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OpenMRS Technical Workshop outline October 26th and 27th


This workshop will bring together key collaborators working on the OpenMRS medical information system for supporting healthcare in developing countries. The initial focus is on the roll out of HIV treatment in Africa and Haiti but the initial implementation will support TB treatment and later version will expand to function as a general EMR system. The design is intended to address the limitations of existing EMR architectures for deployment in resource limited environments including the need for low costs and sustainability, flexibility in configuring the system for new sites and circumstances and the need for internationalization and multiple language support.

The overall approach we are taking is the development of a data model that allows all medical data to be coded in a data dictionary and stored in a data and time stamped observation table. The system will be 100% open source (though it may also run on Windows and some implementations will will voluntarily include proprietary software). The design will be modular to facilitate collaboration on different components and simplify interfacing to other systems or supporting software including lab and pharmacy systems and national statistics reporting systems such as TRACnet in Rwanda.


The workshop will be held in a small conference room in the Hilton, C326 starting at 1.30pm. This is on the same level as the reception desk, beyond the breakfast/restaurant area and up a corridor.


1:30 pm Introduction

Introduction, brief overview (15 minutes) — Hamish

  1. Overall strategy
    • What has been done in the different project sites, what circumstances are for the deployment, practical issue of scale-up. What has been successful about the current systems and what are their limitations.
    1. PIH experience in Haiti, Peru and Rwanda (30 minutes) — Hamish, Darius, Patrice
    2. Regenstrief experience in Kenya (30 minutes) — Burke?, Paul?
    3. Comments on current experience in South Africa (15 minutes) — Chris
    4. Comments on University of Washington/ITECH experience? (15 minutes) — Bill
  2. Review of requirements for OpenMRS system and discussion (1 hour)

4:15 pm Break

Coffee (and Diet Coke) break

4:30 pm Technical Progress

  1. Technical progress so far
    1. Regenstrief progress so far (30 min) — Burke?
    2. PIH progress so far: what we've done and decisions we've made (20 min) — Darius
    3. Discuss timelines and deliverables (big-picture) (30 min)
    4. Design decisions so far: are we happy with them? (30 min)

7:30 pm Dinner

We will be going to an excellent Latin American restaurant near here called Lauriol Plaza for dinner which is included in the workshop, the current plan is 7.30 though we can see how the session goes.

THURSDAY (10/27)

8:30 am Design

Software design discussions

  1. Standardize tiered architecture
    1. Agree on business objects
    2. Standardize interfaces
  2. Discuss web services for:
    1. importing from lab systems
    2. exporting to other health information systems for reporting, pharmacy
  3. Offline capabilities
    1. what we've done, what they're thinking, what should we all plan on

12:30 pm Lunch

Lunch provided in conference room

1:00 pm Next Steps

  1. Concept Dictionary, design and examples — Paul?
  2. Collaboration, how to devide work and who's going to do what? — Darius, Paul, Hamish, Burke
  3. Licensing model for OpenMRS? Academic-Free, vs. GPL, Open Software, or something else?
  4. Rough timeline for next 6 months and 1 year for project What have we promised? ;- )


see OpenMRS Road Map