Monday, 30 March 2020

Corona Patient Case Histories : a Fragmented Database





By now, possibly 1,000 persons are being given Corona Virus Test every day, in more than 100 + laboratories around India


At the minimum, this comprises of a Swab test from nose / throat . Some labs may be even insisting on a Blood Test


All labs must be getting the ( suspected ) patient to fill in some paper form – then ( most likely ) entering that data into a computer


I presume, these labs are required to transmit that “ Patient Case History “ ( of course electronically – I suppose using E Mail ? ), to some government authority , with ( possibly ) copies to local State Government Health Ministry and to local Municipal Corporation


It is quite possible that each lab has its own distinct / different FORM ( whether paper or electronic )


Each form may have different  DATA  FIELDS


Each lab may be sending it to different  AUTHORITIES , who store it in its own DATA-BASES ( silos ? )


Such fragmentation ( of patient data ) is highly undesirable. There is urgent need to STANDARDIZE as follows :



[ A ]…… Patient Data Form

Ø  Patient Full Name  /  Contact Data ( mobile no + Email Id , wherever available ) / Aadhar Number ( mandatory – to be issued on the spot, if unavailable ) / Current Address / Home Address ( in case of migrant workers ) / Birth Date / Sex / 
  
Ø  Date of registration / Current Symptoms /  Past History  /  Initial readings of temperature-BP etc

Ø  Details of Family Members ( staying together or elsewhere )

Ø  Details of recent travels ( local or foreign )

Ø  Tests administered ( Covid – Blood – Urine etc ) and their results

Ø  Name / Registration Number of Family Doctor ( or Healthcare Centre frequented )



[ B ] ….. Laboratory

Ø  Name of lab / Address / Registration Number / CMO Name / Certified for which tests

Ø  Name and Registration Number of doctor / technician who administered tests



[ C ] ….. Authorities

Ø  Names of Authorities to whom Patient Case History ( including test results ) has to be transmitted ( Instructions for uploading on the web sites of those authorities )


[ D ]  …. Quarantine

Ø  If advised quarantine , what type ? (  Home isolation or Govt Hospital )



Ideally , all of the above-mentioned data must be filled in ONLINE ( from a desktop or from a Mobile App to be launched by Central Ministry of Health and Family Welfare – Dr Harsh Vardhanji ) by the laboratory concerned



All data will flow into a SINGLE , CENTRAL DATA-BASE of  Health History of Indian Citizen


This database should be made accessible as follows :


Ø  Specified “ Health-care  Authorities “ in an anonymized / aggregated manner

Ø  Specified “ Doctors / Labs “ , with names of only those patients who were treated by them ( including Family Doctor )


A “ standardization / uniformity / protocol “ of the type described above will help in making available to Healthcare Authorities, COMPUTERISED  DECISION  MAKING SUPPORT , as described in my following earlier blog / email :


=========================================================

Health Data Vault                                                                        [ 16 June 2019 ]


Extract :

“ All the Health Data of all 50 crore beneficiaries to be stored on a Central Server for BIG DATA analysis , in order to “ Predict “ WHO might become susceptible to WHICH ailment and WHEN 


========================================================


Modicare : A Game Changer                                                        [ 01 Feb 2018 ]



Extract :

Medicalchain, on the other hand, uses blockchain technology to store and share health records securely, allowing for easy and safe transfer of information between providers and patients.


=========================================================


Digital Delivery of Drugs                                                                 11 Oct 2015 ]



Extract :

WHO ( which doctor ) , prescribed  WHAT drug ( drug name ) made by WHO (
name of drug manufacturer ) , to WHOM  (patient name ) , and WHY ( disease
diagnosis ) , and WHEN ( date ) and sold by WHICH ( drug store )

=========================================================

Healthcare : The Unfolding Story                                                       [ 19  June  2018 ]

 

Extract :

 

Using such massive data base, can BIG DATA / Artificial Intelligence / Machine Learning ,
figure out what " Customized healthcare Medical treatment Supplementary diet "
should be " prescribed " for each human on this earth ?

=========================================================

Will “ Ayushman Bharat “ listen ?                                                          [ 14  Nov  2018 ]

 

Extract :

 

When that happens , expect the AI to do the following :


      #    Guide your family doctor to prescribe the best-suited medicine for each member of
            Your family



     #    Recommend some “ preventive “ medicines before a disease manifests itself !

 

=========================================================

 

Dear Dr Harsh Vardhanji,

 

Country is grateful to you – and to the officers of your Ministry – for handling the Corona Crisis , so imaginatively

 

Every grey cloud has a “ Silver  Lining 

 

Through this email , I urge you to seize the opportunity presented by this grey cloud of Corona

 

Please consider :

 

Ø  A Standard Data-base Form for ALL the labs of India and for all types of testing ( and not only those which are currently engaged in testing for Covid-19 testing )


 

Ø  Creation of a SINGLE / CENTRAL  HEALTH  DATABASE for entire country



 

Ø  Launch of Mobile Apps suggested


 

With regards,


Hemen Parekh

================================================================================

31  March  2020

hcp@RecruitGuru.com




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