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This is a place to capture implemen= tation notes concerning the projects that the OpenHIE and DUC Communities a= re hearing about. The information is captured based upon the informat= ion that was understood at the time of capture. We know it is not perfect, = but the intent is to help provide an idea of what is going on in the field.= We welcome your additions/ changes / updates. You must be logged int= o add to or update the log and revisions are being tracked. The proje= cts may be sorted by clicking on the column headings.
COUNTRY (where is the implementation happening)&= nbsp; | PROJECT NAME | USE CASE / GOALS (What is the project trying to = accomplish) | SCALE | STATUS | PROJECT ORGANIZATIONS (who is involved) | Last Updated (Date or reference to where t= his project was mentioned) | NOTES and additional details. (May include= Data Exchanges, technologies and other details) | Does the project team need OpenHIE assistance?= th> |
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Botswana | HIE | Implemented | 2024-03-27 Patient ID Mgmt Collaborative Sessi= on |
Components include a TERMINOLOGY SERVICE (OCL), Have a CLIENT REGISTRY(OpenCR),= rINTEROPERABIL= ITY LAYER. Have (OpenHIM) |
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Botswana | Patient Identity Managemnt | Identify patients across facilities |
Implementing | 2024-03-27 Patient ID Mgmt Collaborative Session= a> |
Using multiple IDs in a CLIENT REGISTRY (OpenCR) and working through national r= egistries to identify a patient. |
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Multiple (Central America and the Dominican Repu= blic) | Cross-Border Epidemiological Surveillance | Cross-border epi surveillance to support migrati= on across countries. | Initiative | SICA / COMISCA, Ministries of Health, Goverment = of Korea | 202= 3-08-03 OHIN Call | Challenges include governance, human interoperab= ility and diversity of systems across the countries. | ||
Multiple (Argentina, Belize, Chile, Colombia, Ec= uador, El Salvador, Guatemala, Honduras, Panama, Paraguay, Peru, Surinam, U= ruguay) | LACPass | Training people in standards (HL7 / FHIR) <=
br> Two conectathon to to test the cross-border interoperability for vacc= ine certificates and the IPS. |
IDB, Ministries of Health, PAHO, CENS | 202= 3-08-03 OHIN Call | Adopted and adopting SNOMED CT and HL7 FHIR | |||
Brazil | DataSUS | Created a national repository of health data for= the MOH. They have a platform of services that allows users to consu= me the data based upon needs. Have data governance. Enables sha= ring of information about vaccines and other data in real time. Also = supports survellience from both public and private providers. = td> |
NATIONAL |
Production | Ministry of Health | 202= 3-08-03 OHIN Call | Use of OpenSource technologies and standards.&nb= sp; | |
Argentina | Terminology and alignment on data standards.&nbs= p; The health system is fragmented with both private and national providers= . Created definitions and promoted national terminology and standards= across both the public and private sector. |
NATIONAL |
Production | Ministry of Health of the Nation, healthcare pro= viders | 202= 3-08-03 OHIN Call |
. SNOMED CT |
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Uruguay | National EHR | National architecture for federated systems.&nbs= p; Includes private sector and other health organizations. | AGESIC / Salud.Uy, Ministry of Health, healthcar= e providers | 202= 3-08-03 OHIN Call |
INTEROPERAB= ILITY LAYER |
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Costa Rica | (EDUS) Unique Digital Health Records | 2016-2018 worked on capturing electronic records= in hospitals and deployment of apps to support patient access to appointme= nts, vaccine certificates and medical records. This helped solve the = data collection layer. | Costa Rican Social Security | 202= 3-08-03 OHIN Call | ||||
