This is a place to capture implementation notes concerning the projects that the OpenHIE and DUC Communities are hearing about. The information is captured based upon the information 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 into add to or update the log and revisions are being tracked. The projects may be sorted by clicking on the column headings. Components include a TERMINOLOGY SERVICE (OCL), Have a CLIENT REGISTRY(OpenCR),rINTEROPERABILITY LAYER. Have (OpenHIM) Identify patients across facilities Using multiple IDs in a CLIENT REGISTRY (OpenCR) and working through national registries to identify a patient. NATIONAL NATIONAL . SNOMED CT INTEROPERABILITY LAYER EMRs connect to a central repository through an INTEROPERABILITY LAYER. Have CLIENT REGISTRY TERMINOLOGY SERVICE (OCL) and a SHR. For matching the team is using a probabilistic algorithm and using multiple mixture of attributes with different weighting. - Have documented the interoperability standards that they are planning to use for imaging and other standards. - Using a CLIENT REGISTRY and all of the EMRs are connected to the interoperability layer. - also using a shared health record - have a TERMINOLOGY SERVICE Using OpenHIM ( INTEROPERABILITY LAYER) 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 Created an OpenHIM mediator (INTEROPERABILITY LAYER) PMCT / Product CatalogPRODUCT CATALOG TERMINOLOGY SERVICE Health FACILITY REGISTRY NATIONAL NATIONAL NATIONAL Master Patient Index (DDE) Patient Matching PILOTThe initial scale for the pilot is for a specific EMR to a central repository. Aligning terminologies to move toward support for other EMRs. 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 Comcare application with ability to send and receive data from the EMR Planning to add hypertension model in the future. Interlinking systems (like OpenHIE registries) by common geographies for the correct periods of time. HEALTH WORKER REGISTRY FACILITY REGISTRY NATIONAL FHIR, GeoJSON, VectorTiles Direct integration with DHIS2 and Reveal. Interlinking systems (like OpenHIE registries) by common geographies for the correct periods of time. HEALTH WORKER REGISTRY FACILITY REGISTRY GeoPrism Registry uses the GeoPrism spatial knowledge graph dependency management framework PILOT Implementing FHIR, GeoJSON, VectorTiles Direct integration with DHIS2 and Reveal. NATIONAL MULTI-NATIONAL PILOT (scope to rest of EAC countries) OpenHIM and EMR HapiFHIR SHR Standards : FHIR / Client Registry / OCL Terminology Services: CIEL / OCL S/W solution: OpenMRS, DHIS2 MULTI-NATIONAL PILOT(scope to rest of EAC countries) OpenHIM and EMR HapiFHIR SHR Standards : FHIR / Client Registry / OCL Terminology Services: CIEL / OCL S/W solution: OpenMRS, DHIS2 RapidPro/WFA>OpenHIM > HapiFHIR > NiFi > Postgres > Superset OpenHIM/ HapiFHIR/ WA/ SMS /FBM/ Superset/ PBI Applying WHO SMART Guidelines for FHIR profiles/IG development (eg, viral hepatitis, liver diseases, etc) connectathon among EMR developers using the FHIR profiles with DOH/PHIC/WHO observing NATIONAL NATIONAL NATIONAL Palladium University of Nairobi PHIS3 PILOT OpenMRS WHOCOUNTRY (where is the implementation happening) 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 this project was mentioned) NOTES and additional details. (May include Data Exchanges, technologies and other details) Does the project team need OpenHIE assistance? Botswana HIE Implemented
2024-03-27 Patient ID Mgmt Collaborative SessionBotswana Patient Identity Managemnt Scaling 2024-03-27 Patient ID Mgmt Collaborative Session Multiple (Central America and the Dominican Republic) Cross-Border Epidemiological Surveillance Cross-border epi surveillance to support migration across countries. Initiative SICA / COMISCA, Ministries of Health, Goverment of Korea 2023-08-03 OHIN Call Challenges include governance, human interoperability and diversity of systems across the countries. Multiple (Argentina, Belize, Chile, Colombia, Ecuador, El Salvador, Guatemala, Honduras, Panama, Paraguay, Peru, Surinam, Uruguay) LACPass Training people in standards (HL7 / FHIR)
Two conectathon to to test the cross-border interoperability for vaccine certificates and the IPS.IDB, Ministries of Health, PAHO, CENS 2023-08-03 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 consume the data based upon needs. Have data governance. Enables sharing of information about vaccines and other data in real time. Also supports survellience from both public and private providers. Production Ministry of Health 2023-08-03 OHIN Call Use of OpenSource technologies and standards. Argentina Terminology and alignment on data standards. 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. Production Ministry of Health of the Nation, healthcare providers 2023-08-03 OHIN Call Uruguay National EHR National architecture for federated systems. Includes private sector and other health organizations. AGESIC / Salud.Uy, Ministry of Health, healthcare providers 2023-08-03 OHIN Call 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 appointments, vaccine certificates and medical records. This helped solve the data collection layer. Costa Rican Social Security 2023-08-03 OHIN Call 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
Using biometrics (fingerprints and iris)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 facilities2023-07-20 Facility Registry Call
- Using OpenHIM for the INTEROPERABILITY LAYER.
