One patient, one MRN, one built-in ledger, one live command centre — from the registration counter to the operating theatre.
Why EloHIMSEloHIMS is ophthalmology software for eye hospitals that run busy OPDs, long cataract lists and outreach camps. The eye exam, the surgery list, biometry, theatre, post-op reviews and the patient's glasses sit on one medical record number, from the first screening to the last review.
In many eye hospitals the OPD, the cataract register, the A-scan printout and the camp forms live apart, and every hand-off is a chance to lose a patient or plan the wrong lens. EloHIMS keeps each step on one record and makes the important ones depend on the step before: a lens case cannot be listed for theatre without biometry, a completed operation creates its own review schedule, and the camp screening becomes the baseline the result is measured against.
When a doctor opens a consult from an eye clinic token, EloHIMS shows that department's eye assessment form — every time. It has five sections: Vision & Refraction, Symptoms, Anterior Segment, Posterior Segment / Fundus, and Investigations.
Visual acuity is recorded per eye as unaided, pinhole and corrected. That is more than a note: the cataract list reads each eye's best recorded acuity to set priority, and the camp outcome report measures surgery against it. From the same consult, List for surgery opens the eye surgery list with the patient, doctor and diagnosis already filled in. More on the general consult in OPD & EMR.
Set up each of your eye clinics as a department. Each one issues its own token series (EYE-001, EYE-002 and on), keeps its own daily limit and posts its fees to its own revenue ledger, so every clinic's footfall and income are reported separately without a spreadsheet.
A busy eye OPD needs firm rules. Once a clinic's daily limit is reached, the next patient is refused with a clear message and the fee counter cannot slip one in. A follow-up inside the clinic's window can be free, so the patient pays nothing and the visit is still on the record. All of this is set in Queue rules and on the department form, with no custom development. See OPD queue management for the full token flow.
Every booking on the cataract list carries a priority score, set at listing and refreshed whenever the list is read. The score starts from the worse eye's best recorded acuity (corrected, else pinhole, else unaided) converted to logMAR, adds weight when both eyes are 6/60 or worse, adds more at ages 50, 65 and 75, and adds the urgency the surgeon sets. The list sorts by score, and the surgery board sorts by it within each urgency.
The patient who can barely see with either eye rises above the one with good vision in the other, without anyone re-ordering a register.
Joining the waiting list stays open, because "awaiting biometry" is a real stage. But a lens procedure cannot be listed for theatre — nor an OT case scheduled from the booking — until every eye being operated on has a biometry record: A-scan axial length, K readings and the IOL power with its formula, such as SRK II.
In theatre, the lens implanted is logged against that biometry, so the planned and the implanted lens sit side by side on the patient's record.
EloHIMS offers cases of one procedure in one theatre on one day as a batch. The Batch Surgery Days page shows the theatre order, each patient's planned lens power and how far the day has got, and prints the list for the theatre team.
Each case moves through Sign-In, Time-Out and Sign-Out, then a signed op note, before it can be completed. Consent is a record rather than a tick: a signature drawn on screen, an uploaded scan, or a printed form that counts once the signed copy comes back. The hospital can limit itself to one method, and withdrawing consent clears the pre-op consent flag. Read more about the operation theatre module.
A completed eye operation owes three reviews: Day 1, Week 1 and Month 1. A post-op visit ticks off the one its day falls in (0–3, 4–14 or 21–60 days after surgery). Patients who live far away can be reviewed near home and marked "seen at camp".
The Reviews tab lists who is overdue, by how many days, with the phone number to call; who is due this week; and who is done.
Spectacles are dispensed and billed against the same MRN that holds the refraction, the surgery and the reviews. The optical counter will not dispense glasses that have no price set, and optical bills follow the same discount rules and approvals as every other bill — see billing and accounting.
Each screening is saved on the device with its own ID; with no signal it waits in an outbox and syncs when the connection returns. The server recognises a repeat, so a screening sent twice is stored once, and a record the server refuses stays in the outbox with the reason. Medicines given at the camp are recorded against the person or the camp.
Patients referred for surgery are registered from their screening record and appear on the surgery-day transport list until they are operated. Afterwards, the outcome report sets each camp acuity against the last post-op acuity of the operated eye, and a camp report can be printed for the camp's sponsor. Running a charitable eye hospital? See EloHIMS for charitable eye hospitals.
A 68-year-old woman with a cataract in her right eye, from a village camp to her new glasses.
Screening, booking, biometry, theatre case, lens, review and spectacles all sit on one MRN, with no paper in between.
An eye hospital where the exam, the list, the lens, the theatre, the reviews and the glasses are one record — and the camp screening is the baseline every result is measured against.
Eye exam, cataract list, biometry, batch theatre days, reviews, optical and camps — on one record per patient.
Answers to the questions hospitals ask us most.
Ophthalmology EMR software is an electronic medical record built for eye care: visual acuity per eye, refraction, anterior and posterior segment findings, and the surgical pathway that follows. In EloHIMS the eye consult has five sections — Vision & Refraction, Symptoms, Anterior Segment, Posterior Segment / Fundus and Investigations — and the same record carries the cataract list, biometry, theatre notes, post-op reviews and spectacles under one MRN.
Each booking gets a priority score when it is listed, refreshed whenever the list is read. The score uses the worse eye's best recorded acuity (corrected, else pinhole, else unaided) converted to logMAR, adds weight when both eyes are 6/60 or worse, adds more at ages 50, 65 and 75, and adds the urgency the surgeon sets. The list sorts by score; the surgery board sorts by it within each urgency.
They can join the waiting list, because "awaiting biometry" is a real stage. But a lens procedure cannot be listed for theatre, or an OT case scheduled from the booking, until every eye being operated on has a biometry record — axial length, K readings and IOL power with its formula, such as SRK II. In theatre the implanted lens is logged against that biometry.
Yes. Each screening is saved on the device with its own ID. With no signal it waits in an outbox and syncs when the connection returns, when the page reloads, or when staff press Sync now. A screening sent twice is stored once. Referred patients go on a surgery-day transport list, and the outcome report compares camp acuity with post-op acuity.
When an eye operation is completed, EloHIMS creates Day 1, Week 1 and Month 1 reviews. A post-op visit ticks off the review whose window it falls in (0–3, 4–14 or 21–60 days), and a review held near the patient's home can be marked "seen at camp". The Reviews tab lists overdue patients with days overdue and a phone number, those due this week, and those done.