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This form bank is an exchange area between OpenMRS implementers to share electronic forms.  

Partners In Health is honored to share our paper and electronic clinical forms with the OpenMRS community.

Contributors should attach the OpenMRS form to this page, along with an optional original paper form. It is recommended that metadata sharing module is used to create a zip file which contains the form along with all dependencies (concepts, datatypes, classes, etc). The form could be htmlform, Xforms or an Infopath form.

Program

Description

Metadata file

Paper form (optional)

System detail

Contributor

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, Metadata sharing 0.8.1.8 and htmlform 1.7.2

Ellen Ball
Partners In Health
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, Metadata sharing 0.8.1.8 and htmlform 1.7.2

Ellen Ball 
Partners In Health 
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, Metadata sharing 0.8.1.8 and htmlform 1.7.2

Ellen Ball 
Partners In Health 
25 May 2011

HIV-exposed infants

HIV-exposed infant intake

HIV-exposed_infant intake [metadata of htmlform]

ExposedInfant Intake [word]

Htmlform created with OpenMRS v.1.6.3, Metadata sharing 0.8.1.8 and htmlform 1.7.2

Ellen Ball 
Partners In Health 
25 May 2011

HIV-exposed infants

HIV-exposed infant followup

HIV-exposed_infant followup [metadata of htmlform]

ExposedInfant Followup [word]

Htmlform created with OpenMRS v.1.6.3, Metadata sharing 0.8.1.8 and htmlform 1.7.2

Ellen Ball 
Partners In Health 
25 May 2011

HIV-exposed infants

HIV-exposed infant clinic visit

HIV-exposed_infant visit [metadata of htmlform]

ExposedInfantFlowsheet [word]

Htmlform created with OpenMRS v.1.6.3, Metadata sharing 0.8.1.8 and htmlform 1.7.2

Ellen Ball 
Partners In Health 
25 May 2011

NOTE

Due to changes in the OpenMRS data model, metadata sharing packages created on OpenMRS 1.6.x will most likely not be importable in OpenMRS 1.7.x.  In addition, due to a slight change made in HTML Form Entry 1.7.2, forms exported using HTML Form Entry 1.7.0 or 1.7.1 will not be importable using HTML Form Entry 1.7.2+, or vice versa.*

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