Roger,

We at Médecins sans frontières (aka Doctros without borders) are looking at
integrating Bika Lab Systems into the clinical system, but we are just at
the beginning of the plan. If you know better, pease advise. Thank you.

http://www.bikalabs.com/

Thang



From:   "Friedman, Roger (CDC/CGH/DGHA) (CTR)" <[email protected]>
To:     [email protected]
Date:   25/08/2011 22:37
Subject:        Re: [OPENMRS-IMPLEMENTERS] Implementer available in Swaziland
            for MSF project?
Sent by:        [email protected]



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

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