CDAC - Health Informatics

Health Informatics technologies help to improve quality of healthcare, reduce medical

errors, reduce healthcare costs, increase administrative efficiency, and expand access to
affordable healthcare. C-DAC has developed several technologies and software/hardware
solutions in this area; many of which are deployed and are being used in practice.
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Hospital Information Systems

Drug Management System No content available
Telemedicine Solutions
Healthcare Standards
Decision Support Systems
Mobile Healthcare Solutions
EHR/EMR Systems
CDAC Health Care Standards

Hospital Management Information Systems (HMIS)

http://www.cdac.in/index.aspx?id=hi_his_hospital_info_systems
C-DAC has designed and developed a versatile Hospital Management Information System
(HMIS) in various models like conventional stand-alone hospital version and SaaS
(Software as a Service) over the cloud infrastructure. The real time HMIS streamlines the
treatment flow of patients and simultaneously empowers the hospital's workforce to
perform their duties effectively and efficiently. It is modelled on the unique combination
of a 'patient centric and medical staff centric' paradigm, thus providing benefits to both
the recipients and the providers of healthcare. C-DAC has also developed a unique
concept of state-wide implementation of HMIS across various government hospitals
ranging from super specialty hospitals, medical college hospitals, and district hospitals to
area hospitals. C-DAC's HMIS has been deployed in more than 40 hospitals across India.
C-DAC has developed various solutions in this area. These include

e-Sushrut - a web based HMIS developed using open source technology and with
compliance to various national and international standards. It can be easily
integrated with other systems using HL7 messaging

eSwasthya - a web based SaaS model HMIS software suite built on open source
platform, that facilitates hospitals for delivering effective, patient-centric serviced
more efficiently - No content available

Medical Document Semantic Analyzer - an HL7 compatible tool for unlocking

healthcare data from narrative reports - No content available

Megh Sushrut - an ERP solution for health delivery in SaaS model - No content
available

ONCONET - Cancer care for rural masses - No content available

Tejhas - an HMIS solution with special features for cancer care - No content
available

e-Aushadhi - A Complete Supply Chain Management System

Sanjeevani Blood Bank Management System

E-Sushrut
http://www.cdac.in/index.aspx?id=hi_his_sushrut

C-DAC's Sushrut, a Hospital Information System (HIS) has been developed with the
objective of streamlining the treatment flow of a patient in the hospital, while allowing
doctors and other staff to perform to their peak ability, in an optimized and efficient
manner.
HIS developed by C-DAC is modular, thus ensuring sustained benefits through changes in
technology, protecting and providing optimal returns from the investment. It is modelled
on a unique combination of a 'patient centric and medical staff centric' paradigm,
beneficial to the recipients and the providers of healthcare.
HIS uses a network of computers to gather, process, and retrieve patient care and
administrative information for all hospital activities to satisfy the functional requirement
of the users
It also helps as a decision support system for the hospital authorities for developing
comprehensive health care policies.
Over the years this domain has evolved through various phases a glimpse of which can
be seen below:
Generation of HMIS

Technical Framework and Features:

Technology

J2EE/ Struts , Oracle 11g, PostGres 9.1

Load Balancing

HTTP based Load balancer distributes loads to Application Server(s)

Concurrency

JDBC based optimistic and pessimistic locking, Synchronization Blocks

Linkage / Integration

Modules Partially Coupled (Request / Response based Communication)

Session Management

State full

Security

Password Encryption, UI and Data level Access Policies

Recovery

Clustered Database, Data Replication, Auto Backup etc

Other Application

HL7 Utility and database level interfacing

Scalability

Increase the no. of Application Server Instances

More than 15 years of Experience

Web Based Application

Configurable for Multiple Hospitals

Portable across a variety of platforms

Connects people, process and data in real time across all the hospitals

Fast and reliable information management using LUCENE, DSS Tables

Customized clinical data according to department and laboratory

Unique Registration ID for patient throughout the State

Privilege-wise EMR sharing possible throughout the participating hospitals within

the State

Cross consultation for patients among different health professionals within the
State

