A hospital should not need five systems to see one patient.
Sparsha is one platform for how a hospital runs and what its clinicians record. Registration, the clinical record, billing, pharmacy, lab orders and the government report, in a single system with a single patient record underneath.
Two systems, one patient, and a gap that a person closes by hand.
A hundred patients arrive in a morning. Registration writes a name, the doctor writes a note, the cashier writes a bill, the pharmacy writes a dispense. In most hospitals those four writings live in two or three different systems, and the thing that reconciles them is a person with a register and a pen.
So the same patient exists three times, spelled three ways. The doctor sees the visit but not the payment. The desk sees the payment but not the diagnosis. When the power goes the queue does not stop, so paper comes out, and the paper is entered again later, by whoever has time.
EHRs are largely used by hospitals at present for billing purposes rather than to facilitate clinical care.
World Bank · Electronic Health Records in Nepal: Readiness Assessment · 2023
The hardest version of this problem is on our own street.
Nepal is where we work and it is also where the constraints forgive the least. A system that holds here does not need much added to hold anywhere else in South Asia.
Three shapes, and the seam is always in the same place.
No products named. These are the shapes the category ships in, drawn as they are sold.
The record exists so the bill can be raised. Clinical detail goes in only as far as billing needed it, which is why the chart reads like an invoice with symptoms attached.
The chart is real. The queue, the counter and the store arrive from somewhere else, keep their own idea of who the patient is, and meet the chart in a nightly file.
Bought as one, deployed as five. Five logins, five support queues, and five answers to the question of which record is the patient’s real one.
One record, and everything that touches it.
Drawn as a schematic, because no screen is finished enough to photograph. Two states only: in build, and designed next.
Sparsha is being built now. There is no installation to name and no number worth quoting, so this page quotes none. Every diagram here is a schematic. When there is something real to show, it will be shown here instead of described.