Feature #654
Updated by Roshni Harish. 15 days ago
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 scan form: right ovary, left ovary and ovary, endometrium. They enter Save in the values right after the scan. The data should be saved as structured fields, not printed, system, no print, and should appear show in the patient’s Examination section. Ideally, results from the scan are carried into Examination automatically, without the doctor typing them in again. examination. 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 Note: Doctor enters 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 Best if 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 results flow into 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.