Zimbabwe | Patient Identity Project using a deduplication p= rocess. | A national identifier is not used for health. Th=
ere is an id number generated by the system and given to the patient. =
The ministry would like to be able to connect all of the facilities =
together. One challenge is that many patients are nomadic.  =
; Use Cases: Continuity of care and Public health management. &nbs= p; |
Currently have "online" facilities that can push=
data to the central repository in real time. Approximately have prog=
ressed to have 20% online. Also have "offline" facilities that share =
data, but not in realtime. Currently most facilities are "offline." |
Zim-TTech. I-Tech, Vital Wave, and Ministry of H= ealth | 2023-07-26 Patient ID Mgmt Collaborative Session= a> |
EMRs connect to a central repository through an INTEROPERABILITY LAYER. H=
ave CLIENT REG=
ISTRY T=
ERMINOLOGY SERVICE (OCL) and a SHR. For matching the team is using a = probabilistic algorithm and using multiple mixture of attributes with diffe= rent weighting. |
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Rwanda | Rwanda Health Information Exchange | One citizen, one request. Had solutions based upon TB, HIV, Malaria and the solutions were diverse an= d Rwanda is looking a ways to take a patient viewpoint and ensuring that th= e data is connected. The shared health record is updated on a regular basis to ensure that the p= atient's comprehensive information is available to other systems. &nbs= p; |
Pilot stage for connecting EMRs Have onboarded 65 health facilities |
2023-07-20 Facility Registry Call |
- Have documented the interoperability standards that they are pla=
nning to use for imaging and other standards. - Using a CLIENT REGISTRY and all of the EMRs are connected to the intero=
perability layer. |
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Kenya | SMART Guidelines standalone app | Pilot | Intellisoft, CDC, Google | OHIE23 E2 Unconference Session= a> | ||||
Uganda | Lab and Hospital system integration | Need to use OpenHIIM for integrating lab systems= | 3 hospital management systems are being connecte= d | MOH | OpenHIE23 |
Using OpenHIM ( INTEROPERABILITY LAYER) to connect with Lab systems and had to = integrate the the sample tracking component that links the data to a centra= l lab where people can log in and get their results |
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Indonesia | CHISU | OpenHIM as a generic FHIR converter | USAID, Jembi, | OpenHIE23 |
Created an OpenHIM mediator (INTEROPERABILITY LAYER) |
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Malawi | IHRIS / Health Worker Registry | In Progress | MOH | OpenHIE23 | ||||
Malawi |
PMCT / Product CatalogPRODUCT CATALOG |
In Progress | MOH | OpenHIE23 | Capture trade items and use GS1 standards. = | |||
Malawi |
TERMINOLOGY= SERVICE |
Putting terminology into the system and used for= mapping between DHIS2 and OpenIMIS | MOH | OpenHIE23 | ||||
Malawi |
Health FACI= LITY REGISTRY |
Implemented | MOH | Presented at OHIE23 Includes facility details Used in the integration with other systems to map facilities |
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Ethiopia | National ID | Patient identity using biometrics | National | Starting | Mekelle University, MOH, Gondar | 2023-05-01 (OHIE23 Day 1)<= /td> | Uses eCHIS and Simprint | Governance documents, connecting infrastructure = via VPN, |
Nigeria | National Biometrics Collaborative | Capture Fingerprints to assist with patient Iden= tity | HIV program 85% of patients are captured | PHIS3 | 2023-04-26 Patien= t ID Mgmt Collaborative Session | Working on FHIR support for APIs. Also hav= e experience sharing data with DHIS2, EMRs and Labs. | ||
Nigeria | National Concept dictionary | Starting | 2023-04-07 Termin= ology Service Call | |||||
Philippines | eHealth Strategy Philippines | Blueprint / Architecture |
NATIONAL |
Published | Ministry of Health | 2023-03-29 OHIN C= all | ||
Tanzania | Tanzania Blueprint | Blueprint / Architecture |
