NSS suggestions

Module: OPD → Consultation → Examination (Fertility department), with links to Radiology
Environment: Test, NSSH (https://nssh.test.clinq.health)
Type: Enhancement / New feature
Priority: High (needed for the fertility department’s daily workflow)

Description
Fertility doctors need a structured form to record ultrasound findings for the right ovary, left ovary and endometrium. They enter the values right after the scan. The data should be saved as structured fields, not printed, and should appear in the patient’s Examination section. Ideally, results from the scan are carried into Examination automatically, without the doctor typing them in again.

Form fields

Cycle details

Scan date
Day of cycle
LMP
Scan type (Baseline / Follicular monitoring / Post-trigger)

Right ovary

Length × Width × Height (mm)
Volume (cc), calculated automatically
Antral follicle count (AFC)
Follicles: number and size of each (mm); dominant follicle size
Cyst or other finding, with a remark

Left ovary

The same fields as the right ovary

Endometrium

Thickness (mm)
Pattern (Trilaminar / Homogeneous / Other)
Remarks

Impression

Free-text summary

Expected behaviour

The doctor opens a fertility patient’s consultation, then clicks Examination → Fertility Scan.
They enter the right ovary, left ovary and endometrium values right after the scan.
On save, the values are stored as structured data against the patient and visit.
The values show in Examination for that visit and are visible in later visits, as a history or comparison table for follicle tracking.
No print option. The form is for internal records only.
(Preferred) If the scan is recorded through Radiology or the modality (GE Versana), the measurements fill the form automatically and the doctor only reviews and confirms.

Current behaviour
There’s no fertility scan form, so ovary and endometrium measurements can’t be stored as structured fields.

Acceptance criteria

The Fertility Scan form is available in Examination for Fertility department patients.
All the fields above save correctly and can be edited before the consultation is signed.
Ovarian volume is calculated automatically from L × W × H.
Saved values appear in Examination and in the patient’s history.
Multiple scans per cycle can be compared (for follicle monitoring).
The form has no print option.
(Phase 2) Values from radiology or the modality fill the form automatically.

Notes

Store the data in FHIR form, as an Observation per measurement, so it matches the existing EMR data model.
Auto-fill from the GE Versana depends on DICOM SR or a structured report export. That needs checking, so it may have to be a separate Phase 2 task.