eSanjeevaniOPD 1.

0 [Proto] – A user guide for doctors

Contents
Getting Started ....................................................................... Error! Bookmark not defined.
About eSanjeevaniOPD ........................................................... Error! Bookmark not defined.
System Requirements .............................................................. Error! Bookmark not defined.
Using eSanjeevaniOPD ...................................................................................................... 4
User flow .................................................................................................................................... 4
Step 1: Logging in or out of eSanjeevaniOPD............................................................................... 5
Step 2: Using the eSanjeevaniOPD interface ............................................................................... 6
Using the National TeleConsultation Service Dashboard ............................................................................. 6
Checking the patient queue .......................................................................................................................... 6
Step 3: Accepting and joining a consultation request .................................................................. 7
Accepting or rejecting a consultation request .............................................................................................. 7
Interacting with the patient using videoconferencing.................................................................................. 9
Sending the prescription to the patient and closing the telemedicine session .......................................... 14
Support, questions, comments and feedback ........................... Error! Bookmark not defined.
Getting Started
The Ministry of Health & Family Welfare (MoHFW), Government of India has provisioned
eSanjeevaniOPD - SAFE HOME OPD, a citizen-friendly web-based teleconsultation system that
aims to provide healthcare services to patients through safe & structured video-based clinical
consultations between a doctor in a hospital and a patient in the confines of his home.

About eSanjeevaniOPD
eSanjeevaniOPD (esajneevaniopd.in) is a national onlineOPD service that enables patients to
consult doctors. It is first of its kind patient-to-doctor telemedicine system that will serve as
an National teleconsultation service. eSanjeevaniOPD has been developed and deployed by
the Health Informatics & Electronics Division at Centre for Development of Advanced
Computing, Mohali (Punjab). Please visit the eSanjeevaniOPD website for more information
and to use the national teleconsultation service.

The Ministry of Health and Family Welfare

The Ministry of Health and Family Welfare (MoHFW) is charged with the health policy in India.
It is also responsible for all government programs relating to family planning in India. The
ministry is composed of two departments: the Department of Health and Family Welfare and
the Department of Health Research. eHealth Section of MoHFW is looking after national
policies and implementations pertaining to eHealth initiatives of MoHFW.

Centre for Development of Advanced Computing (C-DAC) is the premier R&D organization
of the Ministry of Electronics and Information Technology (MeitY). C-DAC is working on
strengthening national technological capabilities in the context of global developments in the
field and responding to change in the market need in selected foundation areas. As an
institution for high-end Research and Development (R&D), C-DAC has been at the forefront
of the Information Technology (IT) revolution, constantly building capacities in
emerging/enabling technologies and innovating and leveraging its expertise, caliber, skill sets
to develop and deploy IT products and solutions for different sectors of the economy, as per
the mandate of its parent, the Ministry of Electronics and Information Technology,
Government of India and other stakeholders including line ministries, funding agencies,
collaborators, users and the market-place. Health Informatics Group at C-DAC’s centre in
Mohali is one amongst the pioneers in eHealth/telemedicine technologies in Asia.

The Ministry of Health and Family Welfare, Government of India and the eSanjeevaniOPD
team at C-DAC Mohali, urge you to stay home.
System Requirements
eSanjeevaniOPD at esanjeevaniopd.in is a web-based system and does not require an
installation. eSanjeevaniOPD requires the following combination of hardware and software
to function.

Hardware
• A laptop or a desktop computer or a full-sized tablet with a camera, microphone and
speakers that can run the latest versions of Chrome and Firefox
• For a full motion full colour video conferencing - 2mbps Internet connectivity
• A working mobile phone to send/receive OTPs by SMS

Software
• Google Chrome version 79 or later
• Mozilla Firefox version 75 or later

è Note: The eSanjeevaniOPD website currently performs best when used on a

Laptop/Tablet with a 720P or higher resolution.
è Note: Users must allow eSanjeevaniOPD access to the microphone and camera on the
device that they wish to use.
Using eSanjeevaniOPD
eSanjeevaniOPD version 1.0 has been designed to be an extremely simple and easy-to-use
telemedicine system that requires minimal effort from the user. Users must know how to
use a browser and access a website to start using eSanjeevani.

