...

As a part of the OpenHIE project, this community is tasked with reviewing and evaluating the question of what makes a good SHR going into the future, and seeks to determine what technologies would be suitable for an SHR in OpenHIE. The end goal is to provide a recommendation of whether we should use/modify an existing technology or built something ourselves.

SHR Evaluation Methodology

This section shows the methodology for going through the process of evaluating options for a Shared Health Record. As we work on each of these items, links will be added to the relevant documentation that shows the current active work regarding that item. The status of items being working on is displayed in brackets next to them. See this link for the original legacy google doc.

1. Document use cases and requirements for a Shared Health Record

   1. Status: Initial version completed, currently in community discussion
   2. Working Document(s):What is

...

• Document use cases and requirements [Completed, need final community review and comments]

...

• Generate estimated load figure for national deployment [Ongoing - Jembi]
• Performance evaluation of OpenMRS [Ongoing - Jembi]
  • Stress testing (where does it break? How close does it get us to what we need?)
• Identify functional shortcomings based on requirements
• How its working in Rwanda

...

• Develop evaluation tool from requirements [Initial version complete, out for community comment and revision]
• Evaluate each tools against the evaluation tool
• Compile results

...

1. 1. a Shared Health Record?
   2. Deadline(s):
      1. 7th May 2013 - Complete community discussions
      2. 21th May 2013 - Complete community review, release version 1

2. Performance test the current OpenMRS SHR used in RHEA

   1. Status: Completed, needs to be discussed with community
   2. Working Document(s):
      1. Performance evaluation of OpenMRS
      2. Estimated load figure for a Rwandan national deployment
   3. Deadline(s): none

3. Create a tool to evaluate Shared Health Record software that is closely linked to the requirements

   1. Status: On-going, updated as requirements change
   2. Working Document(s):Shared Health Record Evaluation Tool
   3. Deadline(s): 24th May 2013 - Complete community review, release version 1

4. Compile a list of software that could be used as a Shared Health Record

   1. Status: Not started but, some basic technologies are know
   2. Working Document(s):
   3. Deadline(s): 24th May 2013 - Finalise list

5. Evaluate list software options using the evaluation tool
   

   1. Status: Not started
   2. Working Document(s):
   3. Deadline(s): 7th June 2013

6. Write up results of the evaluation and come to consensus on a recommended way forward (ie. Use/modify an existing tool or build from scratch)

   1. Status: Not started
   2. Working Document(s):
   3. Deadline(s): 30th June 2013

7. (if we need to build or modify) Create design specifications

   1. Status: Initial ideas have emerged
   2. Working Document(s):
      1. Research various standards for clinical data (HL7v2; CDA - Antepartum Summary, - EDR)
      2. Compilation of design options
         1. Initial Designs
         2. SHR Design Sketch's from Justin's visit to Jembi
            1. Design Session SHR
            2. OpenMRS Data Model
            3. OpenSHR Scalability Discussion
         3. Design Specification

...

• Further documentation of design options based on review of existing tools
• Design of option for a new build (if determined to be necessary):
  • Document technology restrictions
  • Develop architecture of tool

1. 1. Deadline(s): 

Facets of an SHR

Facets

Clinical Decision Support

...