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RAXA JSS Electronic Medical Record (EMR) System

Digital health information promises great improvements in patient care.  Healthcare depends on reliable information transmission, so empowering providers to use the products of the information age – computers, networks and mobile devices –promises great productivity and efficacy gains.  However, in developed countries, it has so far had little demonstrable benefit because the paper-based systems they are replacing happen to perform their tasks, albeit at a high cost, rather well.
 
In the developing world, the story is markedly different. Faced with the task of improving health information here for our poor citizens, developing countries are choosing to leap over the stage of developing costly robust paper-based systems in favor of EHRs. India, with its robust IT industry but poor health information, is ideally placed to make that jump.
 
We will create a health information system that will perform the logistics of patient tracking, store patient information as well as enhance delivery in the field where there is low connectivity and electricity supply.  We propose to improve the quality of care by providing up-to-date relevant information as well as decision support and analytics to clinicians performing diagnosis and treatment.
 
This project will benefit tens of thousands of people in the near term, and undoubtedly many more in the long term.
The system is being designed to be completely cross-platform, with priority being given to mobile devices. It will be built using a modified data model of the robust and field-tested OpenMRS platform (www.openmrs.org). Users will interact with the application through web-based services.
The RAXA project not only involves building the EMR for JSS, but also making this system modular, extensible, and freely and widely available for other organizations to easily implement. In short, RAXA will be an open-source, point-of-care system - one that will hopefully be the seed for a large number of such developments in the future. 
 
We have a detailed plan for a multi-phase, yearlong scale up, covering all aspects of JSS, from patient registration and laboratory tests, to operating theatre notes and remote rapid diagnostic tests. We are confident that with the right combination of expert volunteers, hired programmers and robust hardware, we will deliver a system that will enhance the care JSS delivers, with a significant improvement in patient outcomes. 
 
However, we cannot do this alone. Just like the doctors who had a dream for accessible medical care, the RAXA project is in need of some additional help from others with the passion and expertise to make this a reality. If you are a developer, designer, or a specialist in health information systems, now is your chance to make a difference!
Get in touch and get involved. 
 
Serving the Community
JSS is busy. On a typical day, the Out Patient Department of the hospital sees over 300 patients between 9:00am and 8:30pm.  That’s close to 1,000 consultations per week. The three sub-centers focus on conditions particularly prevalent in rural communities. Those who would otherwise find it very difficult to get care are, thankfully, able to benefit from primary preventive and curative services for common illnesses such as malaria, diarrhoea, respiratory tract infections, and scabies - which are otherwise major causes of morbidity and mortality in young children.
Furthermore, JSS is involved in research to develop medical technology, which is low-cost, simple and accessible to peripheral health workers. Such technology is expected to make clinical management more rational and less expensive, and decrease the misuse of drugs, especially antibiotics. JSS also functions as a training centre for a number of groups involved with health in the state of Chhattisgarh.