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This is a place to capture implementation notes concerning the projects that the OpenHIE Community is 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.  

COUNTRY (where is the implementation happening) PROJECT NAMEUSE CASE / GOALS (What is the project trying to accomplish) SCALESTATUSPROJECT 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?
PhilippineseHealth Strategy PhilippinesBlueprint / Architecture 

NATIONAL

Published Ministry of Health2023-03-29 OHIN Call

TanzaniaTanzania BlueprintBlueprint / Architecture 

NATIONAL

Published Ministry of Health2023-03-29 OHIN Call

Sri LankaSri Lanka Digital Health Blueprint (V1.0b)Blueprint / Architecture 

NATIONAL

Published Ministry of Health2023-03-29 OHIN Call

Malawi Master Patient Index (DDE) Patient Matching For case reporting from a central repository

around 170 sites
Ministry of Health EGPAF2023-03-29 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.

Haiti Haiti Master Patient Index (Client Registry)

Lost to follow up 

patient transfer 

labs

Uses patient look up to avoid duplication of patients


PILOTThe 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) DIGI2023-03-29 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 

Mozambiqueinteroperability solutioninteroperability 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.
ImplementingThe Ministry of Justice, Constitutional and Religious Affairs of Mozambique with technical support from the Jembi Mozambique2023/03 Jembi Mozambique Newsletter #7/2023 
UgandaDifferentiated 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
ImplementingMinistry of Health, Makerere University School of Public Health, CDC, Monitoring and Evaluation Technical Support (METS) Program, University of California San Francisco2023-03-09 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


MalawiCommunity-based ART Retention and Suppression (CARES) App Community EMR app to collect the same data as the EMR on community visits 
TestingLighthouse Trust,  I-Tech Malawi, Comcare2023-03-09 Treatment Continuity (DUC Meeting)

Comcare application with ability to send and receive data from the EMR 

Planning to add hypertension model in the future.  


LaosGeoPrism RegistryInterlinking systems (like OpenHIE registries) by common geographies for the correct periods of time. Worker and Facility registries.

GPR uses the GeoPrism spatial knowledge graph dependency management framework

PILOT

Implementing


TerraFrame, CHAI, Health GeoLab Collaborative2023-03-23 Facility Registry Call (Presentation - see recording and notes) 
2023-02-24 OHIE Architecture & Standards Call

FHIR, GeoJSON, VectorTiles

 


MozambiqueGeoPrism Registry

Interlinking systems (like OpenHIE registries) by common geographies for the correct periods of time. Worker and Facility registries.

GPR uses the GeoPrism spatial knowledge graph dependency management framework

NATIONAL

Implementing

TerraFrame, CHAI, Health GeoLab Collaborative2023-02-24 OHIE Architecture & Standards CallFHIR, GeoJSON, VectorTiles
Sri LankaInformation ExchangeInteroperability between HMIS and OpenMRS.  Working on implementing FHIR standard

NATIONAL

ImplementingMinistry of Health 2023-02-24 OHIE Architecture & Standards CallHapiFHIR 
KenyaThe Local Health System Sustainability Project - Cross Border Digital Health SolutionPatient Identity for reporting

MULTI-NATIONAL

PILOT (scope to rest of EAC countries)

DevelopmentIntelliSOFT Consulting2023-02-24 OHIE Architecture & Standards Call

OpenHIM and EMR

HapiFHIR SHR

Standards : FHIR / Client Registry / OCL Terminology Services: CIEL / OCL

S/W solution: OpenMRS, DHIS2


UgandaThe Local Health System Sustainability Project - Cross Border Digital Health SolutionTracking patients along the border of Kenya and Uganda.  Patient Identity for reporting

MULTI-NATIONAL

PILOT(scope to rest of EAC countries)

DevelopmentIntelliSOFT Consulting2023-02-24 OHIE Architecture & Standards Call

OpenHIM and EMR

HapiFHIR SHR

Standards : FHIR / Client Registry / OCL Terminology Services: CIEL / OCL

S/W solution: OpenMRS, DHIS2


Multiple CountriesPSI Digital Health consumer interventionsConsumer app to drive consumers to facilities for interventions (referral app) 

PSI 2023-02-24 OHIE Architecture & Standards Call

 RapidPro/WFA>OpenHIM > HapiFHIR > NiFi > Postgres > Superset

OpenHIM/ HapiFHIR/ WA/ SMS /FBM/ Superset/ PBI


Multiple CountriesTraining / Capacity Building OHIE Certificate reimbursement program - OHIE session in AeHIN General Meeting (Indonesia Oct 2023)
PlanningAeHIN2023-02-24 OHIE Architecture & Standards Call

PhilippinesTraining / 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

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


Sri LankaDebt2HealthBreaking silos between hospitals.  Created a Digital health bluepriint and NDC health care and TB EHR

NATIONAL

DevelopmentGlobal Fund2023-02-24 OHIE Architecture & Standards CallCR 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 Callconnectathon among EMR developers using the FHIR profiles with DOH/PHIC/WHO observing
Multiple CountriesAeHIN Community of Interoperability Labs (COIL)Demonstration of syndicated TS between Region and PH ontoserver (eg, medications)


2023-02-24 OHIE Architecture & Standards CallRegional 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 OCLTS OpenMRS based cluster EMR Sunbird based PR


2023-02-24 OHIE Architecture & Standards Call

Ethiopia, Chile, Malawi?Terminology Service Implementation

NATIONAL

MaintenanceCENS (Chile)TS Implementer Series: Chile

KenyaTerminology Service Implementation

NATIONAL

Early implementation, work ongoingPalladium


NigeriaOpenMRS 3.X and OCL Terminology Service Implementation


Started

PHIS3




Sri LankaOCL Terminology Service Implementation

StartedMOH Sri Lanka


N/AOpenMRS ANC Reference ImplementationOpenMRS is implementing ANC SMART Guidelines to do things like Decision Support

PILOT

Development

OpenMRS

WHO






















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