Introduction to AuShadha Project

AuShadha (औषध): Means medicine in Sanskrit.

This is a Open Source Electornic Medical Records (EMR) & Public Health Management System for Small Clinics. It might be even suited for speciality medical practice after some customisation. It is developed with Python, Django and Dojo. Development and Deployment will use PostgreSQL. However the option to use sqlite DB is entirely open for small installtions who are not anticipating traffic.

License

AuShadha code is licensed under GNU-GPL Version 3. Django, Dojo, Icons and other thrid party modules are licensed as per their authors. This should be honoured.

Aims

There are many great Open Source EMR and Clinic Management projects, but most of them have very poor front ends. As in life, beauty and usability are key in medical practice. It is natural that more visually appealing it is more you want to use it. AuShadha will strive to achieve a balance between back and front end design. To achieve that aim Django and Dojo has been chosen. AuShadha is designed by me, a Medical Doctor in association with other Developers, so usability and practicability will always be foremost.AuShadha benefits from inputs, feature requests from my medical colleagues as the development progresses.

How to Test

Setup the PostgreSQL database for your OS

Please refer to your OS notes on how to do this. AuShadha has been tested with PostgreSQL Server version 9.3 Once you have installed Postgres server and pgadmin3 client you should be able to run psql from terminal and get a prompt

Creating and AuShadha PostgreSQL database

Preferred DB for running AuShadha is PostgreSQL.

Set up PG for your OS

Please see your OS website for instructions on setting up PG PG should be is setup and accesible from command line as >> psql prompt
Set up a System user with same name as the Postgres user

Create an OS user with <adduser> command from terminal Create a /home/<user_name> directory for the user and run chown -R <user_name> /home/<user_name> The username used by default for DB and user is 'aushadha' with password of aushadha
Create an empty DB and Grant permissions

From terminal run the createuser to create and user with username 'aushadha' Run psql to get into the pg command line from the user that is allowed to run psql
Run the following

CREATE DATABASE aushadha WITH OWNER aushadha;

GRANT ALL ON DATABASE aushadha TO <system_os_user> WITH GRANT OPTION;

Installing Dependencies for AuShadha

For AuShadha requirements please refer to REQUIREMENTS.txt in docs/
AuShadha has been tested and developed with Python 2.7, Django 1.7x and Dojo 1.9x in Linux. It should work as long as dependencies are satisfied.

Creating a Virtual Environment to run:

Ideally create a Python Virtual Environment. If virtualenv is not installed, please run in Debian systems sudo easy_install virtualenv
After installing virtualenv, Create a Python Virtual Environment virtualenv python_env
Change the working directory to the virtualenv folder cd python_env and activate it source bin/activate

Installing Dependencies:

With Python pip installed, run pip install -r ../docs/REQUIREMENTS.txt if you are in python_env directory . This will install all the necessary dependencies you need.
You may need to install Python development libraries if you are on Linux.

$ apt-get install python-dev #in debian systems.

$ yum install python-devel #in Redhat-like systems.
cd into src/AuShadha directory cd src/AuShadha

Prepare and Download Dojo Javascript Library

Latest Dojo Library can be downloaded at : http://dojotoolkit.org/download/

Download the latest Dojo library and extract it into AuShadha/src/AuShadha/AuShadha/media/plugins/dojo/

You may need to create a 'dojo' directory inside AuShadha/src/AuShadha/AuShadha/media/plugins/ directory

After extracting the folder structure should be like: dojo/dojo/ dojo/dojox/ dojo/dijit/

AuShadha has been tested with Dojo 1.9x

Prepare the database and install the fixtures

run $ python manage.py makmigrations && python.manage.py migrate
You need to create a superuser for logging in to the Django administration site. Do that with python manage.py createsuperuser
Run the server with python manage.py runserver
Navigate to http://localhost:8000/AuShadha/admin and login with the user you just created.
You will need to add Users as needed and assign them Roles & permissions
Please note that AuShadha has role and permission based UI. Hence for evaluation, you would need to login as the user with appropriate permissions. For a superuser please set the option in Staff's ausshadha_user_role to aushadha_admin and clinic_staff_role to doctor. Any other lesser permission setting would shut parts of the UI.

See it in action & login

Use your browser to navigate to http://localhost:8000/AuShadha/

You will be greeted with a login page.
Please read the issues, license before using.

Currently AuShadha is under active development and is not fit in anyway for real world use.

Project Structure

docs : Contains the Requirements.txt, License.txt along with Sphinx apidoc
src : Project Source Code, Media files(Icons,Images, File uploads), Javscript
README.md
LICENSE.txt

Plan

AuShadha project is split between AuShadha-stock ( which contains AuShadha-core and some Stock applications) and Au-Pluggable ( the pluggable modules for AuShadha ).

These two repositories are maintained side by side to encourage a basic application which most users would want to use and also provide an easy way for regional/per-user customisation. User can freely mix and match the modules he wants to create his own AuShadha brew. In other words he is not stuck with what the developer has packaged and is free to repackage it in any way he wants.

The AuShadha-core will help him / her create pluggable applications that integrate well into AuShadha, but user is also free to create a completely different Django application. As long as he / she sticks to the Django pluggable practices the application can be easily integrated into AuShadha. Of course if he were to use AuShadha-core's API to develop he can do it more easily. AuShadha-core API is very young, mostly untested. It is very thin layer on top of Django. It does not force the developer to re-learn anything that would not be useful outside AuShadha.

Completed Modules

AuShadha-core
- Core of AuShadha,
- Providing basic utilities for fast app building and scaffolding
AuShadha-PatientRegistration
- Registration of Patient to the Clinic
AuShadha-Contact
- Patient Address management
AuShadha-Phone
- Phone contact management
AuShadha-Guardian
- Guardian information
AuShadha-Demographics
- Management of Demographics Data
AuShadha-MedicationList
- Management of Prescriptions and Medications
AuShadha-AllergyList
- Management of Allergies
AuShadha-History
- Medical History, Surgical History, Social History, Family History
AuShadha-Immunisation - Immunisation Status management application
AuShadha-OPD_Visit Management - Complaints, HPI, ROS, Physical Exam System Wise - Orders, Prescription, Procedures (in progress)
AuShadha-ICD10-Disease Code Browser
AuShadha-ICD10-PCS - Procedure Coding System Browser
AuShadha-FDA-Drug List Browser integrated with some Drugbank - http://drugbank.ca for reference information
AuShadha-vaccine_registry
- CDC-Vaccine List(CVX),
- CDC CVX-MVX mapping,
- CDC VIS
- CDC Vaccine schedules for Children, Adolescents, Adults
- Further info at http://cdc.gov/

Pluggable Modules under Developement

currently under development

aushadha_demographics_us
- Patient Demographics data collection as done in USA
aushadha_demographics_in
- Patient Demographics data collection as done in India
icd10_pcs
- An alternate implementation of Derek's version of ICD10PCS app by Easwar
dynamic_aushadha_models
- A solution to autogenerate an app, its files with scaffolding and CRUD from a model structure given as YAML file. This was designed to work with South project and before Django1.7 introduced support for migrations. This is just a work in progress as South is no longer relevant for this and needs to be removed.