OpenMRS Evidence Hub
Have you written a published paper about OpenMRS? Know of one that's not listed here? Add it!
This page is our online repository of the many studies conducted exploring OpenMRS. Collectively, these studies provide strong evidence for a variety of use cases: the impact of EMR use on care, secondary data use for site or regional or global program guidelines improvement, and the community open source model. The OpenMRS Community maintains the OpenMRS Evidence Base and adds new studies as they are discovered.
Over 3,860 publications are noted online involving OpenMRS - search query here.
Note
This page is new and a work in progress as of August 2023. We are updating this with the thousands 
of articles published on OpenMRS with a bias towards recent articles from within the last few years.
| Category | Citation | Year | Country | Reference Key | URL | Misc. Notes |
|---|---|---|---|---|---|---|
HIS Leadership HIS Maturity eHealth Leaders Strategy | Vumbugwa, P., Puttkammer, N., Majaha, M., Stampfly, S., Biondich, P., Shivers, J. E., ... & Feldacker, C. (2024). Leveraging Health Information System Maturity Assessments to Guide Strategic Priorities: Perspectives from African Leaders. medRxiv, 2024-02. | 2024 | General (Africa) | Vumbugwa 2024 | https://doi.org/10.1101/2024.02.27.24303453 | Extremely helpful quotes from Ministry of Health and HIS sector leaders on the challenges they face. |
Distributed Software Development OpenMRS version 1 (O1) HISP India | Krishna, S. (2023). Challenges and Solutions in Distributed Software Development: A case study from India on Hospital Information System built on OpenMRS framework. Reprosentralen, University of Oslo, Autumn 2023. | 2023 | India | Krishna 2023 | https://www.duo.uio.no/bitstream/handle/10852/108527/5/Srinivas-Krishna-Master-Thesis---Final.pdf | Review of OpenMRS version 1 platform, useage in India by the HISP India team, visits at multiple healthcare sites in India, and challenges faced by software teams engaged in georgraphically distributed software development. |
| Gastroenterology, Hospital | Macatiag IV, J. J., Mariño, B. A. M., Pajes, A. N. N. I., & Yasay, E. B. (2024). Adenoma Detection Rate and Polyp Detection Rate among Gastroenterology Fellows and Consultants in a Tertiary Hospital in the Philippines: A Cross-sectional Study. Acta Medica Philippina. | 2024 | Philippines | Macatiag 2024 | https://doi.org/10.47895/amp.vi0.8395 | Data from the OpenMRS system used at a tertiary hospital in the Philippines was used to assess Adenoma and Polyp Detection rates. |
Mental Health Rural, Urban, Slum Adult, Adolescent | Kallakuri, S., Gara, S., Godi, M., Yatirajula, S. K., Paslawar, S., Daniel, M., ... & Maulik, P. K. (2024). Learnings From Implementation of Technology-Enabled Mental Health Interventions in India: Implementation Report. JMIR Medical Informatics, 12, e47504. | 2024 | India | Kallakuri 2024 | https://doi.org/10.2196/47504 | Multiple mobile apps were used throughout different contexts (rural, urban; adult, adolescent) in India to evaluate mental health. All tools were actually built on OpenMRS. |
Implementation Infrastructure HIV | Njuba, L., Gómez‐Morantes, J. E., Herrera, A., & Camacho, S. (2024). Health information systems in extreme contexts: Using mobile phones to fight AIDS in Uganda. The Electronic Journal of Information Systems in Developing Countries, e12314. | 2024 | Uganda | Njuba 2024 | https://doi.org/10.1002/isd2.12314 | Excellent review of how OpenMRS has been used for HIV care in Uganda, and implementation details. Insightful Quote: "In the KHCIV ART clinic alone, (before) the OpenMRS (system) was introduced, there was a large room full of paper files of HIV patients missing from care, with only 23% of patients active in the program, meaning that the remaining 77% have been lost in care, died, or migrated." |
