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  1. Requesting System: Any system that wants a community based health worker to find and follow-up with a patient. The requesting system will often be an EMR like OpenMRS
  2. CHIS: A Community Health Information System is an information system that supports the routine and emergency health care of a patient population within community contexts in defined geographic areas.
  3. CHW: Community Health Workers are the central users of CHIS. CHWs conduct household visits and are responsible for the health of their community.
  4. SHR: Shared Health Record is a centralized data repository for storing patient’s shared health record.

Workflows

High Level Overview

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From a very high level perspective, the workflow is designed around having the Requesting System determine which patients need to be followed-up with and a CHW trying to find the patient and recording the outcome of their attempt(s).  

  1. Requesting System → Determine patients needing follow-up
  2. Requesting System → Send list of patients
  3. CHIS → Notify
  4. CHW→ Find patient and record outcome
  5. CHW→ Sync results
  6. CHIS→  Update with outcome of follow-up




High level data flow

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  1. Requesting system system determines which patients need follow-up
  2. Requesting system creates a "ServiceRequest" for each patient and sends the ServiceRequest to HIE
  3. CHIS queries the HIE to determine if there are any patients to follow-up with
  4. Requesting system returns results of query
  5. CHIS determines where or not to claim the service request
  6. CHIS "claims" the ServiceRequest to confirm that they will be following up with the patient
  7. CHIS tasks the appropriate CHW with finding and advising the patient
  8. CHIS records the results of the CHW's efforts
  9. CHIS updates the ServiceRequest
  10. Requesting system receives update
  11. Requesting system updates itself accordingly


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Draft Indicators

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