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Here we have the login page. Depending on the user’s account specifications, the system will open in French, English, or Creole. Every user must select a location within the hospital in order to log in, which helps us understand what is happening at each department and narrows down information for clinical quality assessments.

The vitals form allows nurses to capture basic but important information on patients at the point of care for each visit. While clinicians in Haiti use the metric system, some of the medical equipment used in the hospital doesn’t, so PIH’s informatics team created a simple, automatic system that converts data to metric values and stores the information. Here the weight is entered as pounds.

When the enter key is hit, the weight is converted to kilograms. The entire vitals form and data entry process can be completed with a barcode scanner and keyboard, an important feature as initial research showed that a mouse can be cumbersome for clinicians dealing with high patient volumes.

After a patient’s height and weight are entered, the EMR automatically calculates body mass index, helping streamline the process and ensure accuracy.

Nurses see this screen after all vitals are collected and entered. Seeing all the vitals in one place in this easy-to-read format gives them a standardized and comprehensive view from which to make triage calculations.

When doctors scan a patient’s barcode, they can see details of the in-progress visit, including the vitals. At Klinik Eksten (University Hospital’s outpatient clinic) the doctor will select “Consult Note” to enter in the diagnoses, disposition, and notes.

This is the Consult Note used at the outpatient clinics. To find a diagnosis from our coded diagnoses set, the doctor starts typing what he or she wants to enter and the search will provide possible matches. The doctor can also enter a non-coded diagnosis if the option is not available.

This is what a confirmed primary diagnosis of hypertension, and a suspected secondary diagnosis of anemia, looks like within the EMR. As you can see, the doctor recommended a follow-up visit and noted the patient’s complaints of fatigue.

After the consult note is saved, its details appear on the list of encounters for the patient’s visit. The primary diagnosis of hypertension will always display on the left-side visit list, where future appointments and visits will also be listed.

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