Help decision making through Statistical reports / graphs at state level

Localized mitigation plans for illness patterns based on statistical data

Implemented in various Hospitals, and hence has become matured to address

various workflow requirements of all tiers of hospitals

Has incorporated a DSS to facilitate Healthcare Managers to ensure quality

Healthcare Delivery to Patient

Incorporates costing component of different services to facilitate the authorities

understand the grey areas and undertake optimization exercises

Generations of Charts, Graphs, Trends and dashboards

Generation of comprehensive EMR and Patient Profile

Extensive Reporting with feature like Water Marking, Password Protection and
supports various formats

DASH Board & MIS

Smart Card

Role Based Access Control

Functional Level

Data Level

Rule Based Access Control

o

Enforcing Mechanism

EMR Privacy
o

Clinical Abstraction Framework

Focus Areas

EHR (Electronic Health Record) Standard Enablement

MDDS5 Complaint

Cloud Based HMIS services

Offline module Initiation

ICT enabled Research in Healthcare

State-wide Replication of HMIS Rajasthan (Medical Colleges & District Hospitals),

Maharashtra, Andhra Pradesh

Implementation

SGPGI Lucknow :Since 1998

GTBH Delhi - Since 2000

Central Hospital, N. Railway, New Delhi : Since 2002

GB Pant, Port Blair : Since 2004

General Hospital, Chandigarh : Since 2005

MGIMS, Sevagram (Wardha) : Since 2005

RIMS, Imphal: Since Jan 2006

Indira Gandhi Medical College, Shimla : Since 2006

SMS Hospital Jaipur, Rajasthan : Since 2007

AYUSH: HMIS

PGIMER Chandigarh

Walk Through
The objective of Hospital Information System (HIS) is to help users to handle the patient
and multitude of other details. The goal is to build an integrated system to achieve the
functionality. Various modules present in HIS to make system functional are:

EHR Standards and Integration

The healthcare domain in its entirety consists of multiple terminologies, methods, and
numerous records keeping systems. Over time these medical systems have become
more complex and sophisticated. With the addition of medico-legal requirements it has
become a necessity to ensure that systems communicate in a defined manner and are
interoperable with each other. Such requirements can only be met with the
implementation of globally established medical standards defined by International /
National organizations and ratified by standardization entities.

ICD 10

HL-7

NACO

GFR

CIMS

DICOM

Interface Integration

Medical Equipment Integration

Media coverage
Very bad media coverage:

Recent Awards

Skoch Order of Merit (2013) Award for Megh-Sushrut

Manthan Award 2012 for Megh-Sushrut

CSI Nihilent e-Governance Award for Megh-Sushrut for across Rajasthan and GGSH
Delhi in 2013

Megh Sushrut
MEGH SUSHRUT (MS) - An ERP Solution for Health Delivery in SaaS Model using
Garuda Network as the Computing Cloud
Duration: 2 Years (Start Date: July 2010, Completion Date: June 2012)

Objective and brief description:

Software as a Service (SaaS) is a model of software deployment whereby a provider (CDAC in current context) licenses an application to customers (hospitals) for use as a
service on demand. The HIMS systems developed by CDAC are ideally suited for delivery
in this model, since all of them are developed under the client - server architecture, with
client side systems requiring only a standard Web-browser interface. This permits hosting
of these applications as a hosted service in a server farm to which the hospital could link
over a dedicated communication link to obtain all services. The Garuda Network of
computing nodes provides the required connectivity. It also provide enough redundancy
for the Data Bases, so that the Electronic Medical Records and other vital information
related to the connected hospitals can be stored in Geographically distributed locations
in redundant fashion. This ensures that even in case of multiple failures, the system
would be able to recreate the data.
This proposal aims to set up the HIMS solutions from CDAC, under this frame work. As the
first step, it aims to convert the e-Sushrut package from CDAC, Noda into this model. This
is a full blown ERP package that is well accepted in hospitals like MGIMS, Wardha, PGI,
Chandigarh, SMS, Jaipur, and various Govt. hosptals in Delhi. The current proposal
envisages setting up Megh Sushrut services at RIMS Imphal and NEIGRIHMS, Shillong.

Major objectives of the project are:

To convert the e-Sushrut solution into a hosted service available over the internet so
that it can be used by a large section of hospitals in pay by use model.

