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Kranium

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OVERVIEW:
Kranium is a web based, 3tier, comprehensive, modular and integrated
Healthcare Information System (HIS) that is Indias fastest growing solution
aswellastheleadingOpenSourcesolution.ReputedhospitalschooseKraniumfor
its comprehensive power, low Total Cost of Ownership (TCO) and Kranium
TechnologyscommitmenttodelivertheROI.
Kraniums power and low TCO are a natural outcome of the following
criticaldimensions:
1. Approach that is highly evolved and holistic with respect to overarching
userconcerns
2. Modulesthatarecomprehensiveandadvanced
3. Featuresthatareuserfriendlyandwideranging
4. Interfacesthatconnectdeeplytotheentireecosystem
5. Standardsthatareuniversalandprogressive
The table below presents a summary of the key benefits each of these Kranium dimensions delivers for
Healthcare.
KRANIUMHEALTHCAREINFORMATIONSYSTEM(HIS)KEYBENEFITS...
SolutionDimension
Approach

Benefit

Description

The Individual patient, physician or

Kraniumaddressesoverarching

nurse is the focal point of the

concernsofusers,including

Kraniumsystem.

completeness,scalabilityandTCO.

Kranium comprehensively addresses

key areas of healthcare including
Patientcare

Management,

Patient

Administration Services, Financial &

Administrative

Services,

Specialty

ServicesandSupportServices.
Kranium is designed based on open
source/opensystemstandardssuch
that its deployment is independent of
hardware, operating system and
networkenvironment.

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Kranium is scalable for modular
implementation.

Modules

With the patient as the focal point of

Kraniumisacomprehensivesolution

the system, Kranium offers over 40

thatismodularandscalable.

modules

that

address

Patient

Administration,PatientCareServices,
andClinicalSupportServices.
Features

Interfaces

Kranium incorporates a number of

Kraniumisapowerfulandperfect

generalandoperationalfeatures.

choiceforalluserprofiles.

Kranium features interfaces to PACS,

Kraniumfitsperfectlyintothebigger

Laboratory Analyzers, SMS System,

Healthcareecosystem.

HRMS,Financials,andERP
Standards

Kranium is inherently open source /

Kraniumisahighlystandards

open system based by design and

compliantsolution,makingiteasyto

uses MySQL / PostgreSQL. Kranium

adoptanddeploy.

can

also

Relational

support

commercial

Database

Management

Systems.
Kranium is in line with established
and international standards in Health
CareInformatics.
Kranium

is

hardware,

OS

and

networkindependent

Approach:
BuiltforUsers(CareProviders)andPatients
KraniumsdesignhasthreekeyindividualsPatient,Physician,andNurse,asthefocalpointofthesystem.
The system identifies the patient by a unique Patient Number, against which the
patients demographic data is stored and vital medical data is referenced. The
format and structure of the Patient Identification Number is userdefinable. A
patientsencounterwiththehospitaliseitherasaninpatientoranoutpatient(with
options to classify an outpatient as a normal outpatient, accident and emergency
patientorareferredpatient).
Each encounter is identified by a unique Episode Number and the healthcare
establishment where it occurred. The services provided to the patient whether
clinical care (like laboratory tests, Xray investigations, pharmacy prescriptions
etc.)orsupportiveinnature(liketypeofbed,typeofmealetc...)areallidentified
against the Episode Number(same as Admission Number in case of inpatient
encounter)orevenatalowerlevellikeVisitNumberinthecaseofanoutpatientor
bednumberinthecaseofinpatients.Thisstoredinformationisavailableoninquiry
eitherataconsolidatedlevelthroughthePatientNumberorforeachencounterthroughtheEpisodeNumber.At
the same time it allows departmental services like Laboratory, Radiology, Operation Theatres etc. to be
implementedtomeettheirrespectiveoperationalrequirements.
BuiltforComprehensiveUse
PatientAdministrationServices
ClinicalSupportServices
PatientCareServices

