OpenMRSThe first few steps

Suranga Nath Kasthurirathne

What we’ll cover

• What is OpenMRS?

• OpenMRS overview

• Feature list and how-to’s

• Apps and tools that work with OpenMRS

• Interacting with OpenMRS

What is OpenMRS?

• A community that drives the development of a software system

What is the OpenMRS platform?

• An open source medical record system platform designed specifically for use across developing countries

• Distributed under Mozilla Public License, v. 2.0

• Initiated in 2004, first implemented in 2006

Who uses OpenMRS?

https://atlas.openmrs.org/

What is OpenMRS used 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 (United States)

Can I try out the system?

• Public Demo: demo.openmrs.org

• OpenMRS standalone

• Set it up on your machine

– Apache tomcat

– MySQL

A Technical Overview

Key features

• Central concept dictionary

• Form design and entry

• Modular architecture

• Data import export

• Support for standards

• Localization / internationalization

The evolution of OpenMRS

• Driven by real, and not perceived needs

• A wide variety of contributors from all parts of the globe

• Focusing on what we’re good at

Features: OpenMRS concept dictionary

• A fundamental building block of OpenMRS

• Used to define data collected by OpenMRS

• Makes data useable across

– Different healthcare applications

– Different provider networks

– Different tongues

The MVP/CIEL concept dictionary

• MVP: Millennium Villages Project

• CIEL: Columbia International eHealthLaboratory

• Default concept dictionary

• Mappings to multiple terminology sets

Data Collection forms

• HTML form entry Vs. xforms entry

• HTML form entry for web based forms

• xforms for mobile based systems

• Both leverage the concept dictionary

• The form bank: Open Source forms!

https://wiki.openmrs.org/display/RES/Form+Bank

Analysis and Reporting

• OpenMRS Reporting module

– Row-per domain reports

– Indicator reports

Row Per Domain

Indicator Reports

REST web services

• Driven by the need to support SOA

• Extensively used and mature

• Uses

– OpenMRS Android Client

– OpenMRS iOS Client

Interoperability Support

• HlL7 V2 - Extensive

• HL7 V3 - Limited

• FHIR – Extensive, and coordinated

• The OpenMRS FHIR module

– OAuth support

– Support for many widely used resources

The OpenMRS World

What are OpenMRS modules?

• Your path to extending OpenMRS!

• Can be used for branding, adding new features, or changing existing features

• Large number of modules already developed

• Community maintained modules vs. others

The OpenMRS Reference Application

• 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

Location based Login

Role based home page

• An OpenMRS distribution• An open source hospital system for low

resource settings• Combines three different Open source

systems

The OpenMRS eco-system

Working with a Master Patient Index (MPI)

• What / Why MPI?

• Uses PIX / PDQ query to integrate

– PIX: Patient Identity Cross-referencing profile

– PDQ: The Patient Demographics Query

– OpenEMPI

– MedicCR

What if you want to send out reminders to patients?

• So many ways to do this!

• RapidSMS

– RapidSMS is a free and open-source framework for rapidly building mobile services for scale.

– RapidSMS is built with Python and Django

https://www.rapidsms.org/

What if you want to report to a public registry?

• The Notifiable Condition Detection module

– Listens to incoming HL7 messages

– Evaluates HL7 data

–Performs appropriate actions based on findings

Connecting to DHIS2

• In case you want aggregate data…

• Multiple options, in various stages of use

What if Patients needed to move between clinics?

• Health Information Exchange (HIE)

• What is OpenHIE?

OpenMRS and the SMART Platform

• What is SMART?– Front end apps for any EHR system

– “Write once, run anywhere”

https://gallery.smarthealthit.org/

OpenMRS and the OHDSI

• What is OHDSI?

– Collaboration to make better use of observational data

– Large scale analytics

– Multiple disciplines

• Clinical medicine

• Biostatistics

• Epidemiology

Interacting with the OpenMRS community

• Chat: IRC #openmrs• Discuss: talk.openmrs.org• Read / edit: wiki.openmrs.org• Report: issues.openmrs.org

• Weekly meetings: https://wiki.openmrs.org/display/RES/Weekly+Meetings

surangak@openmrs.org

OpenMRS Dev. stuff

• Source Code: https://github.com/openmrs

• Bamboo : https://ci.openmrs.org/allPlans.action

Questions

Thank you!