NATIONAL |
Published | Ministry of Health | 2023-03-29 OHIN Call | ||
Sri Lanka | Sri Lanka Digital Health Bl= ueprint (V1.0b) | Blueprint / Architecture |
NATIONAL |
Published | Ministry of Health | 2023-03-29 OHIN Call | ||
Malawi |
Master Patient Index (DDE) Patient Matching |
For case reporting from a central repository = |
around 170 sites | Ministry of Health EGPAF | 2023-03-29 Patien= t ID Mgmt Collaborative Session |
|
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Haiti | Haiti Master Patient Index (Client Registry) |
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PILOTThe initial scale for the pilot is for a specific EMR to a central reposit= ory. Aligning terminologies to move toward support for other EMRs.&nb= sp; |
Pilot (two sites to start and learn about infras= tructure and needs) | DIGI | 2023-03-29 Patien= t ID Mgmt Collaborative Session | - Using FHIR standards including PIXm and =
PDQm - Integrates with a fingerprint registry - focus on integration between an EMR (Esante Plus, an OMRS Haiti imp= lementation) and a client registry |
|
Mozambique | interoperability solution | interoperability solution between the national Civil Registr= ation and Vital Statistics electronic system (eSiRCEV) and the Vital Events= Community Surveillance system (SIS-COVE) of the National Institute of Heal= th (INS) of Mozambique. | Implementing | The Ministry of Justice, Constitutional and Religious Affair= s of Mozambique with technical support from the Jembi Mozambique | 2023/03= Jembi Mozambique Newsletter #7/2023 | <= /span> | ||
Uganda | Differentiated Service Delivery Models i= n UgandaEMR to Decongest Facilities (EMR for DSDM) | Need to better understand the number of people b= eing served by a facility and treat in the community where possible. &= nbsp; | 60+ pharmacies 42K patients / 60 facilities |
Implementing | Ministry = of Health, Makerere University School of Public Health, CDC, Monitoring and Evaluation Technical Support= (METS) Program, University of California San Francisco | 2023-03-09 Treatm= ent Continuity (DUC Meeting) | OpenHIM, FHIR Data is also synchronized= from the Mobile to the EMR and there is another use case where data = is synced with the central repository |
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Malawi | Community-based ART Retention and Suppress= ion (CARES) App | Community EMR app to collect the same data as th= e EMR on community visits | Testing | Lighthouse Trust, I-Tech Malawi, Com= care | 2023-03-09 Treatment Continui= ty (DUC Meeting) | Comcare application with ability to send and = receive data from the EMR Planning to add hypertension model in= the future. |
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Lao People's Democratic Republic | GeoPrism Regi= stry |
Interlinking systems (like OpenHIE re=
gistries) by common geographies for the correct periods of time. HEALTH WORKER REGISTRY=
span> FAC=
ILITY REGISTRY |
NATIONAL |
Implemented=
span>
|
TerraFrame, C= linton Health Access Initiative (CHAI), Health GeoLab Hub, Vital Wave | 2023-03-23 Facility Registr=
y Call (Presentation - see recording and notes) 2023-02-24 OHIE Architecture & Standards Call |
FHIR, GeoJ= SON, VectorTiles Direct int= egration with DHIS2 and Reveal.
|
|
Mozambique | GeoPrism Regi= stry |
Interlinking systems (like OpenHIE re=
gistries) by common geographies for the correct periods of time. HEALTH WORKER REGISTRY=
span> FAC=
ILITY REGISTRY GeoPrism Registry uses the GeoPrism s= patial knowledge graph dependency management framework |
PILOT |
Implementing |
TerraFrame, C= linton Health Access Initiative (CHAI), Health GeoLab Hub | 2023-02-24 OHIE A= rchitecture & Standards Call | FHIR, GeoJ= SON, VectorTiles Direct int= egration with DHIS2 and Reveal. |
|
Sri Lanka | Information Exchange | Interoperabil= ity between HMIS and OpenMRS. Working on implementing FHIR standard= span> |
NATIONAL |
Implementing<= /span> | Ministry of Health | 2023-02-24 OHIE A= rchitecture & Standards Call | HapiFHIR | |