To demonstrate the viability of the solution in North East, by establishing working

systems in RIMS, Imphal and NIGRIMS, Shillong.

To host the solution over the Garuda Network so as to make it available to a larger
user base and provide better availability and redundancy.

To integrate HIMS solutions from other CDAC centres, hosted over the network with
interlinking using the HL-7 engines, so as to make MS a truly ubiquitous solution
over the Garuda.

e-Aushadhi - A Complete Supply Chain Management System

http://www.cdac.in/index.aspx?id=hi_dms_aushadi
'e-Aushadhi', which deals with the management of stock of various drugs, sutures and
surgical items required by different district drug warehouses. The main aim of 'eAushadhi' is to ascertain the needs of various district drug warehouses such that all the
required materials/drugs are constantly available to be supplied to the user district drug
warehouses without delay. This includes classification/categorization of items,

codification of items, quality check of these items, etc and finally issuing drugs to the
patients, who is the final consumer in the chain.

Benefits and main objectives of 'e-Aushadhi':

To implement a transparent system for procurement, storage and distribution of

quality drugs, supplies, equipments etc. required for the hospitals at reasonable
competitive price.

To ensure adequate savings in the drug budget by scientific forecasting system

based on the preparation of essential drug list and its actual consumption.

Monitoring the budget and drug consumption pattern by introducing pass book
system.

To improve infrastructure of the existing drug ware house in district.

Streamline the Drug warehouse management, quality management, equipment

inventory management, equipment complain chain management, equipment
auction life cycle, human resource and finance management in an optimized and
efficient manner.

Enhance the use of technology as a cost-effective solution to support the OSMC

administration's step towards new direction.

Support the operational and strategic information needs of the OSMC.

Provide an infrastructure for the sharing of information and computer applications

throughout the OSMC hierarchy.

Technical Framework and Features

The e-Aushadhi application is divided into layers based on the N-tier architecture. The
layering model of the application is based on a responsibility layering strategy that
associates each layer with a particular responsibility. This strategy has been chosen
because it isolates various system responsibilities from one another, so that it improves
both system development and maintenance.
Each layer has specific responsibilities.

The presentation layer deals with the presentation logic and the pages rendering

The control layer manages the access to the Business Logics layer

The data access layer is responsible for the access to the enterprise information
system (databases or other sources of information)

The Business Logics layer is related to the business logic and manages the accesses
to the data access layer.

The Helper layer it supports the presentation layer.

Features

Top down Approach helps Head Quarter in Better Monitoring and Control down the
line.

Help in better Planning and Execution at all administrative level.

Efficient control on supply and Inventory.

Complete Package for Centralized Supply Chain Management System supporting

with best functionality.

Best Performance with high number of users.

Able to extend the functionality as per Department's choice and available

Infrastructure.

Quality Control on Drugs and monitoring and control on Quality of Drugs.

Online Drug Distribution to Patient on DDC.

Intra Depot Excess or Short drug transfer integrated with HQ.

Supplier Payment linked with Supplier Performance.

Help and Solution Desk for Users.

Provide bar coding Interface for areas such as Drug Receiving and Issuance, QC
Sample Issuance etc.

Audit logging of transactions.

Comprehensive User Management and Security.

Dynamic and Standard reports.

SMS and Email functionality for sending SMS/Email communication to identified

recipients.

DASHBOARD

Focus Areas

To achieve transparency by way of implementing Barcode Standardization and

Digital Signature

To bring in standardization in processes by making system more configurable

Nationwide Implementation of e-Aushadhi MoU with MOH&FW

Walk Through

Standards

CIMS "Current Index of Medical Specialties"

MDDS "Meta Data and Data Standards"

GS -1 Bar Codes Compliance

ICD-10

Common Website
Rajasthan, Maharashtra, Odhisa

Recent Awards

Rajasthan State e-Governance (2013) award for e-Aushadhi

Skoch Order of Merit (2013) Award for e-Aushadhi
e-Aushadhi- INDIA's BEST 2013

C-DAC Decision Support Systems

http://www.cdac.in/index.aspx?id=hi_dss_decision_support_systems

Automatic EEG Analyzer for Neurological Disorder Detection

[EEG Analyzer]
Epilepsy is a major health problem in developing countries and is the third most common
neurological disorder affecting more than 50 million people worldwide. The prevalence of
active epilepsy in India varies from 3.4 to 5.4 per thousand. Epilepsy is a condition in
which a person has spontaneously recurring seizures.

