AI BASED CORONAVIRUS DISEASE (COVID-19) SELF ASSESSMENT,

PATIENT ASSISTANCE APP BASED ON NDHB STANDARDS

Available in 12 different local languages
 SCOPE OF THE APPLICATION
Existing scope
 AI based self assessment
 Complied to NDHB recommended standards
 Map patient profile to risk category to push
relevant IEC content.
 Patient can Manage and Report their
Symptoms for the recommended 14-day
quarantine period - allows for a dynamic
risk oversight by health authorities at
individual and aggregate levels
Readily extensible Scope
 Patient location & risk score-based
healthcare facility and testing centre suggestion
 Push Information to IDSP if integrated to 
improve oversight and provisioning
 Direct Call-in to Notified Helplines or WhatsApp
Chatbots
 Hosted on Amazon, inbuilt scalability to
facilitate data storage and exchange at
population level

 Multilingual support- 12 local languages

 In-built teleconsultation utility to connect

with Doctor for counselling
 Patient Tracking & unique identification
of patient
 SOLUTION IN BRIEF

Nearby referral options &

Push relevant IEC material as guide
guide mapped to the risk
Get symptoms assessed by AI
category
using standard symptom list

From safety of patient’s home, Direct call in and WhatsApp to

update symptoms during home govt notified helpline and
Teleconsultation if one needs chatbot
quarantined
to talk to a doctor for advice
and counselling

Patient classification under risk category, as Can integrate with IDSP to push
per risk scoring without creating patient panic under risk patient with tracking
For both patient’s and details for the Govt for case
provider’s screening needs management
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SOLUTION SNAPSHOT

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A SELF ASSESSMENT APP TO HELP CITIZENS SELF ASSESS FOR COVID-19 INFECTION, FROM

If IDSP can be

l level
& Moderate Risk

COVID
IDSP for tracking
patient details to

reports
Facilitate

dashboard
integrated- Push High

surveillance
State/nationa
 1. Patient/provider can
request sample collection
to the nearest Govt
Provider
notified lab

Patient
2. Autosuggest nearest
Govt notified Hospital for
Standards Based referral for high risk
Disease Risk patient
assessment Tool

Push Risk Category

specific Patient IEC

COVID
helpline/Call
Confirmed centre
COVID RISK ASSESSMENT & REFERRAL TO NEAREST LAB
WILL NEED THE FOLLOWING INFORMATION

 Patient Demographics
 Profession
 Travel History up to 30 days
 Close contact history with a person with travel history of COVID affected
countries or with similar symptoms
 Clinical History- comorbidities
 Symptoms/chief complaints
 List of govt Notified virology centres/facilities -pin code/geotag
 Integration with IDSP and Govt. COVID help centre
 PATIENT DEMOGRAPHICS
MDDS ID MDDS Data element IDSP Format Siz Value sets/Code Remark
Data e directory
element
05.002.000 Nationality Code Citizensh Integer 1 Values:
6 ip 1 - Indian
2- Others
Default value will be
1.
G01.01 Unique Identification ADHAAR Integer 12 For Indian citizens
(UID) No. for ADHAAR no. can be
Indian used
05.002.000 Alternate Unique ID type Integer 2 For other
1 Identification Number Nationalities and
(UID) Type- passport people without
05.002.000 Alternate Unique Identifica Varchar 18 ADHAAR
2 Identification Number tion
(UID)- passport No. Number
05.003.000 Patient Name Name (G01.02)
2
G01.03 Gender Identification Gender Char 1 (CD05.039)
Code M - Male
F - Female
MDDS ID MDDS Data IDSP Data Format Size Value sets/Code
element element directory
05.003.0012 Patient Mobile Mobile Number Varchar 10 G00.06-
Number 02-05
05.003.0011 Patient Landline Landline Char 8 G00.06-01-05
Number Number
G02.03-00-02 Premises Varchar 60 House Number. / Door
Identifier Number / House Identifier
/Flat
Number
- Building Number. / Plot
Number
- Building Name / Building
Identifier
G02.03-01-03 Sub Varchar 50 Block Name/Number or any
Locality-1 other qualifier
-Street Number /Name/
Mohalla/ Sector Number
/any
other qualifier
G02.03-03-03 Locality Varchar 50 Area Number/ Area Name /
Suburb / Sub district in case
of
Village/ any other qualifier
PATIENT HISTORY- PROFESSIONAL

MDDS ID MDDS Data IDSP Data Format Size Value sets/Code

element element directory
G01.15-01 Occupation Type Integer 2 (CD01.02)
code
G01.15-02 Name of Varchar 50 (CD01.02)
Occupation

