Important Notice : Change of Telephone Numbers - Please note our new numbers below.

Our contact address :
Dr. S. B. Gogia or AMLA MEDIQUIP
28/31Old Rajinder Nagar,
New Delhi -110 060 INDIA
Voice Phone : +91-11-25852291, 25853090
Fax +91-11-25860163
Cell +91-9810126883
ISDN Number (For Video Conferencing and Telemedicine)+91-11-25864450

Our E Mail : amlamediquip@eth.net

Dear Dr Rajender Kumar,
First of all let me thank you for trying out the Evaluation Version and for sending this letter with your specific problems.
The reply to each problem is mentioned alongside in bold. You are also welcome to create some customization as per your desire, please also do remember that tech evaluation version was made with the desire of most users in mind. Individual choices will always be there and we provide personalized reports etc for such needs at a small extra cost depending on the effort required. If it is genuine bud or advice it is free (like the comments regarding the printouts of the admission facesheet)

rajender kumar wrote:

>Dear Dr SB Goggia
>
>How are you? You are doing wonderful work for medical informatics and I thank you for developing software for medical practice. The Medic Aid. I have been using the demo version of it for some time now and noticed some defiencies/problems. Which are detailed below? I hope you will help me with these difficulties .if sorted out I will like to use full version
>DEFICIENCIES/ PROBLEMS IN MEDIC AID (DEMO VERSION)
• There are too many numbers i .e. CR. No, Computer no, admission no., IP number etc. and there is no uniformity in different sheets as for as number display is concerned for example: IP number is displayed as CR Number in print out of admission face sheet and CR number is displayed as Computer Number. OPD number of opd sheet is displayed as hospital code in print of opd sheet and in the same print out OPD Number is shown as blank. This causes lot of confusion. It will be much better if only two numbers i.e. OPD and Indoor (IP) are incorporated and displayed/printed in the specific printouts. And indoor patient numbering is done in accordance with MCI guidelines i.e. serial no./ year ( 20/06 for IP no. 20 in year 2006).
I agree that some of your information is a genuine bug. Some of the problem is as per consensus of various doctors - in the full version we will give you the printouts as per your desire. The master number of each patient is the Computer generated number which we had called C R Number but most Hospitals said that they want to allot their own IP number as per their existing system so we have left that as an openly editable number. We create the printouts as per users choice in the full version.
• I am not able to make fresh Entries into master lists. I have read the help topics and followed the guidelines but still I have been unsuccessful.

That is allowed only in the full version
• The medical/leave certificates once edited and new information entered are not saved in the edited form for that particular patient, once you close the window, next time again default format appears. This makes difficult to keep the record of the issued certificate. Once a certificate is issued after making necessary changes it should be automatically saved along with the record of that particular patient in the changed form.
There is a button called Save As in that window. Any edited text can be than can be saved in a separate file for future reference.
• The admission records /operation records /opd records etc are not printable in A4 sized paper format. On screen information is also not displayed properly as various columns are not completely visible.
Medic Aid uses the default printing format from your Windows Operating System. For printing in A4 format use the link File> Print setup to adjust page size etc. You will need to do that before printing every time Medic Aid Starts. (It would be preferable for you to edit the printer settings from your Control panel to keep the default page size to A4)
• Operation notes and findings entered in respective sheets are not completely displayed in the discharge summary. Part of it is cut off and not displayed/printed in discharge card, similarly progress notes are not fully displayed, however the facility for entering of multiline text has been provided but the whole entered text is not displayed in discharge summary.
If you want a bigger allocation for operation notes, we will create the same in your personalized printouts (Most users wanted a single page discharge summary so we had to limit the allotted space)
• There is no provision in the billing system for entering discounts. As you know to certain patients some %age of discounts are given so kindly incorporate a last row just before the Total for entering any discount (just like the row of advance payment)
Available in the full version
• Can this software be used for the purposes of telemedicine link up?< If so then guide me.
All the entered information of a particular will be saved as a combined file by using the choice Sheet>Write letters> Mail Report
• Can I change the fonts and style etc as for as the discharge summary< printouts are concerned or not.
Fonts or styles or only editable in the reports in RTF format. We can create such a discharge summary for you but remember that RTF edits have to be saved as a separate file and will not be stored in the database for later use. What we can provide as a later help for such editing is automatically storing information in our database that such and such patient's Discharge was saved in that particular file
Dear Sir, as mentioned above I have used your demo version. May be these problems are not there in full version. If so then let me know. Otherwise the software is good and easy to use .I had downloaded the demo version from your website.
Thank you again and please do get back for more clarifications or queries. We can dispatch the CD with your specific details as per your desire
Sincerely yours.
>Dr Rajender Sharma
>Kumar Hospital
>Jodhamal Road, Hoshiarpur
>01882-220092, cell: 98151 30092
> 
AND THE NEXT LETTER

1. .Provision should be there for entering daily progress notes date wise for indoor patients in a separate sheet like operation notes. There is no need to include it in the discharge summary. Separate printout can be taken if required. The Prescription tab (It is part of the Ward patients window) has a separate column for progress. Any number of records can be made by separate consultants if required, which are billed individually  printed individually - one can even make copies of long prescriptions and then write separate progress for a new date. They are never printed with the discharge sheet.
   
