Hello Glen,

Thank you for tip.

Actually this is exactly the path we were thinking of considering.

   Developping portable tools (for example on Android smartphones) for data
   collection, very much to put in the hands of social workers who are
   visiting villages.
   Or when a paper trail is still needed, or when security concerns
   prohibit showing off an expensive gear, using a digital pen to expedite
   data conversion in digital form.
   Of course we would still consider PC-based data collection in hospitals
   or static clinics.
   Using the backend part of OpenMRS to aggregate data collected, either at
   the field level, at the coordination level or at headquarters level.

Regarding point-of-care documentation or clinical guidelines we want to
provide our first mission healthcare professionals or local healthcare
workers, we are definitely considering using smartphones to achieve ease of
use and flexibility when we need to adapt guidelines.

Best regards,

Thang



From:   Glen McCallum <[email protected]>
To:     [email protected]
Date:   01/09/2011 18:15
Subject:        Re: [OPENMRS-IMPLEMENTERS] Médecins sans frontières  (aka
            Doctors without borders) interest in OpenMRS
Sent by:        [email protected]



Hi Thang:

You might want to consider the user interface layer of openmrs separate
from the server platform openmrs. About 80% of OpenMRS is application
server and database software and it is decoupled from the web layer.

From what I've observed (anyone, feel free to correct me) the user
interaction with the system was designed around a certain workflow. This
includes clinicians filling out paper forms then … later ... data entry
clerks transcribing those forms into the system (retrospective capture, as
Andy said).

So if you're considering "physician point-of-care electronic documentation"
around specific topics … it might be worth developing your own web layer
and communicating with the OpenMRS server platform via the Rest API. This
would support your unique workflow and, in addition, you could make the
program appear very basic/simple to the end user.

regards,
Glen

On 2011-08-23, at 3:30 AM, Andrew Kanter wrote:

      Thang,

      There are many ways to hide the complexity of OpenMRS but continue to
      use the application and database as the back end. In MVP, we are
      using OpenMRS in all 10 African countries, with different
      applications for different users at the front end. Our Community
      Health Workers use ChildCount+ (RapidSMS) and this feeds into
      OpenMRS. Our clinics use OpenMRS primarily retrospectively, although
      we are looking at prospective entry for immunizations and children in
      some places. We also use ODK and xforms to capture Verbal Autopsy
      data and this all goes into OpenMRS.

      Happy to discuss and will definitely be in Kigali.

      Andy

      --------------------
      Andrew S. Kanter, MD MPH

      - Director of Health Information Systems/Medical Informatics
      Millennium Villages Project, Earth Institute, Columbia University
      - Asst. Prof. of Clinical Biomedical Informatics and Clinical
      Epidemiology
      Columbia University


      Email: [email protected]
      Mobile: +1 (646) 469-2421
      Office: +1 (212) 305-4842
      Skype: akanter-ippnw
      Yahoo: andy_kanter
       From: Thang Dao <[email protected]>
       To: [email protected]
       Sent: Tuesday, August 23, 2011 3:53 AM
       Subject: [OPENMRS-IMPLEMENTERS] Médecins sans frontières (aka
       Doctors without borders) interest in OpenMRS

       Dear Implementers,

       We at Médecins sans frontières are interested in using OpenMRS data
       model
       to underlie our new generation of medical data collection tools.

       More and more of our operations are dealing with chronic diseases
       and/or
       states of malnutrition.

       To support following up our patients, we are thinking of introducing
       a
       medical record system in a pervasive way, yet masking out the
       complexity.

       Thus our strategy is to opt for OpenMRS data model, yet introducing
       only
       part of what is needed only, because our field users are not
       computer
       literate.

       For instance, for our "Street violence" project in Honduras, we
       collect
       data about young children living on the streets (name, sex), the
       type of
       abuse they were victims of (sexual agression, ...), when it occurred
       (1
       hour, 6 hours ago...) and the treatment we provided (basic care,
       bandage,
       condoms distribution, ...).

       We meet the children again and then collect more data on the
       encounter.

       Since strolling the streets of Tegucigalpa with a laptop is the
       surest way
       of being mugged, we tally the children with a paper form and a
       digital pen.
       We go back to the point of care, download data into a CSV file,
       upload the
       file in a local data repository which we would like to build
       according to
       OpenMRS data model. We use QlikView to provide immediate synthesis /
       analysis of data to local social workers.

       So the question are:

         Is this a viable option? Keeping the full fledged data structure
       in the
         database engine, yet feeding it only with data related to
       operation at
         hand?
         If yes, who has experience rolling out OpenMRS that way?
         If your anser is Yes to question 2, are you going to Kigali? We
       would
         love to go, but our budget is tight so we need a compelling
       reason.


       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
       _________________________________________

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