Ayusoft - a Decision Support System for Ayurveda

AyuSoft is software developed with a vision to convert classical Ayurvedic texts into
comprehensive, authentic, intelligent and interactive knowledge repositories with
complex analytical tools. It supports Constitution (Physiological and Psychological) and
Tissue Quality Assessment, Disease Diagnostics and Treatment, Diet and Lifestyle Advice,
Personal Information Management System, Multimedia based Encyclopaedia and Textual
and Graphical Analytical Reports.

cerviScan
Medical Image Analyser for Cervical Cancer

Computer Aided Detection (CAD) System for Mammograms

"CAD for Mammograms" is a solution by C DAC for breast cancer screening at early
cancer detection centres.

Diabetic Retinopathy Identification Software for Timely

Intervention
Diabetic Retinopathy (DR) is the damage caused to retina by complications of diabetes
which can eventually lead to blindness. DR affects up to 40% of all patients who have

had diabetes for 15 years or more. DRISTI, using state-of-the-art image analysis
algorithms, analyses retinal fundus images for DR lesions and direct DR suspicious cases
for detailed ophthalmologist review. DR negative cases are screened out without
ophthalmologist intervention.

eSmear
Image Acquisition Software for Cervical Smears

iCare@Home
In line with the Millennium Development Goals set by the United Nations and the
mandate of National Rural Health Mission (NRHM, India), C-DAC has developed
iCare@home solution to empower households and even the rural populace having weak
public health indices and infrastructure, with comprehensive knowledge of primary
healthcare. iCare@Home is a suite of Integrative healthcare informatics solutions with
applications like risk predictors, symptoms analyzer and computer games. It is targeted
to create health awareness among individuals and communities by Analysis, Prediction
and Edutainment through holistic solutions for promotive health, disease prevention and
primary care of diseases and symptoms. iCare@Home introduces health games which are
a perfect blend of health education and entertainment for varied age-groups.

C-DAC Mobile Healthcare Solutions

http://www.cdac.in/index.aspx?id=hi_mhs_mobile_healthcare_solutions

mSwasthya
The solution is designed to extend the existing telemedicine and HIMS systems to mobile
technologies. This system uses the mobile communications services to develop generic
Body Area Network and a generic healthcare service platform for monitoring the
following parameters: ECG, EMG, Pulse rate, Respiration Rate, Skin Temperature, Blood
Flow, and Saturated Percentage of Oxygen. mSwasthya also covers various mobile health
applications for home care and are available freely for download at mGov store.

HIMT - Health Informatics via Mobile Technologies

HIMT is a suite of health applications developed using Mobile technology. Applications
range from relatively easy health awareness applications to location based medical
services. It is targeted towards mobile users to create health awareness and assist them
to easily locate nearest health services. These applications encompass health
assessment through calculators, health indices as well as applications designed
specifically for health awareness. It also offers services e.g. generate alerts through SMS
to get immediate help in emergency condition. Some applications would create
awareness within the society about disease out breaks as well as comprehend people
about preventive majors that need to be adopted for a particular epidemic. HIMT
applications are broadly categorized into three main areas; Health awareness, Preventive
care and treatment, and Emergency services.

MosQuIT - Mobile based Surveillance Quest using IT

MoSQuIT is a Disease surveillance system for Malaria using mobile platform. It enables
effective data-collection/updating/collation for a centralized repository, thereby reducing
the time required for information proliferation and initiation of appropriate action by
State Health department. MoSQuIT connotes the systematic and continuous watch/vigil
over the status of malaria in the community. It helps monitor, plan for control measures,
and will help detect both spatial and temporal changes in the long run. It triggers an
early warning system in identifying potential outbreaks which frequently occur in this
region. In particular, the system helps prevent and control malaria in the community.

