e Upchaar1

June 14, 2018 | Author: dr.parneeta2854 | Category: Computer Engineering, Information Technology Management, Software, Computer Networking, Computer Data


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Description

e-Upchaare-Upchaar is one of the e-governance initiatives being implemented by State Health Systems Resource Centre, Haryana to provide better service delivery in an integrated manner. The core objective of e-Upchaar is to improve public health services and bring administrative efficiency in the entire healthcare system by streamlining and digitizing workflows. The scope of e-Upchaar implementation has been initiated in 55 healthcare facilities which include Software development, Infrastructure set-up, Training & Change Management, followed by Operations & Maintenance support. 22 facilities have already been computerized. Implementation is in progress for rest of the facilities. Implementation of e-Upchaar is planned in three phases:  Phase 1 - 1 Civil Hospital, 1 CHC, 1 PHC and 1 Medical college (Completed)  Phase 2 – 16 Civil Hospitals, 1 Medical College, and 1 Ayush Hospital (Completed)  Phase 3 – 1 Medical College, 3 Civil Hospitals, 9 SCH, 10 CHC, 10 PHC (in progress) CH Panchkula Phase I MC Khanpur Kalan (completed) CHC Raipur Rani PHC Barwala CH Ambala CH Sonepat CH Palwal CH Mewat Phase II Wave I CH Kurukshetra (Completed) CH Rohtak CH Gurgaon MC Mewat Ayush Kurukshetra CH Faridabad CH Hissar CH Sirsa Phase II CH Jhajjar Wave II CH Fatehabad (Completed) CH Narnaul CH Bhiwani CH Yamuna Nagar CH Kaithal Phase III Wave 1 PGIMS, Rohtak (in progress) Phase III CH Panipat FRU 1, Sec 30 Faridabad Wave 2 CH Rewari FRU 2 Sec 3 Faridabad (In progress) CH Jind CHC Kalka As per the agreement for the e-Upchaar project 400 nodes (PCs and other associated hardware) were approved. No Connectivity at Micro-Biology and Bio chemistry department building. • Lack of co-ordination between university and BSNL (Technosat) due to which there is delay in finalization of the site solution documents for the remaining 2 buildings. Additional nodes were demanded for which a solution has been worked out in consultation with the university authorities (MOM attached). • Site solution documents have been submitted by the IA for 9 buildings and for 2 buildings work is in progress. Charkhi Dadri Mother Child Hospital Sec 10 Gurgaon CHC Safidon CH Hansi UPHC Sec 16 Panchkula CH Bahadurgarh PHC Murthal CH Assandh CHC Meham CHC Nilokheri CHC Dabwali CHC Shahabad PHC Morni SDH Tohana PHC Hangola SDH Narwana PHC Bhondsi PHC Nanakpur PHC Kot University of Health Sciences. The documents have been verified by HSHRC. • UPS Rooms have been identified for all Hospital buildings except two of them. Current Scenario:  Flag B has been approved and duly signed by the authorities. Issues • There is a fiber connectivity issue. Rohtak was part of implementation of phase II of the e-Upchaar implementation but due to various delays it was shifted to phase III. • There is a huge impact on the duration of warranty for the equipments already delivered at PGIMS (provided for duration of 5 years starting from Nov 2015). At present only the registration module is active at 22 counters in the university since 24/02/2016/. CH Ambala Cantt. • A fiber rollout plan has been submitted to the authorities and markings for the network lay down are being done.Approx 4. PHC Pinjore SDH Jagadhari CHC Samalkha SDH Naraingarh SDH. . Rohtak UHS.00 lakh patients have been registered through e-Upchaar application. Regional cancer center building and MCH building.  Real time Integrations depend on the availability of Internet bandwidth and its 100% uptime. Thus is highly dependent on the network. etc. etc. there is need for network security. NIC. Karnal.  DB schema. other is Oracle MySQL. It does not have any ESB layer/Middleware layer to perform these transformations.  Additional development effort would be required to modify the core AS IS applications(both) to show the data sent from the other system  Since KCMC is not on MPLS.  None of the KCMC Web services (if any) are Security verified. which is missing as of now. o eUpchar as ESB layer. following are the points of discussion: Challenges in Integration  Database technologies are different: One is Microsoft SQL Server. security. However. KARNAL Kalpana Chawla Medical College .  Uniqueness of a patient cannot be promised unless Aadhar card is used to register a patient on both sides.  User authentication cannot be done as KCMC HMIS is not integrated to IDM  The KCMC data cannot be used for other State programs as it is not integrated with any other application of NHM.  Both have to follow a same WHO ICD 10 standard.  Difference in EMR data sets will pose a standardization challenge  Previous history might not be recommended to be stores on local system and would be available on the fly. In this meeting a very preliminary technical discussion was done on feasibility of integration of these two systems. fields. a meeting was conducted on 26/09/2016 at HSHRC to understand the scope of integration of e-Upchaar (HMIS of Haryana State) with the HMIS being implemented at KCMC. message security and transport security. Karnal is not in scope of the e-Upchaar project. data type. logging. HL7 compliant.KALPANA CHAWLA MEDICAL COLLEGE. etc o Kalpana Chawla is not SOA based application. performance tested for external applications.  Both have to follow a same standard for EMR data structures i. which acts as middleware and can mediate the messages for transformations. .e. benchmarked for external consumptions. So there will be significant transformations on both the sides. defaults are all different. e-Upchaar issues 1. Pending construction at CH Jind. Standardization of Charges . Rewari. Panipat and SDH Samalkha 2.
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