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The HxGuide is a compilation of digital protocols built out as mindmaps. A mindmap is a graphical representation, like a flowchart, describing a logical process flow. It is a diagram which is hierarchical and shows the relations between pieces of the whole, like a family tree. It allows to make and take notes in a creative and logical way that helps to map your ideas and brain pathways.

Info

A complete protocol set will include the screening/ chief complain protocols, past medical history protocol, family history protocol and physical examinations protocol.

Let’s create a digital hypertension screening protocol set using a mindmap.

Step 1: Download and open Freemind, a software used to build mindmaps. https://sourceforge.net/projects/freemind/

Info

Nodes: Nodes help connect various branches throughout the mindmap. Root node is the base idea or concept. Any subnode of a given node is called a child node, and the given node, in turn, is the child’s parent. Sibling nodes are nodes on the same hierarchical level under the same parent node. Nodes higher than a given node in the same lineage are ancestors and those below it are descendants.

Step 2: The single node seen on a new file is the ‘Root node’. This is the main title of your protocol

eg. Hypertension screening

Step 3: Create ‘Parent nodes’ from the root nodes. These are the first level of protocol questions

eg. [xx]

Step 4: Create ‘Child nodes’ from the parent node. These are the second level of protocol questions. Many such levels of questions can be nested under each of the root nodenodes.

[INSERT IMAGE}

Info

Attributes: Attribute define the characteristic of the node. Nodes can be given different attributes depending on the desired outcome. The attributes used in digital protocols are:

  1. display: The content written in this attribute will be displayed on Android. This attribute is used to simplify clinical language for the users.

  2. display-xx: The content written in this attribute will be displayed according to the language setting on Android. This attribute is used to translate the content in display attribute or node to local language. eg. display-fr will have translated French content, display-hn will have translated Hindi content and the user can switch between language from Android App.

  3. language: The content written in this attribute will be displayed on the Web Application. This attribute is used concise into clinical language for doctors.

  4. pop-up: ThiThe content in this attribute will show as a pop-up box on Android. This attribute is used to prompt health messages to the patients and/or action items to the health workers.

  5. input-type: This attribute allows the user to insert values depending on the different types. There are 5 main input-types:

    1. number: prompts a text box to insert numeric values

    2. text: prompts a text box to insert text values

    3. duration: prompts a text box to select duration from days, weeks, months, years

    4. date: prompts a text box to select date in dd/month/yyyy format

    5. range: prompts a text box to select a numeric range with pre-defined unit eg. 4-5 days or 10-12 cigarettes per day

Step 5: Allocate appropriate attributes to each node. Create attributes by right click>Edit Attributes>typle the name of the attribute. Do not put extra characters like period or space.

  1. display

[INSERT IMAGE]

2. display-xx: Replace xx by the initials of the language. Use Unicode format.

[INSERT IMAGE]

3. language

[INSERT IMAGE]

4. pop-up

[INSERT IMAGE]

5. input-type

[INSERT IMAGE]

Step 6: Create a Past Medical history and Family history protocols can be created following the previous steps

[INSERT IMAGE]

Step 7: Create a Physical Examinations protocol following the previous steps. The only difference between the other protocol and physical examinations protocol is that the second level of node is the location of the body where the physical examination is conducted. This physical examination protocol is

Tips:

  • It is recommended to limit the level of questions to 3-4 levels to avoid confusion for the user.

  • Translations will have to be inserted manually for each protocol.

  • Once an attribute is created, it shows in the drop-down. Select from the drop-down to avoid creating incorrect attributes.

  • The content in the display attribute must be easy for a low-literacy health worker with basic medical training.

  • The content in the language attribute must be concised in medical lingo for the doctors

  • The content of the pop-up attribute may get lengthy. It is recommended to type it first in a text editor and then pasted on Freemind