CerviSCAN - Semi automated system for Cervical Cancer

screening
Cancer of the uterine cervix is the second most common cancer in women worldwide.
CerviSCAN is a computer assisted screening solution developed by C-DAC along with the
RCC, Trivandrum, where the digitized images of the PAP-Smear are analysed and
classified through image processing and machine learning algorithms. This software
increases cytologist efficiency by pre-marking samples for potentially cancerous/noncancerous cases.

mCare - Public Health Information Management System

using mHealth
mCare uses mobile devices to provide a health management system that could enhance
the quality of health care provided by the health workers. The product has two major
components: Handheld device based data collection module and Web-based Health
management information infrastructure module. The system maintains a centralized
demographic and public health data, which can be used for analytics.

Health Care Knowledge System

HCKS is a web enabled health related Semantic Networks using Concept Maps.
Thousands of health information pages have been transformed into 300+ concept maps.
This eHealth solution is deployable through Website / Kiosks / Tablet / Mobile Phone etc.
to promote Public Health care Awareness and Health Education in the North-East regions
of India, Goa Medical College, Navodaya Medical College (Karnataka), National Institute of
H&FW (New Delhi). Common people, students and medical practitioners find this eHealth
solution a very effective one for faster and "At-a-Glance" meaningful understanding of
important interrelated health care concepts. This is a new experience to human cognition
for quick understanding of Diseases, Symptoms, Prevention, Diets, Diagnosis, Symptoms
Checking and Treatments.

C-DAC Telemedicine Solutions

http://www.cdac.in/index.aspx?id=hi_ts_telemedicine_solutions

C-DAC EHR/EMR Systems

EMR System for Oncology
EMR System for oncology is an unique and comprehensive clinical EMR solution in the
oncology domain which facilitates the structured capturing of clinical information and
provides a consolidated view of the patient data for treatment, research, medical
analytics and statistical purposes with the help of available clinical guidelines, treatment
practices and industry standards.

Distributed EHR
Distributed EHR Store is a distributed, scalable, reliable, secure healthcare information
store that replaces or compliments existing healthcare repositories. It aggregates clinical
records from diverse healthcare systems available in healthcare facilities spread over a
hospital, group of locations and hospitals, region or nation. It is based on a highly
redundant, fail-safe, and secure system framework. It provides a base for developing
various applications on top.

EMR System for Cancer Care

The EMR System for Cancer Care supports Oncology based Electronic Medical Record
(EMR) which can provide sig

Software Reconstruction and Implant Synthesis from

Tomographic Images-SRISTI
The SRISTI software takes CT/MRI images as input and helps medical professionals to
visualize 3D model of the anatomical part prior to surgery or other invasive procedures,
which is not feasible from sequence of 2D scan images. It also exports the virtual model
in standard STL format for use by standard CAD software for creating accurate physical
models and prosthetic implants.

Signal Processing System for Neurological Disorder

Detection
The project attempts to automate the analysis and interpretation of long term
Electroencephalogram (EEG) data to extract Neuro-physiologically meaningful
information for assisting expert doctors to detect neurological disorders such as epileptic
seizure. Various signal processing and machine learning techniques have been
implemented in the system. System supports identification of the seizure regions in EEG
signals during epilepsy in a patient independent manner.

Medical Document Semantic Analyser

This is a Medical Language Processing system that extracts data from patient / clinical
related documents such as discharge summaries in electronic form and encodes them to
structured data representations compatible with HL7 Clinical Document Architecture
(CDA) Specification. It is a web based application and uses GATE 5.0 for Natural
Language Processing.

iHeal- Integrated Healthcare Applications Platform

iHEAL is a mobile point-of-care device, specifically designed to enhance the workflow of
clinicians, by providing them real-time access to patient information at the point-of-care.
iHEAL incorporates modern wireless communication technologies to provide the doctors
and clinicians instant access to EMR, Telemedicine and other Healthcare Software. It also
provides integrated features like camera, barcode scanner and Smart card reader.

C-DAC Healthcare Standards

C-DAC's Medical informatics SDK for DICOM
http://www.cdac.in/index.aspx?id=hi_hs_medinfo_dicom_home

C-DAC's Medical informatics SDK for HL7

http://www.cdac.in/index.aspx?id=hi_hs_medinfo_hl7_home

C-DAC's Toolkit For SNOMED CT

http://www.cdac.in/index.aspx?id=hi_hs_medinfo_csno_overview