Kenya | The Local Hea= lth System Sustainability Project - Cross Border Digital Health Solution | Patient Ident= ity for reporting |
MULTI-NATIONA= L PILOT (scope to rest of EAC countries) |
Development | IntelliSOFT C= onsulting | 2023-02-24 OHIE A= rchitecture & Standards Call | OpenHIM and EMR HapiFHIR SHR S/W solution: OpenMRS, DHIS2 |
|
Uganda | The Local Hea= lth System Sustainability Project - Cross Border Digital Health Solution | Tracking pati= ents along the border of Kenya and Uganda. Patient Identity for repor= ting |
MULTI-NATIONA= L PILOT(scope to rest of EAC countries)= |
Development | IntelliSOFT C= onsulting | 2023-02-24 OHIE A= rchitecture & Standards Call | OpenHIM and EMR HapiFHIR SHR S/W solution: OpenMRS, DHIS2 |
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Multiple Countries | PSI Digital H= ealth consumer interventions | Consumer app to drive consumers to facilities fo= r interventions (referral app) | PSI | 2023-02-24 OHIE A= rchitecture & Standards Call | &nbs= p;RapidPro/WFA>OpenHIM > HapiFHIR > NiFi > Postgres >= Superset OpenHIM/ HapiFHIR= / WA/ SMS /FBM/ Superset/ PBI |
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Multiple Countries | Training / Capacity Building | OHIE Certific= ate reimbursement program - OHIE session in AeHIN General Meeting (Indonesi= a Oct 2023) | Planning | AeHIN | 2023-02-24 OHIE A= rchitecture & Standards Call | |||
Philippines | Training / Capacity Building | promote OHIE = Academy as free training for DOH and PHIC staffers, general public - encour= age DOH/PHIC to look for OHIE certificate for employments - offer Virtual I= nstructor-led Training (on academy.ohie.org) - offer face-to-f= ace training (on academy.ohie.org) | UP Manila - Standards & Interoperability&nbs= p; Lab (UPM-SILab) | 2023-02-24 OHIE A= rchitecture & Standards Call | Applying W= HO SMART Guidelines for FHIR profiles/IG development (eg, viral hepatitis, = liver diseases, etc) connec= tathon among EMR developers using the FHIR profiles with DOH/PHIC/WHO obser= ving |
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Sri Lanka | Debt2Health | Breaking silo= s between hospitals. Created a Digital health bluepriint and NDC heal= th care and TB EHR |
NATIONAL |
Development | Global Fund | 2023-02-24 OHIE A= rchitecture & Standards Call | CR and other building blocks are being put in pl= ace as well as a client portal. Also looking at OCL. | |
OpenMRS based= EMR for Primary Healthcare cluster | Asian Development Bank (ADB) | 2023-02-24 OHIE A= rchitecture & Standards Call | connectathon = among EMR developers using the FHIR profiles with DOH/PHIC/WHO observing | |||||
Multiple Countries | AeHIN Communi= ty of Interoperability Labs (COIL) | Demonstration= of syndicated TS between Region and PH ontoserver (eg, medications)= | 2023-02-24 OHIE A= rchitecture & Standards Call | Regional Term= inology Server ontoserver (c/o SIL-Thailand) - Regional Terminology Server = ontoserver (c/o SIL-Thailand) - National TS ontoserver (c/o UPM-SILab= ) | ||||
WSO2 based In= teroperability layer OCL | TS OpenMRS ba= sed cluster EMR Sunbird based PR | 2023-02-24 OHIE A= rchitecture & Standards Call | ||||||
Ethiopia, Chile, Malawi? | Terminology Service Implementation |
NATIONAL |
Maintenance | CENS (Chile) | TS Implementer Series: Chile | |||
Kenya | Terminology Service Implementation | National Health Data Dictionary |
NATIONAL |
Early implementation, work ongoing | Palladium University of Nairobi |
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Nigeria | OpenMRS 3.X and OCL Terminology Service Implemen= tation |
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Started | PHIS3 |
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Sri Lanka | OCL Terminology Service Implementation | Started | MOH Sri Lanka | |||||
N/A | OpenMRS ANC Reference Implementation | OpenMRS is implementing ANC SMART Guidelines to = do things like Decision Support |
PILOT |
Development | OpenMRS WHO |