Primary mentor

Mike Seaton

Backup mentor

Justin Miranda

Assigned to

Nadeeshani Hewage


Commonly, OpenMRS is deployed and implemented in resource-poor settings where internet connectivity is not 100% reliable. At the same time, many implementations in these environments want a unified system in which each facility has a common view of all data. To address this, OpenMRS has invested a lot of time and effort into the development of a Synchronization module that performs bi-directional synchronization across all configured servers. Partners In Health supports implementations in both Rwanda and Haiti that use this synchronization module to support local servers that provide fast, reliable access to data across multiple facilities.

The paradigm employed by the current synchronization module is one of API-level synchronization. All changes made via the API and persisted to the database via hibernate are captured, logged, and transmitted to the other servers in the network through a central "parent" node. This approach, although relatively successful, has a number of drawbacks. One is that it puts the burden of maintaining database synchronization on the application. This opens up a number of failure points and has proven fairly maintenance intensive. Another is that it does not allow for any direct manipulation of the underlying database, limiting certain system integration options, and complicating support and maintenance.

The goal of this project is to develop an alternative synchronization paradigm using SymmetricDS. SymmetricDS, from it's website, describes itself as "an asynchronous data replication software package that supports multiple subscribers and bi-directional synchronization. It uses web and database technologies to replicate tables between relational databases, in near real time if desired." Phase 1 of this project would be to build the necessary tools and configuration to successfully synchronize a single database table across 2 OpenMRS instances. Phase 2 would be to support all tables (via web configuration) in the OpenMRS schema.


  1. Set up two duplicate OpenMRS instances and configure SymmetricDS to successfully synchronize the "person" table.
  2. Support bi-directional sync that supports periods of downtime, and which implements simple conflict resolution:
  3. Develop a new OpenMRS module


Sync Module
Symmetric Thread 1
Symmetric Thread 2


A POC completed successfully by the end of GSoC 2012. Installing the developed module enables sync for your OpenMRS databases.

1. Setup two OpenMRS instances

Steps to setup a root instance and a client instance for the project demo purpose

Folders referred to steps given below.

OpenMRS checkout location=OpenMRS-1.x.x
Default Application Data Directory=
Linux: /home/user_name/.OpenMRS

Windows7: C:\Users\your_name\AppData\Roaming\OpenMRS

Step 1: First rename your existing Application data directory to something else so that the setup will run all new. This applies if you have already been using OpenMRS before this trial.
Step 2: Make two copies of OpenMRS.war and rename them to root.war, client.war inside OpenMRs-1.x.x/webapp/target
Step 3: Go to OpenMRs-1.x.x/webapp,

mvn jetty:run -Djetty.port=8042

Set up OpenMRS using the Advanced option where you can name your own database. Name the database to rootdb.
Step 4: Exit Jetty. Now you once again have a new Application data directory created. Rename this to something else. Say OpenMRS_root.
Go inside, copy all the folders and files. Create a new folder where you prefer. eg: OpenMRS-1.x.x/webapp/root. Paste the copied content inside this folder. So root is your new Application data directory for the root instance we are going to try.
Step 5: Open the runtime properties file inside this folder, paste the following line in it. We are letting the root-runtime properties know where to find its own application data directory, with its own modules seperated from another instance's ones.
Copy the edited file to OpenMRS-1.x.x/webapp from where you run the mvn jetty run command.

eg: application_data_directory=root

Note: This path is relative to the new placement of (Additionally, you may paste the same to OpenMRs-1.x.x/webapp/target where the .war actually resides, for safety :) )
Cool, so the root is setup. Run the command 

mvn jetty:run -Djetty.port=8042

to see your working root OpenMRS instance!
Step 6: Repeat step3 with the client.war. eg:

mvn jetty:run -Djetty.port=8047

And name your new database to clientdb
Step 7: Repeat step 4 with renaming to OpenMRS_client. Let the new folder you create be OpenMRS-1.x.x/webapp/client for example. So client is your new Application data directory for the root instance we are going to try.
Step 8: Repeat step 5 with

eg: application_data_directory=client

Now the client is all setup!
So by the end, you will have 2 OpenMRS instances you can run at the same time.As for my example, 
root on localhost/8042, with rootdb, and appdata directory=root
client on localhost/8047, with clientdb, and appdata directory=client

2. Configure SymmetricDS for the two OpenMRS instances. Then Synchronize the Person table. (As with the 2.x release of Symmetric)

3. IDatabaseWriterFilterAdapter extension point (As with the 3.x release of Symmetric)

Replacing IDataLoaderFolder from SDS 2.x, IDataBaseWriterFilerAdapter has been introduced in SDS 3.x. This is an adapter which we can use to intercept the data flow before writing to the target database. The algorithm proposed and discussed was to hold the to-be-synced-raw at the extension point, get its uuid, lookup the target database for a row with exact same uuid, if one such exists (raw has already been synced) eliminate from modifying the target row, if one such does not exist at target, make the PK id a null in the to-be-synced row so that once inserted to the target PK gets autoupdated (custom process for some tables). But due to the complexity of datamodel the algorithm was not evolved to match the full datamodel, along with its foreign key constraints. Developed extension was successful for tables such as person and a subset of OpenMRS tables.

