The OpenHIE initiative grew out As a part of the RHEA project, where a Health Information Exchange has an HIE was been developed to support for maternal health in Rwanda. More For more information about this project and the HIE implementation is available here . The Shared Health Recordsee this link. During this implementation, a Shared Health Record (SHR) based on OpenMRS (http://openmrs.org/) was designed and developed. It is currently implemented and operational within a single was designed and developed for this project and has been implemented and is currently operational in one district of Rwanda. Following the roll-out of the RHIE in Rwanda, our As a part of the OpenHIE that grew out of this project, our SHR community was tasked with reviewing and evaluating the question: "what makes a good shared health record, including a review of the current tool, and to determine what technologies best suit an SHR for our purposes. SHR that will suit the future aims of the OpenHIE initiative?"
The objective was The objective was to provide a recommendation of whether we should use /(adopt), modify an existing technology (adapt) or build something ourselves, with the ultimate aim of providing a generic SHR that is appropriate for use in low-resource settings.
The evaluation
The process and methodology we used to evaluate options for an interoperability layer the Shared Health Record were:Document use cases and requirements for a Interoperability LayerShared Health Record
Initial discussions
SHR - Use Cases and Requirements
Performance test the current OpenHIM OpenMRS SHR used in RHEA in order to ensure the OpenHIM is scalable to national levelthe RHIE
- Performance evaluation of OpenMRSInteroperability Layer Performance Analysis
- Estimated load figure for a Rwandan national deployment
Create a tool to evaluate how well the Interoperability Layer software meets evaluate Shared Health Record software that is closely linked to the requirements
- SHR
Shared Health Record Evaluation Tool
Compile a list of software that could be used as an interoperability layera Shared Health Record
Shared Health Record
SHR - Tools for review
Evaluate list software options using the evaluation tool
- SHR
Shared Health Record Evaluation Tool
Write up results of the evaluation and come to consensus on a recommended way forward i.e. whether to use or (ie. Use/modify an existing tool or build from scratch.
SHR )
- Shared Health Record options and recommendation
The
final recommendationrecommendation