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Program

Description

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System detail

Hospital Albert Schweitzer Haiti by James Arbaugh on 24 Feb. 2012

Lab

Lab form for entering various lab results

Lab [metadata of htmlform]

 

Htmlform created with OpenMRS 1.8.3, Metadata Sharing 1.0.1 and htmlform 1.8.3-SNAPSHOT

Hospital Albert Schweitzer Haiti by James Arbaugh on 10 April 2012

Hospital Admission/Discharge

Form for entering hospital admission and discharge information.

Hospital Admission/Discharge [metadata of htmlform]

Hospital Admission Form [pdf] (At time of admission, initial information is entered, and the HTML form is printed.  The doctor writes his notes on the printed form.)

Htmlform created with OpenMRS 1.8.3, Metadata Sharing 1.0.5 and htmlform 1.9.1

Hospital Albert Schweitzer Haiti by James Arbaugh on 24 Feb. 2012

Surgery

Surgery Form based on the anesthesia paper form.

Surgery [metadata of htmlform]

 

Htmlform created with OpenMRS 1.8.3, Metadata Sharing 1.0.1 and htmlform 1.8.3-SNAPSHOT

Partners In Health by Ellen Ball on 9 April 2012

Rehabilitation

Rehabilitation evaluation in English

Rehabilitation evaluation [metadata of htmlform]

Rehab Evaluation [doc]

Htmlform created with OpenMRS 1.6.3; MDS 1.0.5; HFE 1.9.1

Partners In Health by Ellen Ball on 12 April 2012

HIV PMTCT

Lesotho HIV PMTCT followup in English

Lesotho PMTCT htmlform [metadata]
lesotho_htmlform_common.js [javascript]

 

Htmlform created with OpenMRS 1.6.3; MDS 1.0.5; HFE 1.9.1

Partners In Health by Ellen Ball on 14 July 2011 12 April 2012 

HIV Adult

Rwanda HIV adult intake (DdB) in French.

Rwanda HIV DdB [metadata of htmlform]

HIV Adult intake [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 1.0.8.1.8 5 and htmlform entry 1.79.2

Partners In Health by Ellen Ball on 7 July 2011

HIV Pediatric

Rwanda HIV pediatric intake (DdB) in French.

Rwanda Pediatric HIV DdB [metadata of htmlform]

DdB HIV Pediatric RW [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 25 May 2011

HIV-exposed infants

Rwanda HIV-exposed infant intake (DdB) in French

HIV-exposed_infant intake [metadata of htmlform]

ExposedInfant Intake [word]

Htmlform created with OpenMRS v.1.6.3 (dev Build 17073), Metadata sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 25 May 2011

HIV-exposed infants

Rwanda HIV-exposed infant followup in French

HIV-exposed_infant followup [metadata of htmlform]

ExposedInfant Followup [word]

Htmlform created with OpenMRS v.1.6.3 (dev Build 17073), Metadata sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 25 May 2011

HIV-exposed infants

Rwanda HIV-exposed infant clinic visit in French

HIV-exposed_infant visit [metadata of htmlform]

ExposedInfantFlowsheet [word]

Htmlform created with OpenMRS v.1.6.3 (dev Build 17073), Metadata sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 5 July 2011

HIV (lab)

Rwanda HIV Lab Results, French

Rwanda HIV Lab Results [metadata of htmlform]

Rwanda HIVTB Lab Results [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 5 July 2011

MDR-TB (lab)

Haiti - lab results for MDR-TB patients includes all lab results.

MDR - RESULTAT DE LABORATOIRE [metadata of html form]

Mdr Resultat de Laboratoire [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 5 July 2011

MDR-TB

MDR-TB followup (RdV) for Haiti in French.

MDR RV Haiti [metadata htmlform]

Mdr Rv Haiti [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 25 May 2011

Non-communicable disease (NCD)
Heart Failure

Cardiology consultation form for Cardiologist
French with English

CardiologyConsultation [metadata of htmlform]

Cardiology consultation [word]

Htmlform created with OpenMRS v.1.6.3 (dev Build 17073), Metadata sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 25 May 2011

NCD
Heart Failure

Cardiology intake form French with English

HeartFailureIntake [metadata of htmlform]

Cardiology consultation [word]

Htmlform created with OpenMRS v.1.6.3 (dev Build 17073), Metadata sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 7 July 2011

NCD Heart Failure

Rwanda heart failure flowsheet.

Rwanda HF Flowsheet [metadata of htmlform]

Rwanda HF Flowsheet [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 5 July 2011

NCD Hypertension

Rwanda hypertension flowsheet.

Rwanda Hypertension Flowsheet [metadata of htmlform]

Flow HTN RW [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 5 July 2011

NCD Hypertension

Rwanda hypertension intake (ddb) form.

Rwanda Hypertension ddb [metadata of htmlform]

DDB HTN RW [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 25 May 2011

NCD
Diabetes

Diabetes intake form French with English

DiabetesIntake [metadata of htmlform]

Diabetes intake [word]

Htmlform created with OpenMRS v.1.6.3 (dev Build 17073), Metadata sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 7 July 2011

NCD Asthma

Rwanda Asthma intake form

Rwanda Asthma Ddb [metadata of htmlform]

DDB Asthma RW [doc]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Ellen Ball on 16 August 2011

NCD Epilepsy

Rwanda Epilepsy intake form

Rwanda Epilepsy Ddb [metadata of htmlform]

Epilepsy intake [word]

Htmlform created with OpenMRS 1.6.3, Metadata Sharing 0.8.1.8 and htmlform 1.7.2