HIV Clinic Workflows to Support: Ampath, PIH Mexico, UgandaEMR
Goal
The goal is to create a packaged release to prove the feasibility of MFE from an implementation perspective, starting with a pilot in HIV Outpatient Clinic(s).
Live Requirements Spreadsheet
https://docs.google.com/spreadsheets/d/1PwivnnDUWHVSHQkEATzmTDlZSil9lymf9mzrUnoMmJg/edit#gid=0
HIV Clinic Workflow Requirements
Ampath
Step | User | Description | Why | Part of AMRS POC needed | Part of MFE Proof of Concept MVP scope? |
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Patient check-in | Registration clerk | Patient checks-in and issues clinic card at the registration desk. | Ensure that the patient is well identified and add relationships (in case they have any - e.g. a spouse). | ||
Start Visit | Registration clerk | After patient search, today's visit is started by the registration clerk in the HIV Program that the patient is enrolled into e.g. HIV standard program. | By starting the visit, the patient is marked as checked-in | ||
Triage | Nurse | Patient is triaged by capturing the vitals which are filled in a triage form within the visit that was started. Vitals captured are: BP, Pulse, RR, Temp, Weight, Height, Sp02, BMI (Auto calculated from weights vs height), MUAC. | To find out if the patient is suffering from any other ailments e.g. high blood pressure. | ||
View HIV summary | Clinician | Patient is reviewed by the clinician where they first get a review of the patient HIV summary and today's' vitals which are displayed below the patient header. |
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View clinical notes | Clinician | Clinician reviews the clinical notes of the patient which is accessible on the side drawer menu within the HIV program. | View previous notes that a clinician/nurse had written about the patient that might need action. | ||
View historical lab results | Clinician | Clinician reviews historical lab data results of the patient. This can go up to the date the patient was enrolled into HIV care. The most recent results will display on the first column. | Check if the patient is responding well to the medications administered by lowering their viral load and improving their immunity (CD4 count) | ||
View lab orders | Clinician | Check to see if the patient has had any blood works ordered recently and if there is any pending lab orders whose results have not been received yet. | To determine whether to order a new test as required by the HIV guidelines. | ||
Fill clinical encounter | Clinician | The clinician will then open a return clinical encounter which they would fill by asking the patient a number of specific questions that have been coded in the form. |
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Order medications | Clinician | Medications are ordered on the form in the medication history page. |