Privacy Regulation Compliance Code Review | Tang, F., & Østvold, B. M. (2024). Finding Privacy-relevant Source Code. arXiv preprint arXiv:2401.07316. | 2024 | Global | Tang 2024 | https://doi.org/10.48550/arXiv.2401.07316 | Their study revealed that only 3.9% of the total OpenMRS codebase is made up of methods that are privacy-relevant and involved in personal data processing. This result highlights the precision of their approach in pinpointing privacy-relevant methods in applications. |
| Open Source eHealth | Haines, N. (2024). Sustainable Translation of Digital Health Technologies. Wellcome Open Res, 9(19), 19. | 2024 | Global | Haines 2024 | https://doi.org/10.21955/wellcomeopenres.1115374.1 | Helpful background on OpenMRS and comparison with other well known Open Source digital health solutions. |
Implementation Infrastructure HIV | Lober, W. B., Quiles, C., Wagner, S., Cassagnol, R., Lamothes, R., Alexis, D. R. P., Sutton, P., & Puttkammer, N. Three Years Experience with the Implementation of a Networked Electronic Medical Record in Haiti. | 2024 | Haiti | Lober 2024 | ||
CyberSecurity Payment Fraud Prevention | Saranya, A., Naresh, R., Karuppiah, S., & Jenifer, M. (2024). Development of trust-based authorization and authentication framework for secure electronic health payment in cloud environment. Soft Computing, 1-16. | 2024 | Global | Saranya 2024 | https://link.springer.com/article/10.1007/s00500-023-09514-w | |
| Health information exchange HIE; Data quality; Viral load | Aniekwe, C., Cuffe, K., Audu, I., Nalda, N., Ibezim, B., Nnakwe, M., ... & Shrivastava, R. (2023). Assessing the effect of electronic health information exchange on the completeness and validity of data for measuring viral load testing turnaround time in Nigeria. International Journal of Medical Informatics, 174, 105059. | 2023 | Nigeria | Aniekwe 2023 | https://doi.org/10.1016/j.ijmedinf.2023.105059 | Demonstrated evidence of significant improvement in the quality of data available to measure viral load turnaround time with the implementation of HIE |
COVID HIV Healthcare Workers | De Schacht C, Nhacule E, Belo C on behalf of the COVIV Study Collaborative Group, et al. Measuring the burden of SARS-CoV-2 infection among persons living with HIV and healthcare workers and its impact on service delivery in Mozambique: protocol of a prospective cohort studyBMJ Open 2023;13:e068988. | 2023 | Mozambique | De Schacht 2023 | 10.1136/bmjopen-2022-068988 | |
| PHC Primary Health Care | Kumar, Rajesh. Application of digital technologies in primary healthcare: Opportunities & challenges. Indian Journal of Medical Research 157(4):p 276-279, April 2023. | DOI: 10.4103/ijmr.ijmr_3056_21 | 2023 | India | Kumar 2023 | 10.4103/ijmr.ijmr_3056_21 | |
Machine Learning Deduplication | Dixon, A., Thengo, L., Kitsao, E., Matiya, K., Barasa, M., Nyirongo, R., ... & Mbae, S. (2023). Community and Facility Health Information System Integration in Malawi: A Comparison of Machine Learning and Probabilistic Record Linkage Methods. ACM Journal on Computing and Sustainable Societies. | 2023 | Malawi | Dixon 2023 | https://doi.org/10.1145/3624773 | |
