What Is Open M R S

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  • OpenMRS grew in response to HIV/AIDS
  • Overburdened systems
  • But medicines could cure. Scaling to meet the needs required an enterprise information system.
  • The common practice was very top heavy; government agencies driving reporting systems.To hope to scale, we needed a new paradigm.
  • The odds were against us.
  • So, could we adopt someone else’s work?Looking around, we found many silos of effortNothing fit.So before we really got started, we evaluated the health IT landscape in the developing world…Unfortunately, we saw many silo’ed projects that weren’t interoperable with each other…
  • The common “flat” approach to databases
  • New column for new data
  • Doesn’t scale. Changing the data model is expensive.
  • By creating a concept dictionary…
  • We can “stack” the same data
  • …it’s added to the dictionary.
  • Results are “stacked.” No need to change the data model.
  • We started with the data modelThe foundation for the entire system.And we shared this with anyone who would look at it and offer criticism.
  • We wrapped the data model in an API.
  • Modules make adapting the system much easier.
  • Our community grew.
  • We caught the eye and interest of several generous and helpful organizations.
  • OpenMRS is used worldwide.
  • Not a single web application. Many uses.
  • What Is Open M R S

    1. 1. What is OpenMRS? Burke Mamlin, MD
    2. 2. What we saw…  Reporting-driven  Top down  Vertical systems  Acute care  Proprietary and predatory  Free Text, lack of standards
    3. 3. Silos
    4. 4. Flat Model Patient Pulse Weight John Doe 80 120
    5. 5. Flat Model Patient Pulse Weight CD4 Count John Doe 80 120 400
    6. 6. Flat Model Weigh Patient Pulse CD4 Count t John Doe 80 120 400
    7. 7. Concept Dictionary Concept Units Pulse bpm Weight lbs
    8. 8. Stacked Model Patient Observation Value John Doe Pulse 80 John Doe Weight 120
    9. 9. Concept Dictionary Concept Units Pulse bpm Weight lbs CD4 Count cell/mm3
    10. 10. Stacked Model Patient Observation Value John Doe Pulse 80 John Doe Weight 120 John Doe CD4 Count 400
    11. 11. Toward a Common Infrastructure Data Data Data Data
    12. 12. Toward a Common Infrastructure Data Data Data Data Data
    13. 13. Toward a Common Infrastructure Data Data API Data Data Data
    14. 14. Toward a Common Infrastructure Data Data API Data Data Data
    15. 15. OpenMRS
    16. 16. OpenMRS is…  An Electronic Medical Record System  A data model  An API  An HIV system  A TB system  A Primary Care system  A developer community  An implementer community
    17. 17. http://openmrs.org

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