e-Upchaar

e-Upchaar is one of the e-governance initiatives being implemented by State Health Systems
Resource Centre, Haryana to provide better service delivery in an integrated manner.

The core objective of e-Upchaar is to improve public health services and bring
administrative efficiency in the entire healthcare system by streamlining and digitizing
workflows. The scope of e-Upchaar implementation has been initiated in 55 healthcare
facilities which include Software development, Infrastructure set-up, Training & Change
Management, followed by Operations & Maintenance support.

22 facilities have already been computerized. Implementation is in progress for rest of the
facilities.

Implementation of e-Upchaar is planned in three phases:

Phase 1 - 1 Civil Hospital, 1 CHC, 1 PHC and 1 Medical college (Completed)

Phase 2 16 Civil Hospitals, 1 Medical College, and 1 Ayush Hospital (Completed)
Phase 3 1 Medical College, 3 Civil Hospitals, 9 SCH, 10 CHC, 10 PHC (in progress)

CH Panchkula
Phase I MC Khanpur Kalan
(completed) CHC Raipur Rani
PHC Barwala
CH Ambala
CH Sonepat
CH Palwal
CH Mewat
Phase II Wave I
CH Kurukshetra
(Completed)
CH Rohtak
CH Gurgaon
MC Mewat
Ayush Kurukshetra
CH Faridabad
CH Hissar
CH Sirsa
Phase II CH Jhajjar
Wave II CH Fatehabad
(Completed) CH Narnaul
CH Bhiwani
CH Yamuna Nagar
CH Kaithal
Phase III
Wave 1 PGIMS, Rohtak
(in progress)
Phase III CH Panipat FRU 1, Sec 30 Faridabad
Wave 2 CH Rewari FRU 2 Sec 3 Faridabad
(In progress) CH Jind CHC Kalka
 CH Ambala Cantt. PHC Pinjore
SDH Jagadhari CHC Samalkha
SDH Naraingarh SDH, Charkhi Dadri
Mother Child Hospital Sec 10 Gurgaon CHC Safidon
CH Hansi UPHC Sec 16 Panchkula
CH Bahadurgarh PHC Murthal
CH Assandh CHC Meham
CHC Nilokheri CHC Dabwali
CHC Shahabad PHC Morni
SDH Tohana PHC Hangola
SDH Narwana PHC Bhondsi
PHC Nanakpur PHC Kot

University of Health Sciences, Rohtak

UHS, Rohtak was part of implementation of phase II of the e-Upchaar implementation but
due to various delays it was shifted to phase III. As per the agreement for the e-Upchaar
project 400 nodes (PCs and other associated hardware) were approved. Additional nodes
were demanded for which a solution has been worked out in consultation with the
university authorities (MOM attached).

At present only the registration module is active at 22 counters in the university since
24/02/2016/.Approx 4.00 lakh patients have been registered through e-Upchaar application.

Current Scenario:

Flag B has been approved and duly signed by the authorities.

Site solution documents have been submitted by the IA for 9 buildings and for 2
buildings work is in progress. The documents have been verified by HSHRC.

UPS Rooms have been identified for all Hospital buildings except two of them.

A fiber rollout plan has been submitted to the authorities and markings for the
network lay down are being done.

Issues

There is a fiber connectivity issue. No Connectivity at Micro-Biology and Bio

chemistry department building, Regional cancer center building and MCH building.

Lack of co-ordination between university and BSNL (Technosat) due to which there is
delay in finalization of the site solution documents for the remaining 2 buildings.

There is a huge impact on the duration of warranty for the equipments already
delivered at PGIMS (provided for duration of 5 years starting from Nov 2015).
KALPANA CHAWLA MEDICAL COLLEGE, KARNAL

Kalpana Chawla Medical College , Karnal is not in scope of the e-Upchaar project.

However, a meeting was conducted on 26/09/2016 at HSHRC to understand the scope of integration
of e-Upchaar (HMIS of Haryana State) with the HMIS being implemented at KCMC, Karnal.

In this meeting a very preliminary technical discussion was done on feasibility of integration of these
two systems, following are the points of discussion:

Challenges in Integration

Database technologies are different: One is Microsoft SQL Server, other is Oracle
MySQL.
DB schema, fields, data type, defaults are all different. So there will be significant
transformations on both the sides.
o eUpchar as ESB layer, which acts as middleware and can mediate the
messages for transformations, security, logging, etc
o Kalpana Chawla is not SOA based application. It does not have any ESB
layer/Middleware layer to perform these transformations.
Additional development effort would be required to modify the core AS IS
applications(both) to show the data sent from the other system
Since KCMC is not on MPLS, there is need for network security, message security and
transport security, which is missing as of now.
Real time Integrations depend on the availability of Internet bandwidth and its 100%
uptime.
Both have to follow a same standard for EMR data structures i.e. HL7 compliant.
Both have to follow a same WHO ICD 10 standard.
Uniqueness of a patient cannot be promised unless Aadhar card is used to register a
patient on both sides.
User authentication cannot be done as KCMC HMIS is not integrated to IDM
The KCMC data cannot be used for other State programs as it is not integrated with
any other application of NHM, NIC, etc.
Difference in EMR data sets will pose a standardization challenge
Previous history might not be recommended to be stores on local system and would
be available on the fly. Thus is highly dependent on the network.
None of the KCMC Web services (if any) are Security verified, benchmarked for
external consumptions, performance tested for external applications, etc.
e-Upchaar issues

1. Pending construction at CH Jind, Rewari, Panipat and SDH Samalkha

2. Standardization of Charges