It depends on what you want. If the lab results are wanted by the clinicians for use in patient care, and the lab is little more than an extension of the clinic, or uses nothing more than rapid tests, then the patient-obs structure may work. But this is a lab director (more power to him/her for wanting a system!), and some of the features of a more comprehensive LIS, such as specimen-centrism, workflow, instrument integration, reagent inventory, quality control charts, in-/out-bound referrals, calibration and maintenance records, etc. may be what s/he really wants, either now or in the future. Even in resource-poor settings, the lab may be testing for contaminants in drinking water or compliance with salt iodization regulations (or even the zoonoses we heard about last night). It's logical to have a system boundary between the clinical system and the lab system because of their different orientations, even if the OpenMRS platform is used for access control, vocabulary service, interface and system management. I wish I had something to recommend, but through ignorance or unattainable standards, I don't. Even if I had more confidence some piece of software, I have learned that in many places lab process must improve before the lab can produce reliable results, so an LIS is probably something I'd like to incorporate into a more comprehensive lab strengthening effort. It may be better to draw specimens, put them on a motorbike or motorboat and send them to a more capable lab, which can send results back electronically. Maybe there's a way to start the system small and grow, but I'd hate to tie it too closely to the patient care model.
-----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Bill Lober Sent: Thursday, August 25, 2011 2:24 PM To: [email protected] Subject: Re: [OPENMRS-IMPLEMENTERS] Implementer available in Swaziland for MSF project? Roger - By odd coincidence, I've spend the morning on the flight home working on lab result representation in the current obs table. I don't think OpenMRS is the best tool on which to build a lab system, but I'm reasonably confident about expressing results, and their associated metadata, with the obs table, a shoehorn, a ball of string, and tools commonly found in the kitchen... Will post something... tomorrow? Bill -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Friedman, Roger (CDC/CGH/DGHA) (CTR) Sent: Thursday, August 25, 2011 9:18 AM To: [email protected] Subject: Re: [OPENMRS-IMPLEMENTERS] Implementer available in Swaziland for MSF project? Is OpenMRS best tool for lab results? Probably not. -----Original Message----- From: [email protected] [mailto:[email protected]] On Behalf Of Thang Dao Sent: Thursday, August 25, 2011 11:11 AM To: [email protected] Subject: Re: [OPENMRS-IMPLEMENTERS] Implementer available in Swaziland for MSF project? Hello Teri, More than willing to help. Let us meet. Cordialement / Best regards / Freundliche Grüsse Thang Dao Directeur Systèmes d'Information - Médecins sans Frontières (Suisse) Information Systems Director - Doctors without Borders (Switzerland) Informationssystem Leiter - Aertze ohne Grenzen (Schweiz) Rue de Lausanne, 78 1211 Genève 21 +41 (0)22 849 8996 From: Teri Roberts <[email protected]> To: [email protected] Date: 25/08/2011 16:54 Subject: [OPENMRS-IMPLEMENTERS] Implementer available in Swaziland for MSF project? Sent by: [email protected] Dear All I am the diagnostics advisor at the MSF's Access Campaign. The MSF have a field site in Nhlangano, which covers the Shishelweni region in Swaziland, and wish to implement the OpenMRS system to capture the patient lab results. Is anyone available over the next few months to help with the implementation? I do not think that it will take long to show the lab manager how the system works and to customise it for MSF needs. many thanks Teri Teri Roberts Diagnostics Advisor Médecins Sans Frontières, Access Campaign Geneva, Switzerland tel: +41.22.849.89.56 fax: +41.22.849.84.04 mobile: +41.78.757.62.35 skype: teri.roberts www.msfaccess.org Click here to unsubscribe from OpenMRS Implementers' mailing list _________________________________________ To unsubscribe from OpenMRS Implementers' mailing list, send an e-mail to [email protected] with "SIGNOFF openmrs-implement-l" in the body (not the subject) of your e-mail. [mailto:[email protected]?body=SIGNOFF%20openmrs-implement-l] _________________________________________ To unsubscribe from OpenMRS Implementers' mailing list, send an e-mail to [email protected] with "SIGNOFF openmrs-implement-l" in the body (not the subject) of your e-mail. [mailto:[email protected]?body=SIGNOFF%20openmrs-implement-l] _________________________________________ To unsubscribe from OpenMRS Implementers' mailing list, send an e-mail to [email protected] with "SIGNOFF openmrs-implement-l" in the body (not the subject) of your e-mail. [mailto:[email protected]?body=SIGNOFF%20openmrs-implement-l] _________________________________________ To unsubscribe from OpenMRS Implementers' mailing list, send an e-mail to [email protected] with "SIGNOFF openmrs-implement-l" in the body (not the subject) of your e-mail. [mailto:[email protected]?body=SIGNOFF%20openmrs-implement-l]