Accessibility Visual Impairment Human-Computer Interaction (HCI) OpenMRS v2 | Moncy, M. M., Pilli, M., Somasundaram, M., Purkayastha, S., & Fulton, C. R. (2023). Evaluation of accessibility of open-source EHRs for visually impaired users. arXiv preprint arXiv:2311.02531. | 2023 | General | Moncy 2023 | https://arxiv.org/abs/2311.02531#:~:text=https%3A//doi.org/10.48550/arXiv.2311.02531 | |
HIV ARV Retention, Resistance | Joaquim, L., Miranda, M. N., Pimentel, V., Martins, M. D. R. O., Nhampossa, T., Abecasis, A., & Pingarilho, M. (2023). Retention in Care and Virological Failure among Adult HIV-Positive Patients on First-Line Antiretroviral Treatment in Maputo, Mozambique. Viruses, 15(10), 1978. | 2023 | Mozambique | Joaquim 2023 | https://doi.org/10.3390/v15101978 | |
| Anemia / Anaemia | Anton-Vazquez V, Mnzava D, Okuma J, Mlembe S, Lo Riso L, Sanchez JM, et al. (2023) Improving anaemia diagnosis using peripheral blood smear with remote interpretation in adults living with HIV with moderate to severe anaemia: A prospective study nested within the Kilombero and Ulanga antiretroviral cohort. PLoS ONE 18(10): e0293084. | 2023 | Tanzania | Anton-Vazquez 2023 | https://doi.org/10.1371/journal.pone.0293084 | |
EMR IPV, GBV HIV Index Case Testing (ICT) | Mbah, Rogers, Honoré, Ngend. A Review of Index Case Testing Induced Intimate Partner Violence and Electronic Management of Information in HIV Care. xx (2023). | 2023 | Cameroon | Mbah 2023 | 10.4236/etsn.2023.124005 | Recommendations: • Data tools for HIV AIDS should integrate IPV indicators. • Include management of IPV survivors in existing EMR systems. • Develop more comprehensive EMRs that include complete care continua, especially for low-income settings. • Countries with limited resources should consider OPENMRS to implement EMR. • Screening for IPV among HIV patients should be scaled up to reduce IPV incidence. • IPV counseling services should be offered post-HIV test counseling to control IPV incidence rates. |
Interoperability Standards | Mehmood, N.Q., Mahfooz, S.Z., Faroom, S. et al. Usability evaluation of interoperability interfaces in electronic medical record systems. Health Serv Outcomes Res Method (2023). https://doi.org/10.1007/s10742-023-00312-3 | 2023 | General | Mehmood 2023 | https://link.springer.com/article/10.1007/s10742-023-00312-3 | |
Open Source EMR ICD 10 Capacity Building | Mougou, S. (2023). Building Stronger Healthcare in Tunisia: EHR Implementation with Open Software and Local Capacity Building. In Open Infrastructure Fund/Fondo de Infraestructura Abierta. | 2023 | Tunisia | Mougou, 2023 | https://openreview.net/forum?id=hVPDxT22Ze | Testing three EHR systems to determine their suitability for meeting the requirements discussed by working groups. Assessing the capability to: integrate both clinical data and genomic data; the capacity to incorporate standardized medical vocabulary in both English and French languages; along with its alignment with ICD10 standards |
| Open Source | Krasodomski-jones, A., & Eaves, D. (2023). Laying the Foundation for the Future: Open Source Sustainability and the Adoption of Digital Public Goods. | 2023 | General | Krasodomski-jones, 2023 | https://policycommons.net/artifacts/3793098/laying-the-foundation-for-the-future/4598925/ | |
| Prenatal, ANC EMR | Prieto-Egido, I., Garrido Madrigal, A., & Barrena García, C. (2023, February). Development and Validation of a Health Information System to Improve Prenatal Controls in Guatemala. In International Congress on Information and Communication Technology (pp. 109-127). Singapore: Springer Nature Singapore. | 2023 | Guatemala | Prieto-Egido 2023 | https://link.springer.com/chapter/10.1007/978-981-99-3091-3_10 | |