4. Synchronizing all tables of OpenMRS database with Symmetric (As with the 3.x release of Symmetric)

An SQL script was written for assigning channels to OpenMRS tables. (detailed comments are on the SQL script)

5. Embedding SymmetriDS in an OpenMRS module, resolving dependencies, troubleshooting and configuring Symmetric nodes to start gracefully with specific configurations matching the embedded approach. (As with the 3.x release of Symmetric)

Module : org.openmrs.module.syncsds (SymmetricDS Sync Module)

SymmetricDS being embedded to an application causes a new Jetty instance to be spawned on new Thread (and perform data carriage on new defined ThreadPools). SyncSDS module consists of a new webapp directory to contain a web.xml to start symmetric with a Jetty instance. Installing the .omod on OpenMRS will spawn the Jetty and start Symmetric node which maps to that OpenMRS instance and its database. 

openmrs-root-*.properties carries an unassigned registration url, meaning that its sync url itself is the registration url, that any requesting nodes should register with, in order to get and send updates. Sync url is the url that any node should find ‘this’ node with, hence holds an identity to a node. Root is configured such that, on an initial setup of the trigger-router-settings.sql SQL script will be run on the root database, so that the specifically mentioned node groups, node identities, triggers, channels, routers, mapping links will be inserted on to the root database. On an initial load sent to the client, these settings will flow to the client as well. After the script runs, installs triggers and Symmetric runs, original 101 tables of OpenMRS increases to 132, due to the sym-* prepended tables inserted by Symmetric. If you find any requirement to skip this step of automation of SQL script been run, “auto.config.registration.svr.sql.script” property can be disabled on the root’s property file, followed by a manual execution of these sql statements found on the omod/src/main/webapp/triggerroutersettings.sql. Any configuration changes on node/node group names should result on the .sql file changes as well, commonly to both root & client. Auto registration allowing ability has been enabled for root, meaning that any client which requests registration from root will be allowed to register with. This can be disabled with the application of the real use case. Root also has been configured to send reloads to the clients as they register. (An initial load has also been configured to be considered as a reload.) 

Client is configured such that if no node identity is found and it is not a root node (no registration url), to auto insert node, group, security and identity rows. Clients will not run any initial SQL scripts, but manage with the above. Registration number of attempts has been left at infinity, leaving the client to keep polling for a root node to register with.

Please find all configuration files also on the module svn location.

6. Known issues

7. Points to note before installing the .omod

mvn jetty:run -Djetty.port=8042 -Djmx.http.console.for.embedded.webserver.enabled=false

8. Youtube Video of synchronizing few patients

Please find the video on the following url \[0\]
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The testing and documenting for early stages will go inline with development.

Time Period

Suggested Workflow


23rd April - 21st May

Community Bonding Period


21st May - 31st May

Bi-directionally synchronize person table on 2 OpenMRS instances. 


1st June - 10th June

Develop OpenMRS module to embed SymmetricDS jar.


11th June - 9th July

Develop means to identify & resolve conflicts arising through bi- directional synchronization.
Implement IDataLoaderFilter. The module will include developed filter functionality at the end.

Completed for a subset of tables
Issues due to complex data
model discussed

9th July - 16th July

Configure SymmetricDS for synchronization of all tables in OpenMRS schema. Include this in the on-going module.


16th July - 5th August

Develop the UIs for authenticating & configuring SymmetricDS.
Develop the UI to give the user ability to enable/disable and thus control synchronization for individual tables.

Allocated for troubleshooting module
encapsulation and extension development
- mentioned additional

15th August - 13th August

Test and document module


13th August - 20th August

Getting feedback from community. Test on multiple physical nodes for network latency and other practical issues.
Implement security and monitoring functionality (If time permits as suggested above)

Tested on 2 physical nodes
with 2 operating systems


Client & root specific configuration to get OpenMRS databases setup for Symmetric running on a new Jetty instance.
Includes a web.xml, sql script and configuration on properties files to fit the embedded approach, differing from the standalone approach


UI Mockups Proposed

Linking page from Personal Space