Hi Folks--

A couple of questions from an OpenMRS beginner...   By way of quick intro: I'm 
assisting an organization that is providing medical care to approx 1,700 
Haitian orphans and looking to use an electronic medical record.  The primary 
goals at this time are to track growth and immunization status.   We have a 
stable OpenMRS 1.82 implementation configured in an Amazon EC2 instance.  The 
growth chart module is installed and working.  A few questions that have come 
up:

1) When entering a new patient, is there a way to automatically generate the 
next available ID #?   Or barring that, have it auto-calculate the check-digit 
when entering one for the first time?

2) What is the best way to record the immunization dates?   Currently, I've 
done  <obs conceptId="1410" answerConceptId="159716"/>   (Where 1410 = Vaccine 
Date and 159716=Tetanus Containing Vaccines).   Will this carry forward 
longitudinally and be easily reportable?   Is there a better way?  Is this the 
right level of granularity?  (or should I be recording dates of Td, TDaP 
individually and using 159716 as a way to roll it up and report?)

3) Is there a way to tie this to a drug order, so that if a specific vaccine is 
ordered it would update the field?

4) I tried a few versions of the EzVac Immunization module, but was getting a 
number of java errors when I attempted to upload the .csv rules.  I'm not clear 
whether this is intended to provide guidance on what's needed or help track 
what's been given.  I couldn't find documentation or guidance to tell if that 
was the way to go.

Thanks -- I'd appreciate any advice and guidance!

--L



----
Larry A Nathanson MD
Director of Emergency Medicine Informatics, Beth Israel Deaconess Medical Center
Assistant Professor of Medicine, Harvard Medical School
One Deaconess Rd W/CC-2 Boston  MA 02215

617-754-2389
[email protected]


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