* Risk is higher for occupation like health care worker and other identified occupations
PATIENT HISTORY- TRAVEL HISTORY
* Risk Score will be higher if the screened person is travelling from a corona infected
country
MDDS ID MDDS Data IDSP Data Format Size Value sets/Code
element element directory
Travel History- Recent Travel- last 1 month
Have you travelled Integer 2 1- Yes
to/from out of 2- No
country in last 1
month
If Yes, Port of Travel history Global Country List
Origin of Journey & codes
Port of Final
destination
Flight & Ticket
Details
Date of arrival
Button to Add
more travel
Have you met 1-yes
anyone physical 2- No
who might have
travelled from
COVID affected
PATIENT HISTORY- CLINICAL HISTORY
MDDS ID MDDS Data IDSP Data Format Size Value sets/Code
element element directory
Any family Integer 2 1- Yes
member infected 2- No
with COVID
Any Existing Integer 2 1- Yes
Condition 2- No
If yes, Health Varchar 10 ICD 10 code
condition Code dropdown (AI
suggestion)

• Risk Score will be higher if the screened person has any respiratory system related condition/diagnosis or a
compromised immune system due to some critical conditions
• Risk Score will be higher if a family member is infected with COVID
• Direct and high-risk contact include those who live in the same household with a confirmed case and
healthcare workers who examined a confirmed case without adequate protection as per WHO
recommendations.
PATIENT SCREENING -CHIEF COMPLAINTS- ICD10- R50–R59

MDDS ID MDDS Data IDSP Data Format Size Value sets/Code

element element directory
NA Chief Complaint Symptoms Varchar ICD10 range
Code R50-R59 for fever,
cough and
Respiratory
distress
NA Chief Complaint Varchar
Description
05.020.0010 Present Health Date of Onset dd/mm/yyyy 10 G00.01
Condition Onset
Date

Unit (days)
CD05.020 Severity Integer 2 01 Mild
02 Moderate
03 Severe
04 Potentially Life
Threatening 05
Anaphylaxis 06
Fatal
07 Toxicosis
ASSESSMENT- DIAGNOSIS-COVID19-PROVISIONAL
MDDS ID MDDS Data IDSP Data Format Siz Value sets/Code directory
element element e
05.020.0003 Health Condition Syndromes/Diseas Varchar 10 (CD05.019)
Code es ICD-10 Code range
J00–J99

05.020.0004 Health Condition Syndromes/Diseas Varchar 254

Description es
05.020.0001 Health Condition Syndromes/Diseas Integer 3 (CD05.022)
type es
05.020.0005 Health Condition Provisional Char 1 S- Suspected
Category Diagnosis P- Presumptive
L- Lab Confirmed C - Clinically Confirmed
05.020.0006 Diagnosis Priority Integer 1 1-Primary
2-Secondary
Default is 1
05.020.0008 Comorbidity Integer 1 Values
Indicator 0. No
1. Yes
05.020.0009 Comorbidity Any Comorbid Varchar 10 (CD05.019)
Health Condition Condition ICD-10 range
Code B20-B24,C00-D48,
E10-E14,E40-46,F00-F03, J00-J01, J05-J06,
J12-J18 J36-J39 , J40—J47, J22, J66-J99,K70-
K77,N00-N30,G00-G99,I00-I82,M5-M14,B20-
B24
MANAGEMENT)

MDDS ID MDDS Data IDSP Data Format Size Value sets/Code

element element directory
05.021.0022 Lab Order Code Varchar 10 CD05.024/LOINC

05.008.0001 Unique Facility Laboratory Integer 2 All the Govt Listed

Identification virology for COVID
Number (lookup should be
nearest listed displayed as per
virology lab) provider/patient’s
address (Google
nearby)

