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Call topics and agenda are managed at: https://trello.com/b/NePcjQlc 

Process Overview

As a part for the RHEA project an HIE has been developed for maternal health in Rwanda. For more information about this implementation see: here. During this implementation a Shared Health Record (SHR) based off of OpenMRS (http://openmrs.org/) was developed. This is expected to work for the pilot implementation for the RHEA project that is planned to run in a single district of Rwanda, however, it is not known if this instance will scale to a national level and if the technology is appropriate for national scale.

As a part of the OpenHIE project this community is tasked with reviewing and evaluating what makes a good SHR going into the future and seeks to determine what technologies would be suit a SHR for the purposes of OpenHIE.

SHR Evaluation Methodology


  • What is an SHR (for us)?

    • Document use cases

    • Document requirements for SHR use in OpenHIE

  • Evaluate existing SHR (OpenMRS)

    • Performance evaluation of OpenMRS

      • Stress testing (where does it break? How close does it get us to what we need?)

    • Identify functional shortcomings based on requirements

    • How its working in Rwanda

  • Design

    • Research various standards for clinical data (HL7v2; CDA - Antepartum Summary, - EDR)

    • Compilation of design options

  • Review of existing tools

    • Develop evaluation tool from requirements

    • Evaluate each tools against the evaluation tool

    • Compile results

  • Evaluation of feasibility

    • Further documentation of design options based on review of existing tools

    • Design of option for a new build (if determined to be necessary):

      • Document technology restrictions

      • Develop architecture of tool

  • Selected Strategy for way forward

SHR Uses Cases and Requirements

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