User flow
Using eSanjeevaniOPD is a simple 4 step process to help patients get the consultation they
need.

2. View your 4. Complete the

1. Log in to the 3. Acceot & join
dashboard and consultation and
eSanjeevaniOPD the call and help
wait for patients issue
using your mobile the patients with
to call you for a eprescription
number. a consultation
consultation online.
Step 1: Logging in or out of eSanjeevaniOPD

Logging in to eSanjeevaniOPD is a straightforward process. Refer to the following to log in:

1. Visit https://esanjeevaniopd.in
2. Click the Doctor Login button
The Doctor Login dialog displays

3. Enter your mobile number and click on Send OTP.

The OTP will be sent to your registered mobile number.
4. Log in to the eSanjeevaniOPD telemedicine service using your mobile number and the
OTP received by you.
Once logged in, you will be able to view your dashboard and provide teleconsultation services
to patients online.

Logging out of eSanjeevaniOPD is easy. To log out, just click the logout button on the
top-right corner of the screen.
Step 2: Using the eSanjeevaniOPD interface
eSanjeevaniOPD has been developed as a simple, yet robust tool that will empower both
doctors and patients to interact with each other and help augment the existing health care
delivery systems in the country.
The eSanjeevaniOPD landing page showcases doctor’s dashboard and the number of patients
in waiting in the queue.

Using the National TeleConsultation Service Dashboard

Once you have successfully logged in, the eSanjeevaniOPD dashboard will display. On
this screen will be able to view your consultation statistics that include:
• Completed teleconsultation count
• Total completed teleconsultation hours
• Average teleconsultation duration per patient
• Today’s teleconsultation count
• Today’s teleconsultation duration
• Today’s teleconsultation duration per patient
etc

These statistics show you key performance indicators which will help you to figure out
areas of service improvement and provide better facilities to the patients.

Checking the patient queue

The pane on the left has a simple interface that will showcase the number of patients
currently waiting to get a consultation and a refresh button that enables you to get the
current status of patients in waiting.
à If you have not received a call for a consultation for a while or if you believe the number
of patients in the queue stuck/not moving, kindly press the refresh button from the
panel on the left.
Step 3: Accepting and joining a consultation request

Once you log in, patients will be able to see that a doctor is online. A Call Now button will be
enabled at the patient’s end, which will allow them to initiate a call for consultation with you.

Accepting or rejecting a consultation request

Once a patient clicks the Call Now button, you will receive a prompt to accept or deny the
consultation request.

Rejecting a consultation request

If you do not wish to accept the consultation request for any reason, click the Deny button.
The patient will receive a message that the consultation request could not be completed
and they will be put back in the patient queue.
à Note: Once you Deny a consultation request, other doctors (if available) can accept the
patient’s request.
Accepting a consultation request
Once a consultation request has been accepted by you, the telemedicine session will be
initiated.
You will now be able to perform the following tasks from this interface:
1. Provide consultation to the patient via videoconference
2. Chat with the patient using the Send a Message feature and receive image files
(medical records) from the patients if required.
3. View the patient demographics and history as shared by the patient
4. View medical records uploaded by the patient
5. Enter consultation details that include:
• Allergy information
• Details of examination performed
• Patient history
• Provisional diagnosis
• Generate a prescription for the patient including medication and dosage
• Notes or advice for the patient
6. If you feel that patient’s window in VC is stuck for whatever reason, you can send
the patient back to the queue at any stage by clicking the Back to queue button.
7. Preview and send the prescription to the patient and end the consultation
session.
Interacting with the patient using videoconferencing

Videoconferencing is an innovative way for doctors to consult with patients.

Videoconferencing ensures that you are not exposed to infections while consulting with
patients and you can examine patients in remote locations visually as well as interact with
them.
Videoconferencing also helps staff at primary health centres in remote locations to get
expert advice from specialists, while conducting a physical examination of the patient as per
your directions.