| CDS HIV | Magrabi, F., Cresswell, K., & Fraser, H. S. (2023). International dimensions of clinical decision support systems. In Clinical Decision Support and Beyond (pp. 145-188). Content Repository Only!. | 2023 | Kenya, Rwanda | Magrabi 2023 | https://www.sciencedirect.com/science/article/abs/pii/B9780323912006000139 | |
| HIV | Mnzava, D., Okuma, J., Ndege, R., Kimera, N., Ntamatungiro, A., Nyuri, A., ... & Weisser, M. (2023). Decentralization of viral load testing to improve HIV care and treatment cascade in rural Tanzania: observational study from the Kilombero and Ulanga Antiretroviral Cohort. BMC Infectious Diseases, 23(1), 222. | 2023 | Tanzania | Mnzava 2023 | https://link.springer.com/article/10.1186/s12879-023-08155-6 | |
Open Source | Arcelli Fontana, F., Camilli, M., Rendina, D., Taraboi, A. G., & Trubiani, C. (2023, June). Impact of Architectural Smells on Software Performance: an Exploratory Study. In Proceedings of the 27th International Conference on Evaluation and Assessment in Software Engineering (pp. 22-31). | 2023 | General Team from: Italy | Fontana 2023 | ||
| Thyroid Cancer Ultrasound Oncology | Bisquera, Valparaiso, Perez, Uy, Espiritu, Pialago, Clarit. A Single Institution Experience on the Correlation of Kwak Thyroid Imaging Reporting and Data System Score (Kwak TIRADS) and Malignancy of Thyroid Nodules seen in a Tertiary Hospital Setting. World Cancer Research Journal, 10, e2498. | 2023 | Philippines | Bisquera 2023 | ||
Medical Training Capacity Building | Stephanie Medlock, Kim J. Ploegmakers, Ronald Cornet, Kim Win Pang, Use of an open-source electronic health record to establish a “virtual hospital”: A tale of two curricula, International Journal of Medical Informatics, Volume 169, 2023, 104907, ISSN 1386-5056, https://doi.org/10.1016/j.ijmedinf.2022.104907. | 2023 | Netherlands | Medlock 2023 | https://www.sciencedirect.com/science/article/pii/S1386505622002210 | |
COVID | Sikder, A., Dickhoner, J., Kysh, L., Musheghyan, L., Shekherdimian, S., Levine, B., & Espinoza, J. (2022). International Collaboration to Develop a Remote Monitoring Web App for COVID-19 Patients in Armenia: Design and Development With Agile Methodology. JMIR Human Factors, 9(4), e40110. | 2022 | Armenia | Sikder 2022 | https://europepmc.org/article/med/36350739 | The software was designed and developed over 2 months using human-centered design and agile sprints. Once live, 5087 patient records were created for 439 unique patients. |
HIV | Fataha, N. V. F. A., Gaveta, S., Langa, J. C., Banze, A. R., Sacarlal, J., Rossetto, E. V., ... & Kellogg, T. A. (2022). Evaluation of the Mozambique Antiretroviral Therapy (MozART) database as an antiretroviral therapy patient surveillance system, 2017-2018. The Pan African Medical Journal, 42. | 2022 | Mozambique | Fataha 2022 | ||
COVID | Mirza, Muzna, Yoran Grant-Greene, Marie PJS Valles, Patrice Joseph, Stanley Juin, Stephan Brice, Patrick Dely et al. "Leveraging PEPFAR-supported health information systems for COVID-19 pandemic response." Emerging Infectious Diseases 28, no. Suppl 1 (2022): S49. | 2022 | Haiti | Mirza 2022 | ||
| Tuberculosis | Siamisang, K., Rankgoane-Pono, G., Madisa, T. M., Mudiayi, T., & Tlhakanelo, J. T. (2022). Outcomes and predictors of tuberculosis mortality in Kweneng West District, Botswana: a retrospective cohort study. The Pan African Medical Journal, 42. | 2022 | Botswana | Siamisang 2022 | ||
