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Uploaded bySuranga Nath Kasthurirathne
Pgim 2016-finalized
The document is a beginner's guide to OpenMRS, an open-source medical record system aimed at improving healthcare delivery in resource-constrained environments. It covers the platform's mission, evolution, key features, implementation scenarios, and integration with various technologies like RapidSMS and the SMART platform. Additionally, it highlights community interactions and resources available for users and contributors.
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Pgim 2016-finalized
- 1. OpenMRS What, Why andHow? A beginners guide to implementation Suranga Nath Kasthurirathne
- 2. About myself… • BEngin Software Engineering (Hons) 1st Class, UoW, UK (2013) • PhD (Health Informatics) 2018 (Expected) • Community Manager, (Asia-Pacific), OpenMRS
- 3. My interests • ClinicalDecision Support (CDS) • Standards (HL7 and FHIR) • Health Information Architecture • Being an ‘Early Adopter’ for OpenMRS • Cat herding and mentoring
- 4.
- 5. What we’ll cover •What is OpenMRS? • The evolution of OpenMRS • Feature list and how-to’s • Software and apps that work with OpenMRS • Implementation scenarios • Interacting with OpenMRS
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- 7. What is OpenMRScontd. “The mission of OpenMRS is to improve health care delivery in resource-constrained environments by coordinating a global community that creates a robust, scalable, user- driven, open source medical record system platform” http://openmrs.org/about/mission/
- 8. Phrases the leadershiploves to use • ‘Going together – going far’ • ‘Not re-inventing the wheel’ • ‘Doing what each group is good at’ • ‘We wont do it for you, but we’ll show you how to do it yourselves’
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- 10. What is OpenMRSused for? • For clinical care (duh!) • As a teaching tool • For research (everywhere!) • As a Shared Health Record (Rwanda) • As a Terminology Registry (Bangladesh HIE) • For Notifiable Condition Detection (Indiana)
- 11. Can I tryout the system? • Public Demo: demo.openmrs.org • OpenMRS standalone • Set it up on your machine – Apache tomcat – MySQL
- 12. The OpenMRS TechnicalFramework
- 13. Key features • Centralconcept dictionary • Form design and entry • Modular architecture • Data import export • Support for standards • Flexible patient/person attributes • HL7 V2 based data model design • Localization / internationalization
- 14. Why doesn’t OpenMRSsupport Feature X, Y and Z?
- 15. The evolution ofOpenMRS • Driven by real, and not perceived needs • Long and arduous • A wide variety of contributors from all parts of the globe
- 16. Phase 01 • Drivenby the need to support the Academic Model for Prevention and Treatment of HIV/AIDS (AMPATH) • Informed by lessons learnt in the development of the Regenstrief Medical Record System (RMRS) – Need a strong concept dictionary – Needed standardized forms
- 17. What is aconcept dictionary? • A fundamental building block of OpenMRS • Used to define data collected by OpenMRS
- 22. Phase 02 • Breakingaway – HTML forms and Xforms – Other standards – MVP concept dictionary
- 23. OpenMRS data entryforms
- 25. Phase 03 • Theadvent of mobile and tele-health – SOA and REST – The evolution of MVP-CIEL
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- 31. Phase 04 • Thoughtleadership • No more ‘catch-up’ with the US • Representing global needs to the developed world – FHIR work – Support for SMART / OHDSI, etc.
- 33. OpenMRS of theFuture Present
- 34. OpenMRS of thePresent • What is the OpenMRS Platform? • What is the are OpenMRS Reference Application distributions? • What is the OpenMRS Reference Application?
- 35. What are allthese names?
- 36. The OpenMRS ReferenceApplication • A state of the art implementation of OpenMRS, which may serve as a solid base for new implementations • Introduces shiny new UI • Introduces the concept of Apps
- 38.
- 40. Role based homepage
- 48. • An OpenMRSdistribution • An open source hospital system for low resource settings • Combines three different Open source systems
- 49.
- 50. Scenario 01: • Collectdata from maternal care visits at Homagama clinic
- 51. The OpenMRS formbank • Open Source forms! https://wiki.openmrs.org/display/RES/Form+Bank
- 53. What if therewas a Master Patient Index (MPI)?
- 55. What if youwant to send out reminders to patients?
- 56. RapidSMS • RapidSMS isa free and open-source framework for rapidly building mobile services for scale. • RapidSMS is built with Python and Django https://www.rapidsms.org/
- 58. What if youwant to report to a public registry?
- 59. The Notifiable ConditionDetection module • Listens to incoming HL7 messages • Evaluates HL7 data • Performs appropriate actions based on findings
- 62. Someone says, letsstart reporting lab results
- 63. The clinicians alreadyhave pre-defined user credentials
- 64. What if Patientsneeded to move between clinics?
- 65.
- 67. • TS: OpenHIETS • CR : OpenEMPI, Medic CR • SHR : OpenMRS • PoC: OpenMRS • HMIS: DHIS2 • FR: InSTEDD’s Resource Map • HWR: iHRIS
- 68. Interacting with thecommunity: scenarios
- 69. You’re trying tosetup OpenMRS on your machine
- 70. You’re trying tocreate some fancy forms
- 71. You need anew feature
- 72. You and yourcolleagues want to work together
- 73. OpenMRS and theSMART Platform • What is SMART? – Front end apps for any EHR system – “Write once, run anywhere” https://gallery.smarthealthit.org/
- 75. OpenMRS and theOHDSI • What is OHDSI? – Collaboration to make better use of observational data – Large scale analytics – Multiple disciplines • Clinical medicine • Biostatistics • Epidemiology
- 77. FYI… • openmrs.org • talk.openmrs.org •wiki.openmrs.org • issues.openmrs.org • wiki.openmrs.org/display/IRC/Home surangak@openmrs.org
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Editor's Notes
- #2 Hello and wellcome, my name is Suranga Kasthurirathne, I’m going to talk to you about
- #4 An early adopter is someone who embraces new tech before other people. Usually means I’m always in a mess Cat herding: managing different groups of people
- #5 Raise of hands? How many of you know OpenMRS? How many have used OpenMRS? How many are in the masters program How many are graduates of the program?
- #8 Ok… so you’ve see the video. Now, what is OpenMRS?
- #18 Similar to a dictionary defining the function, meaning, and relationships of the words, the concept dictionary defines the name, code, and appropriate attributes for any observations or data collected (including medical tests, drugs, results, symptoms and conditions).
- #54 Often a single organization (a government, an NGO, or a hospital with satellite clinics) wants to run local OpenMRS installations at many individual facilities. But the organization wants to avoid creating duplicate patient records when the same patient population shows up at those different facilities. The solution to this problem is to have an enterprise-wide master patient index which maintains a central registry of the unique patients that have attended any of the facilities, so that if any of those patients shows up at a new facility, their record may be imported and linked.