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
This section shows the methodology for going through the process of evaluating options for a shared health record. As we work on each of these items, links will be added to the relevant documentation that shows the work that is currently being done on that item.
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