| OMOP | Espinoza, J., Sikder, A., Lulejian, A., & Levine, B. (2022). Development of an OpenMRS-OMOP ETL tool to support informatics research and collaboration in LMICS. Available at SSRN 4075625. | 2022 | General | Espinoza 2022 | ||
| Public Health Open Source | Wanger, J., Cullen, T., Dunbar, E. L., & Flowers, J. L. (2023). Open-source software for public health: opportunities and approaches. Sexually Transmitted Diseases, 50(8), S31. | 2022 | General | Wanger 2022 | ||
| HIV ART | Kisaka, A. M. (2022). Test and treat policy: Effect on ART initiation and retention and health system barriers and facilitators to implementation in AHF Uganda Cares Clinics in Central Uganda (Doctoral dissertation, Makerere University). | 2022 | Uganda | Kisaka 2022 | http://dspace.mak.ac.ug/handle/10570/10866 | Results: The 30-days initiation rate was 62.7% before and 90.8% after the T&T policy rollout. |
| CDS | Fraser, H. S., Mugisha, M., Remera, E., Ngenzi, J. L., Richards, J., Santas, X., ... & Umubyeyi, A. (2022). User perceptions and use of an enhanced electronic health record in Rwanda with and without clinical alerts: cross-sectional survey. JMIR Medical Informatics, 10(5), e32305. | 2022 | Rwanda | Fraser 2022 | https://medinform.jmir.org/2022/5/e32305/ | A survey of user experience of a well established HIV implementation by the Rwanda MOH. Part of a larger OpenMRS research study of 112 health facilities in Rwanda. |
| Maternity Labor, Delivery | Dinh, N., Agarwal, S., Avery, L., Ponnappan, P., Chelangat, J., Amendola, P., ... & Bartlett, L. (2022). Implementation Outcomes Assessment of a Digital Clinical Support Tool for Intrapartum Care in Rural Kenya: Observational Analysis. JMIR Formative Research, 6(6), e34741. | 2022 | Kenya | Dinh 2022 | An example of the use of the VecnaCARES maternal child health package using OpenMRS and their custom hardware package for sites with no infrastructure. | |
| HIV Adolescent | Ahimbisibwe, J. (2022). Factors associated with adherence to Anti-Retroviral Therapy (ART) among adolescents attending HIV clinic at China-Uganda Friendship Hospital-Naguru, Uganda (Doctoral dissertation, Makerere University). | 2022 | Uganda | Ahimbisibwe 2022 | ||
NTD | Ochoa, Rodrigo, Álvarez, Alessa, Freitas, Jordan, Purkayastha, Saptarshi, & Vélez, Iván D.. (2022). NTD Health: An electronic medical record system for neglected tropical diseases. Biomédica, 42(4), 602-610. Epub December 01, 2022.https://doi.org/10.7705/biomedica.6269 | 2022 | Colombia | Ochoa 2022 | http://www.scielo.org.co/scielo.php?pid=S0120-41572022000400602&script=sci_arttext&tlng=en | |
| Open Source | Paton C, Braa J, Muhire A, Marco-Ruiz L, Kobayashi S, Fraser H, Falcón L, Marcelo A. Open Source Digital Health Software for Resilient, Accessible and Equitable Healthcare Systems. Yearb Med Inform. 2022 Aug;31(1):67-73. doi: 10.1055/s-0042-1742508. Epub 2022 Jun 2. PMID: 35654431; PMCID: PMC9719763. | 2022 | Global | Paton 2022 | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9719763 | |
| Maternity PMTCT HEI Mentor Mothers | Carlucci, J. G., Yu Z., Gonzalez P., Bravo M., Amorim G., das Felicidades Cugara, C., Guambe, H., Mucanhenga, J., Silva, W., Tique, J. A., Alvim, M. F. S., Graves, E., De Schact, C., Wester, W. The Effect of a Mentor Mothers Program on Maternal and Infant PMTCT Outcomes in Zambézia Province, Mozambique. | 2021 | Mozambique | Carlucci 2023 | ||