Note- The sample collection request if required by the testing centres, can work similar to swiggy
ordering app.
When a patient or provider requests sample collection for a high risk patient, the designated lab can use
the Raxa app itself to receive the request and can assign a health worker for sample collection personal
to patient’s home who will again use the same app in their phone to activate the task.
 AGE
Risk Category Population at risk
High Risk Symptoms + >60 years of age
High Risk Symptoms With comorbidities: (Map these with ICD10 or SNOMeD codes)
1.Chronic respiratory diseases
2. Diabetes
3. Mild to severe liver diseases
4. Malnutrition
5. AIDS/HIV
6. Dementia
7. Chronic neurological disorder
8. Cancers
9. Smoking
10.Chronic kidney disease
11. Chronic cardiovascular disease
High Risk Symptoms + Health care personnel- Occupation
High Risk Travel history to COVID affected country + symptoms
High Risk Symptoms/no symptoms + COVID 19 affected close family member
Moderate All Symptoms + >40 years
Moderate No symptoms + Travel history to COVID affected country
Moderate No symptoms + Travel history to COVID affected country
Low No Symptoms + No Travel history to COVID affected country + no recent contact with a person coming from a
COVID affected country
One of the symptom (Mild) + No Travel history to COVID affected country + no recent contact with a person
coming from a COVID affected country
No symptoms + <40 Yrs of age
CASE CLASSIFICATION FOR ASSESSMENT PRE-POST LAB REFERRAL
Suspect Case
 A. Patients with severe acute respiratory infection (fever, cough, and requiring admission to hospital), AND with no
other etiology that fully explains the clinical presentation AND at least one of the following:  a history of travel to or
residence in the city of Wuhan, Hubei Province, China in the 14 days prior to symptom onset, or  patient is a health
care worker who has been working in an environment where severe acute respiratory infections of unknown etiology
are being cared for.
 B. Patients with any acute respiratory illness AND at least one of the following:  close contact with a confirmed or
probable case of 2019-nCoV in the 14 days prior to illness onset, or  visiting or working in a live animal market in
Wuhan, Hubei Province, China in the 14 days prior to symptom onset, or  worked or attended a health care facility
in the 14 days prior to onset of symptoms where patients with hospital-associated 2019-nCov infections have been
reported.
Probable case
 Probable case: A suspect case for whom testing for 2019-nCoV is inconclusive or for whom testing was positive on a
pan-coronavirus assay.

Confirmed Case
A person with laboratory confirmation of 2019-nCoV infection, irrespective of clinical signs and symptoms
IEC MAPPED TO PATIENT RISK CATEGORY- LOW RISK
IEC MAPPED TO PATIENT RISK CATEGORY- LOW TO MEDIUM
IEC MAPPED TO PATIENT RISK CATEGORY- MEDIUM TO HIGH
IEC MAPPED TO PATIENT RISK CATEGORY- MEDIUM TO HIGH
IEC MAPPED TO PATIENT RISK CATEGORY- MEDIUM TO HIGH
MORE INFOGRAPHICS CAN BE ON FOLLOWING
Medium to High Risk Category
Key advice for older adults and people with pre-existing conditions: (WHO Guidelines)
 When you have visitors to your home, exchange “1 meter greetings”, like a wave, nod, or bow.

 Ask visitors and those you live with to wash their hands.

 Regularly clean and disinfect surfaces in your home, especially areas that people touch a lot.

 If someone you live with isn’t feeling well (especially with possible COVID-19 symptoms), limit
your shared spaces.
 If you become ill with symptoms of COVID-19, contact your healthcare provider by telephone
before visiting your healthcare facility.
 Plan in preparation for an outbreak of COVID-19 in your community.

 When you go out in public, follow the same preventative guidelines as you would at home.

 Stay up to date using information from reliable sources.

 Patients suffering from chronic diseases and minor elements may be advised to utilize OPDs in
primary/ secondary care facilities rather than crowding tertiary care centers.

......continue
Low to Medium Risk Category
 Patients must be counselled against attaching any kind of stigma to Corona virus patients or to
facilities where such patients are admitted. They must be made aware that quick disclosure of
symptoms and undergoing testing if advised is the surest way of battling COVID 19.
 Patients must be educated about cough etiquette, Do’s and Don'ts, proper use of masks instead of
using them indiscriminately and inefficiently; and personal hygiene. Hospitals should put up posters
etc. to increase awareness amongst patients on Do’s and Don’ts regarding COVID 19
 all pneumonia patients must also be notified to NCDC or IDSP so that they can be tested for COVID 19.

 All patients may be advised not to come for routine visits to the OPD if it can be avoided or postponed.

 OPDs may be organized in such a manner that patients exhibiting flu like symptoms are attended
separately from other patients and spaced out so as to avoid overcrowding. 25. Patients suffering from
chronic diseases and minor elements may be advised to utilize OPDs in primary/ secondary care
facilities rather than crowding tertiary care centers.
 Social Distancing

