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This form bank is an exchange area between OpenMRS implementers to share electronic forms.  Please considering sharing your forms here. 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.

Warning

Forms exported from OpenMRS 1.6 cannot be imported in OpenMRS 1.7+, and forms exported from OpenMRS 1.7+ cannot be imported in OpenMRS 1.6. See OpenMRS ticket [META-44]

Contributor

Program

Description

Metadata file

Paper form (optional)

System detail

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 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 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 (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

HIV-exposed infant followup

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

HIV-exposed infant clinic visit

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

Hospital Albert Schweitzer Haiti by James Arbaugh on 25 May 2011

Lab

Lab form for entering various lab results

Lab [metadata of htmlform]

 

Htmlform created with OpenMRS 1.7.1, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Hospital Albert Schweitzer Haiti by James Arbaugh on 25 May 2011

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 1.7.1, Metadata Sharing 0.8.1.8 and htmlform 1.7.2

Partners In Health by Sudha Guttikonda on 5 July 2011

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]

 

Partners In Health by Sudha Guttikonda on 5 July 2011

 

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

MDR RV Haiti [metadata htmlform]

Mdr Rv Haiti [doc]

 

Partners In Health by Sudha Guttikonda on 5 July 2011

 

Rwanda HIV-exposed infant intake (ddb) form.

Exposed Infant DdB [metadata of htmlform]

Exposed Infant DdB [doc]

 

Partners In Health by Sudha Guttikonda on 5 July 2011

 

Rwanda HIV-exposed infant followup (RdV) form.

Exposed Infant RdV [metadata of htmlform]

Exposed Infant RdV [doc]

 

Partners In Health by Sudha Guttikonda on 5 July 2011

 

Rwanda HIV Lab Results, French

Rwanda HIV Lab Results [metadata of htmlform]

Rwanda HIVTB Lab Results [doc]

 

Partners In Health by Sudha Guttikonda on 5 July 2011

 

Rwanda hypertension flowsheet.

Rwanda Hypertension Flowsheet [metadata of htmlform]

Flow HTN RW [doc]

 

Partners In Health by Sudha Guttikonda on 5 July 2011

 

Rwanda hypertension intake (ddb) form.

Rwanda Hypertension ddb [metadata of htmlform]

DDB HTN RW [doc]

 

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