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BuiltforMoreEffectiveUse
Kranium integrates Multimedia, VideoConferencing and Imaging Technology options. This ensures the online
availabilityofpatientinformationindata,voice,textandimage(stillandmoving)formatstoallservicesacross
thecontinuumofahealthcareestablishment.
BuiltforUserFreedom
Kraniumisdesignedonopensource/opensystemstandardsformodularandscalableuse.Thisnotonlymakes
deployment independent of hardware, operating system and network environment but also gives users a need
basedsolutionthatgrowswiththem.
BuiltforSecureUse
Kraniumisbuiltwitharobustsecuritysystem,whichgovernstheentireapplicationinaglobalmanner:
1.Password:TheBasicLevelofSecurity
ThesystemprovidesthefollowingstandardfacilitiesinconjunctionwiththeOS/RDBMSsecuritysystems:
AutoLogOffAfterCertainIntervalofInactivity
DatabaseLevelSecurity
Responsibility/OperatingUnitAccessControl
Functions/SubFunctionLevelAccessControl
ExtraAccessControlforSensitive/ConfidentialInformation
ControlofAccess

Modules:
Kraniumsfunctionalitycanbebroadlycategorizedunderthefollowingtypesofservices:
PatientAdministrationServices

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This suite of modules handles the administration of patients with regard to their registration, visits to outpatient
clinics and appointments, admittance to wards and associated transfers and discharges, management of wards/
beds,orderingforservicestovariousdepartmentsandmaintenanceofmedicalrecords.
Patient Registration is an online interactive system providing a record of all
patients registered, through a unique patient identification number. It holds
demographic, medical and financial details, which are of longterm significance. It
generates patient identification cards, adhesive labels and patient folder front
sheets.

Appointments Scheduling allows booking/rescheduling of appointments based

onvariabletimetableandappointmentstructures.
Outpatient Management registers patient visits to various clinics, manages
patientqueueandrecordsconsultationdetails.
Inpatient Management handles patient admissions, transfers and discharges. It provides for ward/bed
assignmentthroughonlinebedavailabilitystatusandproducesadhesivelabelwristbandinsertsandadmissions
formstofacilitateproperidentificationofpatients.Waitinglistsprovideforcontrolofadmissionsbasedonpriority
andmedicalservicegroups.
Accident and Emergency is designed for rapid registration of patients arriving at the accident and emergency
department. This module generates casualty cards and tracks treatment details. A wide variety of trauma, RTA
etc.relatedstatisticscouldbegenerated.
MedicalRecordsassiststherecordsdepartmentinmaintainingacomprehensivemedicalrecordforeachpatient.
Itcaterstoinpatientandoutpatientmorbiditycoding,providesvariousreportsonresourceutilizationanddisease
incidence.Thecharttrackingsubmoduletracksthemovementofpatientnoteswithinandoutsidethehospital.
PatientBillingprovidesaflexibleandcomprehensivemeansoftrackingandconsolidatingpatientchargesfrom
the time of patient registration to the time the patient leaves the hospital. It handles both inpatients and
outpatients and automates the billing process leading to improved cash flow within the hospitals. All patient
related modules of Kranium interface with the Billing modules to pass on the charge information for patient
servicesrendered.Asetofuserdefinedbillingrulesguidethebillingruntogenerateinvoicesandbills.Thebilling
runs can be executed at predefined intervals for each episode, for each set of service rendered or in any

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combination of the above. The module allows full or partial billing of patients or insurance companies or other
relevantauthorities.
InsuranceManagementTheInsuranceManagementmoduleaidsintrackingtheinsuranceprocessingdetailsfor
patients having appropriate insurance policies. It provides for validating on a number of factors as part of the
billing and settlement processes including identification of services that are excluded from coverage, services
whichrequirepriorapprovalfrominsurancecompanies,copayments&insurancedeductibles,etc.Themodule
isintegratedwithPatientBilling.
ClinicalSupportServices