 Mass gathering
LOW TO MEDIUM RISK CATEGORY- ADVICES AS PER RISK CATEGORY
All asymptomatic individuals who have undertaken international travel in the last 14
days
 They should stay in home quarantine for 14 days.
 They should be tested only if they become symptomatic (fever, cough, difficulty in breathing)
 All family members living with a confirmed case should be home quarantined.
Asymptomatic direct and high-risk contacts of a confirmed case should be tested once
between day 5 and day 14 of coming in his/her contact.
CASE CLASSIFICATION FOR ASSESSMENT PRE-POST LAB REFERRAL
Suspect Case – Quarantine and social distancing
 A. Patients with severe acute respiratory infection (fever, cough, and requiring admission to hospital), AND with no
other etiology that fully explains the clinical presentation AND at least one of the following:  a history of travel to or
residence in the city of Wuhan, Hubei Province, China in the 14 days prior to symptom onset, or  patient is a health
care worker who has been working in an environment where severe acute respiratory infections of unknown etiology
are being cared for.
 B. Patients with any acute respiratory illness AND at least one of the following:  close contact with a confirmed or
probable case of 2019-nCoV in the 14 days prior to illness onset, or  visiting or working in a live animal market in
Wuhan, Hubei Province, China in the 14 days prior to symptom onset, or  worked or attended a health care facility
in the 14 days prior to onset of symptoms where patients with hospital-associated 2019-nCov infections have been
reported.
Probable case- Home Quarantine for 14 days and retest for COVID
 Probable case: A suspect case for whom testing for 2019-nCoV is inconclusive or for whom testing was positive on a
pan-coronavirus assay.

Confirmed Case- Hospital Isolation

A person with laboratory confirmation of 2019-nCoV infection, irrespective of clinical signs and symptoms
IEC MATERIAL MAPPED TO RISK CATEGORY (TO
BE DEVELOPED)
LOW RISK TO ALL

Disinfect surfaces daily If you have visitors , make

them wash their hands
first 1-meter Greetings
 Low Risk
*Asymptomatic (no
1symptoms) 2
No history of travel/
no contact with an
infected person

3
Avoid public
6 gathering

If in public wear mask

if you cough,sneeze or
cover you nose and
mouth
 *Symptomatic

1 2 Look out for any of these

No history of travel/
no contact with an symptoms
infected person

6 3
DON
OT
PANI
Self quarantine
C
5 4
Contact a doctor or call
the government helpline
number
 Medium Risk
Travel history & Asymptomatic
If you are 1
travelling 2 3
from
COVID
affected
country
get
yourself
screened
Look out for any of these
5 6
symptoms and contact the
4 doctor immediately or call on
the helpline number

7
Tele consult your
Avoid public
Doctor
8 gathering

Get COVID test done from

the nearest Govt notified
COVID lab to confirm COVID
 Medium Risk

story of contact with someone who travelled

1 Contact with 2
someone who Contact a doctor or call
returned from the government helpline
Covid affected
country number

Look out for any of these symptoms and

4 contact the doctor immediately or call on 3
the helpline number if symptoms appear
 Medium Risk

ory of contact with someone who travelled and is positive for Covid

Contact with 2
1 someone who Contact a doctor or call
returned from Covid the government helpline
affected country and
is tested positive for
number
Covid

Look out for any of these symptoms and 3

4 contact the doctor immediately or call on
5
the helpline number if symptoms appear

7 Avoid public
Tele consult your
6 gathering
Doctor

Get COVID test done from

the nearest Govt notified
COVID lab to confirm COVID
 HIGH RISK
*No History of Travel/Contact +  Cough/Fever/Breathless 1.
persists/gets worse

No Travel History Use mask

Symptoms

2. 3. 4. 5. 7.

Visit ED department
Get COVID test done immediately
Avoid contact with Tele consult your Doctor If your condition
from the nearest Govt deteriorates Call
healthy people around notified COVID lab
you, you may infect National COVID helpline
others (Direct app based call
in)
 HIGH RISK
*History of  Contact with some who Travelled +  Cough/Fever/Breathless 
1.

Contacted a traveller
from COVID affected Tele consult your Doctor
countries in last 15
days
4. 3. 2.
5.

Visit ED department
immediately Call National COVID
helpline (Direct app Get COVID test done
based call in) If your condition from the nearest Govt
deteriorates notified COVID lab
 HIGH RISK

1. 2.

Symptoms
History of Tele consult your Doctor
travel
4. 3.
5.

Visit ED department
immediately Call National COVID
helpline (Direct app
Get COVID test done
based call in)
from the nearest Govt
notified COVID lab
HIGH RISK

1. 2.

Contacted an
affected Symptoms
Tele consult your Doctor
patient
4. 3.
5.

Visit ED department
immediately Call National COVID
helpline (Direct app
Get COVID test done
based call in)
from the nearest Govt
notified COVID lab
 ANNEXURES & REFERENCES

Annexure list
 COVID_19_Testing_Laboratories_ICMR
 AIIMS COVID 19 STG
 COVID IEC material
 ICMR Guidelines

References
 mygov.in
 Ministry of Health and Family Welfare | GOI RSS, mohfw.gov.in
 https://dhr.gov.in/whatsnew/2019-novel-corona-virus
 who.int/india/emergencies/novel-coronavirus-2019
 https://icmr.nic.in/node/39071
THANK YOU