During the videoconference session, you will be able to perform the following from the
videoconference screen:
1. Interact with the patient or the primary healthcare provider
2. Send messages via chat and receive image files from patients
3. Mute your microphone if needed
4. Switch off your video to conserve bandwidth in case of slow internet connections
5. Switch to full-screen mode for better visibility
Viewing information provided by the patient

Patients can provide information regarding their condition and any medical records that
they might have through the eSanjeevaniOPD patient interface. You may also request this
information from patients during the consultation.

The initial screen provides you access to patient demographics including their name, age,
and the patient ID. along with the medical records of the patient (if any).

Adding allergy information

Adding information about any allergies that the patient may have can be performed from
the Allergy section. Please note that this section is optional.

Adding an allergy listing

A SNOMED-CT enabled allergy listing is available in eSanjeevani.

Adding an allergy listing is a straightforward procedure in eSanjeevaniOPD. To add a listing:

 1. Typing the first few letters of the allergy described by the patient displays a list of
possible options through a drop down menu. Choose the most appropriate allergy
from this list.
2. Add the other available options that include the duration of the allergy, if the patient
is still suffering from the allergy and its severity.
3. Add any notes if needed and click the Add button to add this entry.
4. If you have added an entry by mistake or it contains an error, you can delete the entry
by pressing the Delete button from the added list of allergies.

You can add multiple entries here if the patient suffers from more than one allergy.

Adding examination details

General examination details allow you to add general information. This interface allows
doctors to select/deselect checkboxes to add general information including:
1. History of Diabetes
2. History of Smoking
3. History of Alcohol use
You can also add general examination notes by typing them in the General Examination text
box.

Adding patient examination details in eSanjeevaniOPD is a straightforward process. To add

these details:
1. Select the applicable option for your patient
2. Add any general examination notes that you may wish to include.

Adding a provisional diagnosis

The Rx section allows you to add a provisional diagnosis (SNOMED CT listing) according to
the examination of the patient, along with any required medication(s) and advice.
You have the following options in this section:
1. Providing a provisional diagnosis along with advice for the patient without
suggesting any medication.
2. Providing a provisional diagnosis along with medication and advice for the patient.

The Provisional Diagnosis section is a SNOMED-CT powered listing that helps you type the
first few characters of the condition or disease to choose the most appropriate option from
the list.

To add a provisional diagnosis:

1. Type the first few characters of the Provisional Diagnosis to choose the most
appropriate option from the list displayed to you.
2. Add your medical advice for the patient.

The Rx section allows you prescribe medication to the patient as per need. To prescribe
medication to a patient:
1. Type the first few characters of the medicine name or the generic salt
2. Choose the most appropriate option from the list
3. Add the dosage, duration and any notes
4. Click the Add button to add the prescribed medication
5. You can add multiple medicines if needed.
à You can remove a prescribed medication from the list by pressing the Delete icon.
Previewing the prescription
The Preview button allows you to view the prescription before sending it to the patient and
to make any corrections, if necessary. To preview the prescription, click the Preview button.
The preview opens in a pop-up window. To close the preview, click outside the preview
window area.
Sending the prescription to the patient and closing the telemedicine session
The final step in the eSanjeevaniOPD telemedicine/teleconsultation session is to send the
prescription to the patient and close the session.

Once you have previewed the prescription and are satisfied with the included details, close
the preview, and click the Send and Close Consultation button. This will end the
telemedicine session and the prescription will be sent to the patient.
à If you feel that this patient would be assisted better by a specialist of a different
department, you can add the patient back to the queue at any stage by clicking the Back to
queue button.

You will now be able to consult other patients waiting in the queue.
Support, questions, comments and feedback
If you face any problems while using eSanjeevaniOPD or if you have any suggestions
questions, comments or feedback, please visit contact page at esanjeevaniopd.in.

Suggestions & queries may be directed to the eSanjeevaniOPD team at:

Health Informatics & Electronics Division
Centre for Development of Advanced Computing
A-34, Phase VIII, Industrial Area,
Mohali, Punjab 160071 INDIA
+91-172-6619000
spsood [at] cdac [dot] in

eHealth Section
Ministry of Health & Family Welfare
Nirman Bhawan, Maulana Azad Road
New Delhi – 110 011
mohfw.gov.in