Experience in implementing the openMRS medical record system to support hiv treatment in Rwanda

Christian Allen, Darius Jazayeri, Justin Miranda, Paul G. Biondich, Burke W. Mamlin, Ben A. Wolfe, Chris Seebregts, Neal Lesh, William M. Tierney, Hamish S.F. Fraser

Research output: Chapter in Book/Report/Conference proceedingConference contribution

36 Scopus citations

Abstract

The challenge of scaling up HIV treatment in Africa has led to a new emphasis on improving health systems in impoverished areas. One aspect of this is the development and deployment of electronic medical record systems to support HIV and TB treatment. In this paper we describe the design and implementation of a new medical record architecture to support an HIV treatment program in rural Rwanda. The architecture is called OpenMRS and it has been developed to address the problem of configuring EMR systems to suit new sites, languages and diseases. OpenMRS uses a data dictionary called the concept dictionary to represent all the possible data items that can be collected. This allows new items to be added to the system by non-programmers. In addition, there are form creation tools that use drag and drop web technologies to simplify form construction. The OpenMRS system was first implemented in Kenya in February 2006 and then in Rwanda in August 2006. The system is now functioning well and we are developing extensions to improve the support for the clinic. hese include improved, easy to use reporting tools, support for additional clinical problems including nutrition and child health, better database synchronization tools, and modules to collect laboratory data and support the pharmacy. The system is also in use in South Africa and Lesotho and is being deployed in Tanzania and Uganda.

Original languageEnglish (US)
Title of host publicationMEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics
Subtitle of host publicationBuilding Sustainable Health Systems
PublisherIOS Press
Pages382-386
Number of pages5
ISBN (Print)9781586037741
StatePublished - Jan 1 2007
Event12th World Congress on Medical Informatics, MEDINFO 2007 - Brisbane, QLD, Australia
Duration: Aug 20 2007Aug 24 2007

Publication series

NameStudies in Health Technology and Informatics
Volume129
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other12th World Congress on Medical Informatics, MEDINFO 2007
CountryAustralia
CityBrisbane, QLD
Period8/20/078/24/07

Keywords

  • developing countries
  • electronic medical records

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

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    Allen, C., Jazayeri, D., Miranda, J., Biondich, P. G., Mamlin, B. W., Wolfe, B. A., Seebregts, C., Lesh, N., Tierney, W. M., & Fraser, H. S. F. (2007). Experience in implementing the openMRS medical record system to support hiv treatment in Rwanda. In MEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems (pp. 382-386). (Studies in Health Technology and Informatics; Vol. 129). IOS Press.