e-Sanjeevani
'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 Centers (CSCs), etc.
Technology
eSanjeevani is a platform independent, browser-based application facilitating both doctor-to-doctor and patient-to-doctor tele-consultations. It has a user friendly GUI and has been developed on .Net technology using 3.5 framework with MS-SQL as the database. It provides the ease of accessing the health records at the comforts of one's home. The application is based on invite-system which restricts it to the actual beneficiaries of the application. It has a user-friendly interface which facilitates both tech savvy and novice doctors/users in the rural and urban environment to access the application. The application also has advanced degree of security against unwanted elements.
Launched by Union Minister
eSanjeevani, was launched by the Honorable Minister of State (Communications and Information Technology) Sh. Sachin Pilot at Department of Information Technology, New Delhi on 16th June 2009. Sh. Sachin Pilot highlighted the need to have a telemedicine network at rural areas and how beneficial eSanjeevani can be in providing primary healthcare across the Indian region.
The application has immense potential to provide healthcare services for 1,00,000 Common Service Centres (CSCs) in rural India, being setup as part of the country's National eGovernance Plan (NeGP). The combination of CSCs across the country along with the potential offered by 'eSanjeevani' is expected to significantly enhance the outreach of health care to the rural masses.
Functionality
C-DAC Administrator: C-DAC Administrator is the manager of the website. H e is responsible for sending email invites to Hospitals and Independent doctors for registering with eSanjeevani. Registration with eSanjeevani is an Invite based process and is valid for one time use only. C-DAC Administrator has the privilege to approve /deny the user’s request for registration, block/unblock and manage user’s profile, view details of each hospital and independent doctor, approve/deny various incoming requests, see statistical data of the complete website, etc.
Hospital Administrator: Hospital Administrator manages the hospital credentials. He has the license to send mail invites to the doctors for registration and hence approve/deny their request for registration. The dashboard of Hospital Administrator is self explanatory. Like C-DAC Administrator, Hospital Administrator too shares the privilege to block/unblock and manage doctor’s profile, view the activities going on in doctor’s profile, number of patients registered, etc.
Dependent Doctor: Dependent Doctors are the doctors registered under a hospital. Registration is an Invite based process and is valid for one time use only. A doctor can register patients, upload patient’s electronic medical record, publish their appointment schedule, seek consultation from the expert with whom they have an agreement signed up, request for more specialties and functionalities, etc.
Independent Doctor: Independent Doctors are the doctors registered by the C-DAC Administrator. Registration is an Invite based process and is valid for one time use only. Doctors can register patients, upload patient’s electronic medical record, publish their appointment schedule, seek consultation from the expert with whom they have an agreement signed up, request for more specialities and functionalities, etc.
Patient: In eSanjeevani, a patient can only be registered with a doctor. It’s solemnly the doctor’s wish whether to provide the patient with a username and a password.
Key Features
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MIS-based application
eSanjeevani has strong administrative abilities to manage the users of the application. Regular alerts in terms of memory usage, invites, blocked users etc. help keep the users updated. It has been designed as a highly customizable and flexible application for the users to choose from the varied specialties such as tele-ophthalmology, tele-cardiology etc. and functionalities. The users can choose the desired specialists and hospitals for tele-consultation as per their requirements. Various logs are maintained to record user activity.
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Comprehensive Electronic Medical Record (EMR)
eSanjeevani 's EMR includes demographic and other patient data like clinical examination reports, physical examination reports along with patient's medical history, family's medical history, etc. eSanjeevani also enables import and export of complete patient record including images, files etc.
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Specialties
eSanjeevani caters to numerous medical specialties, these include
- Cardiology
- Diabetes
- Dermatology
- Gynaecology
- Ophthalmology
- Pediatrics
- Pathology
- Radiology
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Tele-Consultation
eSanjeevani provides tele-consultation facility using both 'store and forward' and 'real-time' mode. In a 'store and forward' mode, the users can choose the doctors in the specialized area for the diagnosis and send the selected/ entire EMR for consultation. For 'real-time' consultation, video conferencing facility is provided to the user to connect to the doctor.
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Reporting & Graphical Tools
eSanjeevani provides its users the facility of generating and viewing various reports including the doctor's prescription. These reports help depict the overall health status of the patient for hard copy reports. The medical history of the various physiological parameters such as blood pressure, glucose, etc. can be presented graphically for an easy view and analysis.
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Appointment Scheduler
The users of eSanjeevani can seek appointments with specialists depending on their availability. The appointments can be scheduled as (a) Online: which enables audio/video conferencing with the specialist and (b) Offline: where patient can visit the doctor at his clinic/ hospital for a one-to-one interaction. Users may also view the doctors' availability status.
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Interoperability
eSanjeevani is interoperable with all the eHealth applications at HIE Division. It also complies with international standards including:
- DICOM (Digital Imaging and Communications in Medicine)
- TWAIN (Technology without an Interesting Name)
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Medical Equipment Interface:
'eSanjeevani' provides an interface with a wide range of diagnostic/ medical equipment. Output of each of the medical peripherals is directly acquired by eSanjeevani. Some of the medical diagnostic equipment interfaced with eSanjeevani include ECG machine, digital slit lamp, digital microscope, medical film scanner, etc.
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