Opd project: Creating persistent clinical encounters through first contact physician user driven EMRs followed by patient user driven PHRs (patient journey records PaJRs) collectively archived in dynamic case reports (EHRs)

The opd project aims to improve health professionals and students OPD patient handling and learning competences that may improve patient illness outcomes. 

This is attempted through regular logging of every patient visiting us in the daily OPD by our interns and students. Senior residents posted to the OPD for that day are responsible for supervising this daily there

Regularly logged data currently archived in links below :

https://manogynab87.blogspot.com/2023/05/collation-of-opd-data-for-pla-book-draft.html?m=1

https://muskaangoyal.blogspot.com/2023/06/28-2023-week-1-28523-to-4623.html

https://drsaranyaroshni.blogspot.com/2023/07/opd-data-audit-archive-from-13th-june.html

For every opd patient shared here :

Health professionals and students in the opd develop competences to log their:

Sequence of events beginning with the time they had absolutely no problems they can recall. 

Their routine when they were perfectly alright 

Next what happened to their routine once the disease took hold on their lives 

Specifically which part of their hourly routine was disrupted 

Their current requirements from us like if we had to give them a single medicine which problem would they prefer it to address 

Their examination findings with images of visceral fat and muscle mass for everyone among other more specific findings 

Prepare their problem list and perceived requirements list in order of priority 

Formulate a plan for each one of the problem requirements  listed

More here on how they may create a dynamic case report (EHR)  : 

https://sites.pitt.edu/~super1/lecture/lec53671/002.htm

The original project published decades back outlined the conceptual model to create persistent clinical encounters detailed here in the link below : 

https://www.researchgate.net/publication/289874209_Persistent_Clinical_Encounters_in_User_Driven_E-Health_Care

The dynamic case report EHR, archiving persistent clinical encounters  is fed by the OPD first contact physician user driven EMRs followed by patient user driven PHRs  (patient journey records PaJRs) 

Key considerations for the translation of the conceptof the Patient Journey Record Systems (PaJR) into 

real world systems was first shared and archived here below :

"Patient Journey Record Systems (PaJR): The Development of a Conceptual Framework for a Patient Journey System. In R. Biswas, & C. Martin (Eds.), User-Driven Healthcare and Narrative Medicine: Utilizing Collaborative Social Networks and Technologies (pp. 75-92). Hershey, PA: Medical Information Science Reference. doi:10.4018/978-1-60960-097-6.ch006 at http://www.igi-global.com/chapter/patient-journey-record-systems-pajr/49246

The key concept lies in the use of regular patient reported outcomes to locate the phase of illness in a 

patient journey.

More here :

http://userdrivenhealthcare.blogspot.com/2022/09/current-pajr-workflow-and-how-to-make.html?m=0