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
OpenMRS Dev. stuff
• Source Code: https://github.com/openmrs
• Bamboo : https://ci.openmrs.org/allPlans.action
Questions
Thank you!