- Using a FACILITY REGISTRY to align on facility name. Planning for all of the systems to use the facility registry to align on names.
- have a HEALTH WORKER REGISTRYKenya SMART Guidelines standalone app Pilot Intellisoft, CDC, Google OHIE23 E2 Unconference Session Uganda Lab and Hospital system integration Need to use OpenHIIM for integrating lab systems 3 hospital management systems are being connected MOH OpenHIE23 Indonesia CHISU OpenHIM as a generic FHIR converter USAID, Jembi, OpenHIE23 Malawi IHRIS / Health Worker Registry In Progress MOH OpenHIE23 Malawi In Progress MOH OpenHIE23 Capture trade items and use GS1 standards. Malawi Putting terminology into the system and used for mapping between DHIS2 and OpenIMIS MOH OpenHIE23 Malawi Implemented MOH Presented at OHIE23
Includes facility details
Used in the integration with other systems to map facilities 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. Nigeria National Concept dictionary Starting 2023-04-07 Terminology Service Call Philippines eHealth Strategy Philippines Blueprint / Architecture Published Ministry of Health 2023-03-29 OHIN Call Tanzania Tanzania Blueprint Blueprint / Architecture Published Ministry of Health 2023-03-29 OHIN Call Sri Lanka Sri Lanka Digital Health Blueprint (V1.0b) Blueprint / Architecture Published Ministry of Health 2023-03-29 OHIN Call Malawi
CLIENT REGISTRYFor case reporting from a central repository around 170 sites Ministry of Health EGPAF 2023-03-29 Patient ID Mgmt Collaborative Session Haiti Haiti Master Patient Index (Client Registry) 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 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 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 facilitiesImplementing 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) 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) Lao People's Democratic Republic GeoPrism Registry
GeoPrism Registry uses the GeoPrism spatial knowledge graph dependency management frameworkImplemented TerraFrame, Clinton Health Access Initiative (CHAI), Health GeoLab Hub, Vital Wave 2023-03-23 Facility Registry Call (Presentation - see recording and notes)
2023-02-24 OHIE Architecture & Standards CallMozambique GeoPrism Registry TerraFrame, Clinton Health Access Initiative (CHAI), Health GeoLab Hub 2023-02-24 OHIE Architecture & Standards Call Sri Lanka Information Exchange Interoperability between HMIS and OpenMRS. Working on implementing FHIR standard Implementing Ministry of Health 2023-02-24 OHIE Architecture & Standards Call HapiFHIR Kenya The Local Health System Sustainability Project - Cross Border Digital Health Solution Patient Identity for reporting Development IntelliSOFT Consulting 2023-02-24 OHIE Architecture & Standards Call Uganda The Local Health System Sustainability Project - Cross Border Digital Health Solution Tracking patients along the border of Kenya and Uganda. Patient Identity for reporting Development IntelliSOFT Consulting 2023-02-24 OHIE Architecture & Standards Call Multiple Countries PSI Digital Health consumer interventions Consumer app to drive consumers to facilities for interventions (referral app) PSI 2023-02-24 OHIE Architecture & Standards Call Multiple Countries Training / Capacity Building OHIE Certificate reimbursement program - OHIE session in AeHIN General Meeting (Indonesia Oct 2023) Planning AeHIN 2023-02-24 OHIE Architecture & Standards Call Philippines Training / Capacity Building promote OHIE Academy as free training for DOH and PHIC staffers, general public - encourage DOH/PHIC to look for OHIE certificate for employments - offer Virtual Instructor-led Training (on academy.ohie.org) - offer face-to-face training (on academy.ohie.org) UP Manila - Standards & Interoperability Lab (UPM-SILab) 2023-02-24 OHIE Architecture & Standards Call Sri Lanka Debt2Health Breaking silos between hospitals. Created a Digital health bluepriint and NDC health care and TB EHR Development Global Fund 2023-02-24 OHIE Architecture & Standards Call CR and other building blocks are being put in place 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 Architecture & Standards Call connectathon among EMR developers using the FHIR profiles with DOH/PHIC/WHO observing Multiple Countries AeHIN Community of Interoperability Labs (COIL) Demonstration of syndicated TS between Region and PH ontoserver (eg, medications) 2023-02-24 OHIE Architecture & Standards Call Regional Terminology Server ontoserver (c/o SIL-Thailand) - Regional Terminology Server ontoserver (c/o SIL-Thailand) - National TS ontoserver (c/o UPM-SILab) WSO2 based Interoperability layer OCL TS OpenMRS based cluster EMR Sunbird based PR 2023-02-24 OHIE Architecture & Standards Call Ethiopia, Chile, Malawi? Terminology Service Implementation Maintenance CENS (Chile) TS Implementer Series: Chile Kenya Terminology Service Implementation National Health Data Dictionary Early implementation, work ongoing Nigeria OpenMRS 3.X and OCL Terminology Service Implementation Started 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 Development
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