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ohcnetwork / care_fe

Care is a Digital Public Good enabling TeleICU & Decentralised Administration of Healthcare Capacity across States.
https://care.ohc.network
MIT License
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Enhancement to MEWS Score #7373

Open aparnacoronasafe opened 7 months ago

aparnacoronasafe commented 7 months ago

Is your feature request related to a problem? Please describe. Currently, for MEWS Score to be calculated all 5 data points need to be entered in the patient records through a single log update. The 5 data points required to calculate MEWS are:

MEWS

All the above parameters other than Consciousness level, are auto-updated in CARE through BPL 5-para integration through virtual nursing assistant. if the nurse is allowed to update only consciousness level additionally, MEWS can be calculated. However, with the way the feature is developed right now, because all data points needs to be entered in a single log update, this is not possible.

Describe the solution you'd like

Eg: Resp rate - updated at 10AM Heart Rate- updated at 10AM Systolic BP- updated at 10:15AM Temp- updated at 10:15AM Consciousness- updated at 10:29AM

In this case- MEWS will be calculated based on the 5 parameters, since they are all updated within a time frame of 30 min (10-10:29AM)

Subsequently if Resp rate - revised at 10:35 AM Heart Rate- updated at 10:35 AM

MEWS will be revised based on the entries made between 10:15AM to 10:45AM since 2/5 parameters are revised, and the 5 parameters are entered in the time frame of 30 min (10:15AM to 10:45AM)

However, later on if Systolic BP is revised again at 11:45AM, MEWS will not be revised since, only 1 parameters is updated and remaining 4 parametrers are not available within 30 min bracket.

Thanush19 commented 7 months ago

@aparnacoronasafe , can i work on this..?

hrit2773 commented 7 months ago

@aparnacoronasafe can you assign this to me and tell me under which section the issue is and what are the login credentials

r-nikhilkumar commented 7 months ago

@rithviknishad, @aparnacoronasafe can you please assign this issue to me?

rithviknishad commented 5 months ago

Waiting for confirmation: https://github.com/coronasafe/care/pull/1991#pullrequestreview-1999055202

nihal467 commented 5 months ago

@r-nikhilkumar closing this PR and unassigning you from this issue due to inactivity, feel free to reopen the same if you are still working on it

r-nikhilkumar commented 5 months ago

@nihal467 I worked on it already, but as per call, it was said that mews score will be implemented differently from your side that's why I didn't interacted

rithviknishad commented 1 month ago

Update: Now that we have events, we can use the events API to fetch the last data points of each event type within the time range and calculate MEWS score based on that in FE.

nihal467 commented 1 month ago

@r-nikhilkumar are you interested in working on this issue, feel free to reach out to @rithviknishad if you have any query or post a message in the care_general as well

r-nikhilkumar commented 1 month ago

@r-nikhilkumar are you interested in working on this issue, feel free to reach out to @rithviknishad if you have any query or post a message in the care_general as well

@nihal467 Currently I'm having some placement exams and SIH finals, so I'm currently not available, once exams will be over, I'll be on this issue for sure

rithviknishad commented 2 weeks ago

@aparnacoronasafe just wanted to confirm if whether this needs to be shown in the patient list and also whether patient list needs to be sortable based on MEWS score.

cc: @vigneshhari

aparnacoronasafe commented 2 weeks ago

Yes.

MEWS score is only relevant for patients admitted to ICU.

It would be a goos feature to show MEWS score on patient list and also allow users to sort patients by MEWS Score.