Demo

Sana in Mexico

Sana Lien i3 video

Sana in 10 Easy Steps

Step 1. Getting Started
	This walkthrough will highlight Sana's features. Let's run Sana and get started!

Step 2. Sana Home Screen
	This is the Sana Home Screen. From here, a nurse or community healthworker is able to start a new encounter, see a list of previously performed encounters, and see the latest notifications for all the patients she or he has seen. Let's start a new encounter..

Step 3. Choose a Procedure to Perform
	A list of available procedures on the phone are shown. Sana comes with example procedures developed by ourselves and our partners. New procedures can be retrieved from an EMR such as OpenMRS. Designing new procedures does not require any programming experience.

Step 4. Interact with Patient
	Now we are ready to record a new encounter with a patient. The nurse or community healthworker walks through filling out the form with the patient.

Step 5. Fill out the Entire Form
	Sana supports a variety of input widgets for answering encounter questions. Some examples include: multiple choice checkboxes, single-choice radio buttons, free-text entry, and more. Note that this question was displayed because of the selection made in the previous question. This is because Sana allows branching, which means if the nurse didn't select "wound drainage" on the previous page, this page would not be displayed.

Step 5. Fill out the Entire Form

Sana supports a variety of input widgets for answering encounter questions. Some examples include: multiple choice checkboxes, single-choice radio buttons, free-text entry, and more. Note that this question was displayed because of the selection made in the previous question. This is because Sana allows branching, which means if the nurse didn't select "wound drainage" on the previous page, this page would not be displayed.

Step 6. Record Audio Notes
	Sana can take audio recordings using the phone's microphone. This can be used for recording notes from the community health worker, or to collect patient data such as lung sounds or heartbeats with a stethoscope hooked up to the phone. The doctor addressing the case can review these recordings from the EMR.

Step 7. Collect Pictures of the Patient
	Sana was originally built for collecting images of cervical cancer patients' cervixes. After taking a picture with Sana, the nurse can review the picture by panning and zooming. If the picture is satisfactory, then he or she can select it for upload to the patient's medical record with this case. Multiple pictures can be taken as an answer to the same question. Another use for this functionality is to allow recording a picture of the patient for inclusion in their medical record.

Step 7. Collect Pictures of the Patient

Sana was originally built for collecting images of cervical cancer patients' cervixes. After taking a picture with Sana, the nurse can review the picture by panning and zooming. If the picture is satisfactory, then he or she can select it for upload to the patient's medical record with this case. Multiple pictures can be taken as an answer to the same question. Another use for this functionality is to allow recording a picture of the patient for inclusion in their medical record.

Step 8. Upload the Encounter to an EMR
	When the encounter is complete, the health worker has the option of uploading the completed form. This is done seamlessly and in the background. If there is no network connectivity, the data uploads to the server as soon as there is service. The data is transferred in a packetized format to ensure reliable transfer even in areas of poor connectivity. Data can be sent over both GPRS and WiFi.

On a Remote Computer, Doctor Views Encounter in OpenMRS Queue
	The uploaded encounter is stored in the patient's medical record in the medical records system used with Sana. Additionally, the encounter is inserted into a queue of encounters for review by on-call doctors. Doctors access the queue by logging into the medical records system on a standard computer. The physician can then review the case and submit a diagnosis and/or recommended treatment, from anywhere in the world. Note that this is the only step in this demo that does not take place on the phone.

On a Remote Computer, Doctor Views Encounter in OpenMRS Queue

The uploaded encounter is stored in the patient's medical record in the medical records system used with Sana. Additionally, the encounter is inserted into a queue of encounters for review by on-call doctors. Doctors access the queue by logging into the medical records system on a standard computer. The physician can then review the case and submit a diagnosis and/or recommended treatment, from anywhere in the world. Note that this is the only step in this demo that does not take place on the phone.

Step 9. Diagnosis from Doctor is Sent to the Phone
	This diagnosis is immediately sent to the originating health worker's phone and/or to the patient as well via SMS. If the phone is not in a coverage area the message will be delivered as soon as the phone receives service again.

Step 10. View Patient Diagnosis
	The nurse can view the notification for the patient and see the doctor's notes. After receiving the diagnosis, the nurse is ready to give the appropriate treatment or refer the patient to a hospital. With Sana, the entire process from procedure to diagnosis is streamlined, easy, and customizable.