An Shared Health Record (SHR) hold a subset of a patients health record in order to facilitate sharing of this information between disparate health information systems. This page hold the documentation produced by the Shared Health Record Community group under the OpenHIE project.
For more details about our call that are held twice a month, see: OpenSHR Community Call
Call topics and points for discussion are managed at: https://trello.com/b/NePcjQlc
Process Overview
As a part of the RHEA project, an HIE has been developed for maternal health in Rwanda. For more information about this implementation see this link. During this implementation, a Shared Health Record (SHR) based on OpenMRS (http://openmrs.org/) was developed. It is expected to work for the pilot implementation of the RHEA project, which is planned to run in a single district of Rwanda; however, it is not known whether this instance and the technology used will scale to a national level.
As a part of the OpenHIE project, this community is tasked with reviewing and evaluating the question of what makes a good SHR going into the future, and seeks to determine what technologies would be suitable for an SHR in 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 current active work regarding that item. The status of items being working on is displayed in brackets next to them. See this link for the original legacy google doc.
- What is an SHR (for us)?
- Document use cases and requirements [Completed, need final community review and comments]
- Evaluate existing SHR (OpenMRS)
- Generate estimated load figure for national deployment [Ongoing - Jembi]
- Performance evaluation of OpenMRS [Ongoing - Jembi]
- 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
- Review of existing tools
- Develop evaluation tool from requirements [Initial version complete, out for community comment and revision]
- Evaluate each tools against the evaluation tool
- Compile results
- Design
- Research various standards for clinical data (HL7v2; CDA - Antepartum Summary, - EDR)
- Compilation of design options
- 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
Facets of an SHR
Discussions
See the Legacy Discussion Doc for various comments and discussions related to the OpenSHR