Session Name: The African Health Information Exchange (Data Use Partnership) project in South Africa
Time / Room: 8:30 - 9:15 Marquee
Presenter:
Attendees:
Notes:
Weak fragmented parallel HIS contribute to poor HIV and TB Care
Project funded by Gates to improve patient level car around linkage, retention and quality of care
18 months through the 3 year project
Project components:
Systems at scale - laboratory system (national scale)
Unique patient identifier (national scale) - Health Patient Registration System
Services run by provencial departments of health
Community based services/clinics
CHW
Data conslidated into health information exchange
Tools to leverage conslidated data - single patient viewer
This project is strengthening the link of all of these systems; stregthening conslidate of data and use of data
HIE to faciliate cascade reports and single patient viewer. Support is to make this more generalizable. Updated data daily.
HRPS (identifier) - project supports going to clinics to set up the identifer on site etc.
To date - 3K sites in addition to 360 sites in Western cape
HIV system in SA - Tier.Net (offline system)
Tier at 4K clinics in SA. Everywhere TB and HIV care is delivered.
3 Tier system - paper to offline system to networked EMR (still stuck in the offline system)
Tier - enhanced patient, facility and district management
Investments through AHIE - turn the offline system to semi online system where national Identifier system is deployed
pull data from conslidated data environments including lab data
Also to start bidirectional data ofall clinical data
Replicate architecture and make them standards compliant
Working with Jembi on OpenHIM and FHIR points
Laboratory Work Use Case: (Rosemary Foster)
National health laboratory services has rolled out system that serves over 290 pathology labs
Combine lab data into one source - goal
Data source for provencial health data center is a FTP file (from data warehouse) thus making integration challenging
Doing pilot to take data into Tier.Net from PHDC
Phase I - regular data pushes from the lab system to PHDC
Phase IIa - HIV and TB results available at facility on specific date range; request from OpenHIM to LMIS
Phase IIb - Resultls pushed for patient on specific date range - also using OpenHIM; uses episode number to identify results
Also looking at TrackeCare Web Results Viewer URL into the UI of patient registration system
Phase III - prototype with real type data transfer results from LMIS to provencial lab repostitory for use within data centers and clinical systems
Full integration with HPRS via initial bulk import followed by trickle feed.
Jembi -
OpehLHIM
Using FHIR for different flows including community based integration, openlhim and others
Concept was originally around enabling idot?
built in c# as a microservice
"L" stands for local