| Unique Digital Health Records | 2016-2018 worked on capturing electronic records in hospitals and deployment of apps to support patient access to appointments, vaccine certificates and medical records. This helped solve the data collection layer. |
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| Costa Rican Social Security | 2023-08-03 OHIN Call |
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| Zimbabwe | Patient Identity Project using a deduplication process. | A national identifier is not used for health. There 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. |
| Currently have "online" facilities that can push data to the central repository in real time. Approximately have progressed 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 Health | 2023-07-26 Patient ID Mgmt Collaborative Session | EMRs connect to a central repository through an | Status |
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| colour | Green |
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| title | Interoperability Layer |
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. Have | Status |
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| colour | Green |
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| title | Client Registry |
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| Status |
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| colour | Green |
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| title | Terminology Service |
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(OCL) and a SHR. Using biometrics (fingerprints and iris)For matching the team is using a probabilistic algorithm and using multiple mixture of attributes with different 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 and Rwanda is looking a ways to take a patient viewpoint and ensuring that the data is connected.
The shared health record is updated on a regular basis to ensure that the patient's comprehensive information is available to other systems. |
| Pilot stage for connecting EMRs
Have onboarded 65 health facilities |
| 2023-07-20 Facility Registry Call | - Have documented the interoperability standards that they are planning to use for imaging and other standards.
- Using OpenHIM for the | Status |
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| colour | Green |
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| title | Interoperability Layer |
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. - Using a | Status |
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| colour | Green |
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| title | Client Registry |
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and all of the EMRs are connected to the interoperability layer. - Using a | Status |
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| colour | Green |
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| title | Facility Registry |
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to align on facility name. Planning for all of the systems to use the facility registry to align on names. - also using a shared health record - have a | Status |
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| colour | Green |
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| title | Terminology Service |
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- have a | Status |
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| colour | Green |
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| title | Health Worker Registry |
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| Kenya | SMART Guidelines standalone app |
| Pilot |
| Intellisoft, CDC, Google | OHIE23 E2 Unconference Session |
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| Uganda | Lab and Hospital system integration | Need to use OpenHIIM for integrating lab systems |
| 3 hospital management systems are being connected | MOH | OpenHIE23 | Using OpenHIM ( | Status |
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| colour | Green |
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| title | Interoperability Layer |
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) to connect with Lab systems and had to integrate the the sample tracking component that links the data to a central lab where people can log in and get their results |
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| Indonesia | CHISU | OpenHIM as a generic FHIR converter |
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| USAID, Jembi, | OpenHIE23 | Created an OpenHIM mediator ( | Status |
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| colour | Green |
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| title | Interoperability Layer |
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) |
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| Malawi | IHRIS / Health Worker Registry |
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| In Progress | MOH | OpenHIE23 |
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| Malawi | PMCT / Product Catalog | Status |
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| colour | Green |
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| title | Product Catalog |
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| In Progress | MOH | OpenHIE23 | Capture trade items and use GS1 standards. |
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| Malawi | | Status |
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| colour | Green |
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| title | Terminology Service |
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| Putting terminology into the system and used for mapping between DHIS2 and OpenIMIS |
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| MOH | OpenHIE23 |
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| Malawi | Health | Status |
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| colour | Green |
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| title | Facility Registry |
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| 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) | Uses eCHIS and Simprint | Governance documents, connecting infrastructure via VPN, |
| Nigeria | National Biometrics Collaborative | Capture Fingerprints to assist with patient Identity | HIV program 85% of patients are captured |
| PHIS3 | 2023-04-26 Patient ID Mgmt Collaborative Session | Working on FHIR support for APIs. Also have experience sharing data with DHIS2, EMRs and Labs. |
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| Nigeria | National Concept dictionary |
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| Starting |
| 2023-04-07 Terminology Service Call |
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| Philippines | eHealth Strategy Philippines | Blueprint / Architecture | | Published | Ministry of Health | 2023-03-29 OHIN Call |
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| Tanzania | Tanzania Blueprint | Blueprint / Architecture | | Published | Ministry of Health | 2023-03-29 OHIN Call |
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| Sri Lanka | Sri Lanka Digital Health Blueprint (V1.0b) | Blueprint / Architecture | | Published | Ministry of Health | 2023-03-29 OHIN Call |
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| Malawi | Master Patient Index (DDE) Patient Matching
| Status |
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| colour | Green |
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| title | Client Registry |
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| For case reporting from a central repository
| around 170 sites |
| Ministry of Health EGPAF | 2023-03-29 Patient ID Mgmt Collaborative Session | - DDE is built on top of Ruby on Rails.
- FHIR standards.
- Offline first architecture.
- Produces a pre-generated non-identifiable patient ID for every client. These IDs are physically printed as barcodes and placed as stickers on the patient's Health Passport.
- Currently 6 million unique clients registered.
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| Haiti | Haiti Master Patient Index (Client Registry) | Lost to follow up patient transfer labs Uses patient look up to avoid duplication of patients
| The initial scale for the pilot is for a specific EMR to a central repository. Aligning terminologies to move toward support for other EMRs. | Pilot (two sites to start and learn about infrastructure and needs) | DIGI | 2023-03-29 Patient 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 implementation) and a client registry |
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| Mozambique | interoperability solution | interoperability solution between the national Civil Registration and Vital Statistics electronic system (eSiRCEV) and the Vital Events Community Surveillance system (SIS-COVE) of the National Institute of Health (INS) of Mozambique. |
| Implementing | The Ministry of Justice, Constitutional and Religious Affairs of Mozambique with technical support from the Jembi Mozambique | 2023/03 Jembi Mozambique Newsletter #7/2023 | |
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| Uganda | Differentiated Service Delivery Models in UgandaEMR to Decongest Facilities (EMR for DSDM) | Need to better understand the number of people being served by a facility and treat in the community where possible. | 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 Treatment 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 Suppression (CARES) App | Community EMR app to collect the same data as the EMR on community visits |
| Testing | Lighthouse Trust, I-Tech Malawi, Comcare | 2023-03-09 Treatment Continuity (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 |