine search with batch, expiry, and stock visibility
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- Medicine return / credit note
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### Inventory Management
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- Drug master: generic name, brand, formulation, strength, category
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- Batch-level tracking with expiry dates
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- Expiry alert reports (near-expiry and expired)
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- Stock transfer between locations
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- Stock reconciliation
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### Purchasing
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- Purchase order creation and tracking
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- Supplier invoice management
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- Goods receipt and stock update
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- Purchase return to supplier
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- Challan / delivery note generation
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### Masters & Reference Data
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- Pharmaceutical company master
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- Formulation / dosage form master
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- Medicine category master
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- Supplier master with ledger accounts
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### Reports
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- Current stock report (by item, category, location)
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- Date-wise stock movement
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- Expiry report (PDF export)
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- Supplier payment ledger
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- Pharmacy billing audit log
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---
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## 6. Billing & Finance
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> Integrated revenue cycle management.
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### OPD / Procedure Billing
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- Charge-type invoices (consultation, procedures, diagnostics)
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- Discount application (percentage or fixed)
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- Invoice cancellation / void
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- Payment request and refund workflow
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- Organisation / insurance case billing
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- Contingent billing (pending case outcome)
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### IPD Billing
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- See IPD section above
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### Finance Module
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- Cash book — daily collections by department
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- Bank deposit tracking and status management
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- Bank reconciliation (statement matching to system entries)
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- POS settlement management
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- Cash scroll / bundle submission workflow
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- Doctor payout / commission agreements and disbursement
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- Vendor management (purchase orders, goods receipt, vendor invoices)
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- Compliance and audit reports
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## 7. Insurance & Organisation Cases
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> Managed care and corporate billing.
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- Organisation (corporate / insurance) case creation
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- Case-linked OPD, IPD, and diagnostic charges
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- Contingent billing
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- Payment request to organisation
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- Refund management
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- Ayushman Bharat package search and mapping
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- Insurance claim sheet generation
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- NHCX digital insurance claim submission (via ABDM)
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---
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## 8. ABDM — Ayushman Bharat Digital Mission Integration
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> Fully integrated with India's national digital health ecosystem.
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### ABHA (Health ID)
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- ABHA creation via Aadhaar OTP
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- ABHA creation via mobile OTP
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- ABHA verification and profile fetch
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- ABHA card display and download
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- Facility QR code generation
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### Care Context & Linking
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- Patient discovery through ABDM gateway
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- Care context creation and linking per visit/admission
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- Scan & Share QR-based patient linking at OPD
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- HIP-initiated linking tokens
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### Health Record Sharing
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| Record Type | Source |
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| e-Prescription (OP) | OPD prescription |
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| Discharge Summary | IPD discharge |
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| Diagnostic Report | Pathology / Radiology |
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| Immunisation Record | Patient immunisations |
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| Wellness Record | Preventive / wellness |
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| Health Document | Uploaded files |
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| Invoice / Billing | OPD/IPD invoices |
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### Consent Management
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- Consent request initiation (patient-directed)
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- Webhook-based consent notification
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- Consent status tracking and reconciliation
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- HIU (Health Information User) data fetch
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### FHIR Compliance
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- FHIR R4 bundle generation for every record type
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- SNOMED-CT clinical coding panel
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- ICD-10 diagnosis coding
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- FHIR bundle preview before sharing
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- Coding review and verification workflow
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### Monitoring & Operations
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- ABDM gateway connectivity health check
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- Bridge log viewer with full request/response trace
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- Task board for pending ABDM actions
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- Background sync queue with dead-letter replay
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- Real-time sharing status per record
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---
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## 9. Reports
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> Ready-to-use clinical and administrative reports.
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| Report | Type |
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| OPD Total Report | Daily/period OPD summary |
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| Diagnosis Report | Lab workload and TAT |
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| Insurance Credit Report | Organisation dues |
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| NABH Audit Report | Compliance audit trail |
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| IPD Cash Balance | IPD collection summary |
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| Stock Report | Pharmacy inventory |
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| Expiry Report | Near-expiry medicines |
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| Supplier Ledger | Supplier account statement |
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| Bank Audit | Reconciliation report |
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| Doctor Payout | Commission and disbursement |
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| Compliance Report | Finance compliance |
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---
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## 10. Admin & Settings
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> Centralised configuration for the entire hospital.
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### Master Data
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- Doctor master (specialisation, consultation fee, schedule)
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- User management (role-based access control, permissions)
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- Hospital profile (name, logo, address, registration details)
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- Bank & payment source master
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- Insurance master
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- Referral doctor master
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### Template Configuration
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- Diagnosis print settings (letterhead and plain paper templates per modality)
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- Discharge summary templates
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- OPD prescription templates
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- Watermark and logo configuration
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### System Integration Settings
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- AI settings (model, API key, usage monitoring)
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- ABDM gateway configuration (HFR ID, bridge token)
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- ABDM report doctor mapping
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### System Operations Panel *(New)*
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- Server overview (hostname, OS, uptime)
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- Resource usage with live gauges: CPU, RAM, Disk
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- Services status: nginx, apache, PHP-FPM, MariaDB, MySQL, sshd
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- RAID status
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- **Update HMS** — one-click `git pull` with 60-second timeout protection
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- Web server restart / PHP-FPM restart
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- Server reboot / shutdown actions (confirmation required)
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- Update history log with full error detail viewer
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- AJAX auto-refresh every 30 seconds (no page reload)
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---
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## 11. Technology Stack
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| Layer | Technology |
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| Backend Framework | CodeIgniter 4 (PHP 8.3) |
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| Database | MySQL / MariaDB |
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| Frontend UI | NiceAdmin (Bootstrap 5) |
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| PDF Generation | mPDF (multilingual, Hindi font support) |
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| AI Engine | Configurable API (OpenAI-compatible) |
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| FHIR Standard | HL7 FHIR R4 |
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| DICOM Viewer | Integrated DICOM viewer |
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| Health Identity | ABHA / ABDM National Gateway |
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| Coding Standards | SNOMED-CT, ICD-10 |
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| Insurance Claim | NHCX (National Health Claim Exchange) |
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## 12. Compliance & Standards
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- **NABH** — National Accreditation Board for Hospitals audit trail support
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- **ABDM** — Ayushman Bharat Digital Mission certified integration
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- **FHIR R4** — HL7-compliant health record exchange
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- **SNOMED-CT** — Clinical terminology coding
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- **ICD-10** — Diagnosis and procedure coding
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- **NHCX** — Digital insurance claim submission
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- **Aadhaar** — Identity verification for ABHA creation
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*E-Atria HMS — Built for modern Indian hospitals, compliant with national digital health standards.*
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