2. Space for operation notes can be increased as suggested by you, but this need not be included in the discharge summary. Only name of the procedure and one or two lines will suffice for discharge summary, detailed op. notes can be printed separately if required. The space for operation notes in the discharge is limited to the top few lines but can be individualized for your needs
   
3. How to take up the backup on a CD so that the data can be stored for record purposes or for restoration in event of window crash or formatting of the disk. The entire data is stored in a separate file (it varies according to the program but has the secondary file name .DB) A back up of that file is only required - provision is made in the application itself to create such backups ( use the menu link File>data backup/transfer) from the Frame window which appears after closing all the opened windows but not the application
   
4. For how many years one can store the data in software database. Can be have annual data compilation  and storing like it is done in 'Tally' (popular  accounting software ) and start from Sr. No 1 again in new year and get  an annual summary of admissions/opd cases /operations. /diseases etc. for comparison/analysis on yearly basis. This type of data can be useful for tracking of various diseases and their pattern. This data is also required for filing disease reports to health authorities which we are now doing manually. No limit on storage time. periodic review of data of various kinds is available from the Data review and Lists windows (see the help file). More can be created on request even by your staff once we train them
5. Can we add another window for MTP cases? Because the record of such patients is to be maintained  separately under MTP ACT 1971  Rules and Regulations and is to be kept secret .Sr No can be provided manually . It has to be separate from other registration numbers... There are certain forms prescribed under the act like consent form, report form and form II which are to be filled in each case and to be kept in safe custody .These can be included in the particular working sheet. I can supply the format of these forms if required. Sure we do this all the time for our various users t a small extra cost
   
6. Can I add photographs/images of x-rays; CT scans U/S scans etc in the database along with the record of particular patient. including the photograph of the patient. The provision is there (for storing in the databaseitself) but not recommneded as it makes the application slower. What we do is to just store the location of these files with which they can be viewed as part of the application - try the images tab in the Plastic surgery window
   
7. Can this software be used in networking the various computers kept in opd/indoor/ laboratory/ OT/medical store/ radiology room /accounts section etc? I intend to use it so. If so then can I prevent others i.e. staff managing the computers in labs/accounts/opd etc from accessing the patient record sheets other than the specific to their job? For example can a person manning the computer in laboratory be restricted to access only diagnostic section and person in accounts be restricted to access only accounts /billing sheet and so on. Only the master computer in my control is used to access all the information. Yes that is the multi user version - the database license has to be purchased separately.
   
8. Can I expect online help if some glitch arises. All the time
   
9. Can we have another provision of scheduler which automatically records the follow up visit dates  of patient with  comments  i.e. anything specific to be done on follow up visit like stitch removal etc. once these are entered in discharge summary. This will be a  useful facility which can be of great help in scheduling appointments and  information about doctor's absence due to some reasons can be passed on to the patients who are scheduled for follow up visits on  a particular day .  Yes it is there. Frankly this was made a long time back and not used much so there may be some bugs initially but we will correct them
10. It will be very good if the admission register can be maintained in accordance with MCI guidelines which stipulate following columns.  IP  No.( Number/year)/ Name/ Age/ sex/  DOA/ DOD /Address/ Diagnosis/ treatment/ Remarks.     Doctor Incharge and CR  number can be added.       This will help in making printouts narrower as for as the width is concerned because at present the admission s/operation/opd/ data accessed through  relevant window  can only  be accommodated on two pages that too if printed in landscape  layout .You have answered my query on this earlier explaining that windows default settings are used by Medicaid, that's fine , but my problem is that the display of the admissions record has many cols. Overlapping each other and thus  part of the text becomes invisible. I have tried to increase the width of the relevant rows, but it doesn't remain so after the window is closed and on re- accessing the sheet the original size of the cols appears.   However the admission lists which are accessible through lists >worksheet>data review are just adequate and fine with me but don't contain the address of the patient some other vital information.    I will be very satisfied if this problem of over-lapping is solved. Similar problem occurs with progress notes and operation procedures notes. In the concerned worksheet all the entered information is visible, but is cutoff in discharge summary prints. You have explained that it can be corrected in personalized prints, if so then it is fine.   Thanks, we wil solve these problems on a case to case to basis
    
11. Investigation reports are printed in very haphazard manner in the discharge summary, even if entered in correct sequence like Hb TLC,DLC, BT,CT,ESR,FBS,B. UREA, etc. . entered in this sequence will appear in discharge summary as TLC, BT,B. UREA,HB,DLC,FBS,CT,DLC . It looks so odd and is difficult to comprehend on one glance.  That seems a problem as the reports are in 2 column format. Please do no read them from top to bottom then the next row but Left top, right top, left no 2, right no 2 etc. Then they will make more sense. If you still insist that they should be in column, we can do it but space will be a constraint                                  
    
12. One last query is about the cost of the software. How much it will cost me. Are there any AMCs /up gradation charges or only one time payment. The cost hs to be graded against number of users and whether you want a common database. A single user version (with a free license of the Single user windows based database wil be Rs 15000/- when sent from here with E Mail based support). Additional user licenses will be at the same cost but may require a visit to your hospital for customization and tuning. A Linux based database server is avaiable very cheaply but will mean dedicating a computer for this and some implementation costs. A windows based 10 user license for our commonly used database (ASA from Sybase) is roughly around Rs 60000 /-. This shall be procured by us in your name. They are no additional costs for upgrades or debugging for 6 months unless asking for customization. The application can be used lifelong and reinstalled if the computer crashes etc.