Dialysis: Dialysis scheduling, machine allocation and session records

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Works with

HMS Core

Dialysis in the Bridge HMS Suite: Dialysis scheduling, machine allocation and session records

What's inside

Everything in Dialysis

65 items in 13 areas, every one shipping with the app today.

Patient Registry & Records
- Dialysis Patient Enrollment RegisterDedicated renal-unit record per patient with auto DLP- reference sequence, enrollment date and archivable active flag.
- CKD Stage TrackingRecords chronic kidney disease stage from Stage 1 through 5D (on dialysis) with GFR bands on each patient.
- Renal Failure Etiology CaptureClassifies cause of kidney failure across eight options including diabetic, hypertensive, glomerulonephritis and polycystic.
- Modality AssignmentAssigns each patient to in-center HD, home HD, CAPD, APD, transplant candidate or transplanted status.
- HD Schedule SlottingBooks patients into recurring Mon-Wed-Fri or Tue-Thu-Sat morning/afternoon dialysis schedule slots.
- Dialysis PrescriptionStores prescribed hours per session, weekly frequency, target Kt/V and target URR with validated bounds (0-12h, 0-7/week).
Vascular Access Management
- Vascular Access ProfileCaptures access type (AVF, AVG, tunnelled/temporary catheter, PD catheter), placement date, location and maturity status.
- Access Surveillance LogStandalone DAM- referenced exams recording bruit, palpable thrill and augmentation test findings per visit.
- Access Flow & Pressure MonitoringRecords recirculation percentage, static/dynamic venous pressure and access flow Qa in ml/min for stenosis detection.
- Ultrasound Findings & Intervention PlanningLogs ultrasound notes and plans interventions like angioplasty, thrombectomy, salvage surgery or access abandonment.
Hemodialysis Session Workflow
- Session State MachineDrives each session through Draft, Running, Done and Canceled states with Start/Complete/Cancel/Reset buttons.
- Auto-Numbered SessionsEvery session gets a unique DLS- reference from a dedicated sequence on creation.
- Shift SchedulingAssigns sessions to AM, PM or Evening shift for chair-turnover planning.
- Machine & Staff AssignmentLinks each session to a dialysis machine, running nurse and rounding physician with role-filtered domains.
- Pre/Post Weight & UltrafiltrationCaptures pre and post weights, target UF, and auto-computes actual UF as the weight difference.
- Endpoint Vitals CaptureRecords pre/post blood pressure, lowest intradialytic systolic, average heart rate and pre/post temperature.
Intra-Session Charting & Adequacy
- 30-Minute Vitals ChartEditable time-series of BP, heart rate, temperature, running UF, venous/arterial pressure and TMP through the run.
- Complications CatalogSeeded catalog of 12 dialysis complications (hypotension, cramps, haemolysis, air embolism, etc.) graded minor to critical.
- Complication TaggingTags each session with observed complications via many2many tags for incident tracking.
- Intervention RecordingLogs saline bolus, albumin, UF adjustment and early-stop interventions taken during the run.
- Automatic Kt/V AdequacyComputes Kt/V using the Daugirdas second-generation formula from pre/post BUN, run time, UF and post weight.
- Automatic URR CalculationDerives urea reduction ratio percentage from pre and post BUN automatically.
Machine Fleet Management
- Machine RosterRegisters each dialysis machine with internal tag, unique serial, manufacturer model and install date.
- Manufacturer CatalogPredefined models across Fresenius, Gambro, Nipro, B. Braun and Nikkiso platforms.
- Service Cycle TrackingRecords last and next service dates and lifetime operating hours per machine.
- Disinfection Cycle LogStart-Disinfection button increments the disinfection counter and blocks disinfection while in use.
- Machine Status LifecycleTracks Available, In Use, Cleaning, Disinfection, Maintenance and Out-of-Service states with color-coded list.
- Standard Dialysate CompositionStores a default dialysate recipe per machine as reference for setup.
Peritoneal Dialysis
- PD Exchange LogRecords each PD exchange with date, time, dialysate type, dwell time and inflow/outflow volumes (PDX- sequence).
- PD Ultrafiltration CalculationAuto-computes net UF per exchange from outflow minus inflow volume.
- Effluent AssessmentGrades effluent clarity (clear/cloudy/bloody) and flags suspected peritonitis per exchange.
- PD Technique ScoringRates patient exchange technique on a 1-5 scale for home-therapy quality assurance.
- Peritonitis Episode RegisterLogs peritonitis episodes with auto per-patient episode numbering, organism, gram stain, regimen and outcome.
Transplant Workup
- Transplant Workup PipelineEight-stage workflow from not-started through screening, compatibility, listing, wait-list to transplanted or declined.
- One-Click Workup StartPatient-form button launches a transplant workup record pre-set to initial screening and flags workup started.
- Immunological Typing TrackingRecords blood group, HLA typing completion and pending cross-match status.
- Donor & Center DetailsCaptures living-donor availability, donor relation and transplant center.
- Wait-Time CalculationAuto-computes days on the wait list from the listed date.
Water Treatment & QC
- Water Treatment System RegisterRegisters RO water systems with unique regulatory ID, membrane install date and latest chemical parameters.
- Compliance State TrackingFlags each water system Compliant, Warning or Non-Compliant with color-coded list highlighting.
- Disinfection ScheduleTracks last and next system disinfection plus last bacterial culture and endotoxin test dates.
- Tiered QC LogRecords daily chemical, weekly bacterial, monthly endotoxin and quarterly full-panel QC entries (WQC- sequence).
- QC Parameter CaptureLogs conductivity, chlorine, hardness, pH, bacterial CFU and endotoxin with an extra free-form JSON parameter field.
- Non-Compliance Action LogRecords corrective action taken when a QC log is marked non-compliant.
What it keeps
- Patient
- BridgeERP HMS Laboratory Request
- Product Variant
- Product
- Dialysis Session
What it configures
- Dialysis Session Complication
- HMS Patient Visit Bill
- Dialysis Patient Enrollment
- Dialysis Dashboard
- Dialysis Machine
- Dialysis Water Treatment System
What it configures (continued)
- Dialysis Water QC Log
- Dialysis Session Vital Sign
- Vascular Access Monitoring
- Peritoneal Dialysis Exchange
- PD Peritonitis Episode
- Transplant Workup
What it configures (continued)
- Dialysis Medication Review
Roles it ships
- Dialysis Technician
- Dialysis Nurse
- Nephrologist

Works with

What Dialysis works with

Dialysis shares one database with the rest of the Bridge HMS Suite and BridgeERP: these are the apps it already talks to, with nothing to buy in between.