The modules under Clinical Support Services provide departmental services required for providing primary
patientcareandincludePharmacy,Radiology,Laboratory,Pathology,BloodTransfusionandOperationTheatres.
Pharmacy / Medical Store Management caters for drug information, dispensing and stock control functions of
thepharmacydepartment.Itcouldmaintaincompletedrugformularywithcontraindications,interactions,dosage
details, etc. and supports various drug classifications and indexes if connected to an external drug database.
Medication issues are reviewed by authorized pharmacists where necessary. Medication orders are linked to
inpatient episodes, while prescriptions are linked to outpatient visits. Facility also exists for online interface with
external standard drug databases through thirdpart tools. Drug inventory is maintained through comprehensive
stockmanagementfunctions.
MedicalStoresaddressesthemaintenanceoftheinventoryexclusivelyforpharmacyitemsofahospital.Itcaters
to single and multistore facility, expiry of drugs through individual batches, manufacturing items, reorder,
minimum&maximumquantitiesfordifferenttypesofitems.Itcaterstodifferentkindsoftransactionsassociated
withuniquetransactionnumbers.
Radiology provides for appointment scheduling, request registration with examination details, reporting, post
examinationregistration,andbilling.Patientstatisticsandutilizationreportsareavailablefordepartmentalcontrol
andplanning.ResourceSchedulingreducespatientwaitingtimeandimprovesutilizationofcriticalresources.Text
processing facilities are available for reporting including coded comments in the form of text blocks. For each
examinationcarriedoutthenumberoffilmsusedandthequantityofdrugsconsumedisrecorded.
Laboratory Chemistry and Haematology offers in addition to standard features of patient registration,
specimen login, work lists and reporting, facilitate linkage to a range of automated analyzers. The Hematology
submoduleallowsrecordingofbloodfilmanalysisandspecializedkeyboardoptionforcellcounting.Resultsare
checkedfordeltaandpercentagedifferencesandvalidatedagainstageandsexrelatedreferences.
Laboratory Microbiology caters to the requirement of Bacteriology, Mycology, Parasitology, Micrology and

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Serology. On result entry, the module checks for antibiotic sensitivities and offers entry of free text or coded
comments.Thereportfacilitiescoverantibioticresistancetrends,infectioncontrolreportsandorganismisolated
criteriaincludingmicrobiologyprocedures.
LaboratoryAnatomicalPathologyprovidesforonlinetexthandlingandcodedcommentfeaturestocaterto
thespecificneedsofHistology,Cytologyandpostmortemdepartments.
PatientCareServices

The modules under the Patient Care Services provide departmental services required such as Doctors
Workstation,NursingManagement,Orders&ResultsReportingandOperationTheatre.
DoctorsWorkstation provides the clinicians a single point access to the electronic medical record consisting of
the patient demographic details, past medical history and vitals maintained in the system. The history of the
patient is viewed chronologically listed as per the encounters with hyperlinks to the clinical details for each
encounter.Itisalsopossiblefortheclinicianstoviewthelistofinpatientsunderhis/hercareandthepatients
waiting for consultation in the OPD. The doctors and / or nurses are able to update / view the preconsultation
observations such as height, weight, BP, Temperature, etc. The module helps the clinicians in recording the
differentkindsofdocumentationaspartofthepatientcareincludingprogressnotes,dischargesummary,referral
letters,etc.Thedocumentationcanberecordedbasedonpredefinedtemplates.
Different roles of documentation are definable to control the documentation quality e.g. transcribers, reviewer /
authorizer, viewer. Also, documentation entry is initially recorded as a draft, which needs to be finalized by
authorizedDoctor.
Themoduleallowsdefiningoftemplatescorrespondingtodifferentspecialtiessothatthedetailsarerecordedand
viewedaccordingtothedoctorsspecialty.Thedoctorswillbeabletoupdatethediagnosisandprocedurecodes
as per the predefined coding structure such as ICD10 or CPT through a dynamic multilayered code selection /
searchutilityincludingthefacilitytodefinedoctorspecificdiagnosis.
Nursing Management module consists of a set of functions and submodules that can be run at each nursing
station. This aids in the flow of patient information throughout the hospital. Orders can be placed from nursing
stations for individual patients. Nurses can view the status results of their orders. Patient information can be
enquired upon and transfers & discharges recorded. This module facilitates recording of progress notes and
reviewofdiagnosticandclinicalorders.
Orders and Results Reporting allows entry and tracking of orders made from wards, clinics and departments
for various services including investigations for laboratory, radiology and prescriptions for drugs. The order
requestscanberoutedtoprintatthepredefinedlocationsorcanbeviewedbytheservicedepartment staff for
processingtherequestorders.Themoduleprovidesdefiningofprioritiesfortheorderswithafacilitytomakeon
lineinquiryintothestatusoftheorders.Itispossibletodefinereview/authorizationrulespriortothereleaseof
orderstotheservicedepartments.Also,itispossibletodefineapaneloftests(battery/orderset)forexpediting

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the ordering process. It is integrated with Laboratory Suite, Radiology and Pharmacy Management modules for
enabling online order and result processing in the respective areas. For instance, some of the results in the
laboratorydepartmentcanbecapturedthroughinterfacewiththevariouslaboratoryanalyzers.
Operating Theatre module maintains theatre reservation details through predefined schedules and provides for
extensive postoperation record keeping including time / duration of surgical procedure, procedure details,
surgeons,anaesthetistsandparamedicalstaffinvolved,specimendetails,ifany,andcorresponding reports with
surgeonscommentsintextform.Itgeneratesutilizationstatisticsandperformancereports.

Interfaces:
Kraniumisbuilttofitintoahealthcareenvironmentinwhichmultiplesolutionsand
technologies operate. To ensure seamless integration and operation, Kranium
features effective interfaces from the HIS to the different solutions and
technologies.Theseinclude:
InterfacetoPACS
InterfacetoLaboratoryAnalyzers
InterfacetoSMSSystem
InterfacetoHRMS
InterfacetoFinancials
InterfacetoERP

Features:
Driven by a holistic vision and understanding and deep insights, Kraniums
continuousdevelopmenthasensureditispackedwithahostoffeatures,General
andOperational.

Here,wepresentalistofKraniumsfeatures.Foradetailedsummary,
GeneralFeatures
OperationalFeatures

GeneralFeatures

OperationalFeatures

Comprehensive

BrowserInterface

Modular

AdhocQueries

Integrated

UserdefinableCodes

FlexibleDesign

OnlinesearchcapabilitiesforEntryCodes

InformationPoolDesign

UserProfileDrivenFunctionMenus

PhasedImplementation

Easeofuse

MISReportingCapabilities

CustomizableMessages

Maintainability
CentralizedClinicalEMRRepository
InterfacetoERP

Systemwidestandarduserinterface
HardCopyOutputs
FreeformatTextEntry

AutomatedProcessesandIntelligentWorkflow
OnlineAccesstoEMRInformation
DataSecurity

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AdherencetoInternationalHealthCareITStandards
UserFriendlyInterface
MultimediaEnabledPatientData

Standards:
OpenSystemDesign
Kraniumisinherentlyopensource/opensystembasedbydesignandusesMySQL
/ PostgreSQL and can also support commercial Relational Database Management
Systems. Kranium product design and philosophy ensures that the product meets
established global standards in Health Care Informatics. It is hardware, OS and
network independent and can be deployed on different hardware platforms
includingIBM,SUN,HP,DEC,Compaq,etc.TheOperatingSystemforKraniumcan
eitherbeWindowsorLINUX.
Kraniumsupportsallstandardnetworkinfrastructuressuchas:
_StandardCablingwithUTP,fiberoptic,etc.
_LANorWANwithleasedlineordialupnetwork
_Intranet/Internet
KraniumsArchitecture

Screenshots:
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Copyrightkranium2009,Allrightsreserved.

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