| EMR Global Goods Open Source | Verma N, Mamlin B, Flowers J, Acharya S, Labrique A, Cullen T. OpenMRS as a global good: Impact, opportunities, challenges, and lessons learned from fifteen years of implementation. Int J Med Inform. 2021 May;149:104405. doi: 10.1016/j.ijmedinf.2021.104405. Epub 2021 Feb 5. PMID: 33639327. | 2021 | Global | Verma 2021 | ||
| Implementation EMR Emergency | Mamlin, Burke W., Jennifer E. Shivers, Nancy K. Glober, and Jonathan J. Dick. "OpenMRS as an emergency EMR—How we used a global good to create an emergency EMR in a week." International Journal of Medical Informatics 149 (2021): 104433. | 2021 | USA | Mamlin 2021 | https://www.sciencedirect.com/science/article/pii/S1386505621000599 | |
| ICD 11 API | Mugisha, M., Byiringiro, J. B., Uwase, M., Abizeyimana, T., Ndikubwimana, B., Karema, N., ... & Tumusiime, D. (2020). Integration of International Classification of Diseases version 11 application program interface (API) in the Rwandan electronic medical records (openMRS): findings from two district hospitals in Rwanda. In The Importance of Health Informatics in Public Health during a Pandemic (pp. 280-283). IOS Press. | 2020 | Rwanda | Mugisha 2020 | Michael Mugisha and colleague carry out research and implementation work with OpenMRS in Rwanda. | |
Machine Learning | Comparison of machine learning methods for predicting viral failure: a case study using electronic health record data. Kimaina A, Dick J, DeLong A, Chrysanthopoulou SA, Kantor R, Hogan JW.Stat Commun Infect Dis. 2020 Nov 12;12(Suppl1):20190017. | 2020 | Kimaina 2020 | Translation of AMRS-based research for improving patient care. This study was one of the precursors for a large research study on the use of machine learning to improve loss to follow up of HIV patients in Kenya | ||
| Oncology Chemotherapy | Kabukye, J. K., Casaceli, A. M., Ball, E., De Armas, M., & Cornet, R. (2019). Towards an open-source oncology electronic medical records system for low-resource settings: development of chemotherapy management in OpenMRS. In MEDINFO 2019: Health and Wellbeing e-Networks for All (pp. 634-638). IOS Press. | 2019 | Uganda Malawi Rwanda Haiti USA | Kabukye 2019 | ||
Interoperability Patient Transfer | Rweikiza, G., & Machuve, D. (2019). Development of medical records exchange system-a case of OpenMRS and Care2X. International Journal of Advanced Technology and Engineering Exploration, 6(52), 77-83. | 2019 | Tanzania | Rweikiza 2019 | https://www.accentsjournals.org/paperInfo.php?journalPaperId=1123 | |
| Diabetes | Yandrapalli, B. T., Jones, J., & Purkayastha, S. (2019). Development and Implementation of a Dashboard for Diabetes Care Management in OpenMRS. arXiv preprint arXiv:1910.11437. | 2019 | General | Yandrapalli 2019 | ||
| HIV | Humphrey JM, Genberg BL, Keter A, Musick B, Apondi E, Gardner A, Hogan JW, Wools-Kaloustian K. Viral suppression among children and their caregivers living with HIV in western Kenya. J Int AIDS Soc. 2019 Apr;22(4):e25272. doi: 10.1002/jia2.25272. PubMed PMID: 30983148; PubMed Central PMCID: PMC6462809. | 2019 | Kenya | Humphrey 2018 | Helped understand the link between parental viral suppression and child suppression | |
| Radiology, RIS | Gichoya, J. W., Kohli, M., Ivange, L., Schmidt, T. S., & Purkayastha, S. (2018). A platform for innovation and standards evaluation: a case study from the OpenMRS open-source radiology information system. Journal of digital imaging, 31, 361-370. | 2018 | General | Gichoya 2018 | ||
| HIV MCH LTFU | Holmes CB, Yiannoutsos CT, Elul B, Bukusi E, Ssali J, Kambugu A, Musick BS, Cohen C, Williams C, Diero L, Padian N, Wools-Kaloustian KK. Increased prevalence of pregnancy and comparative risk of program attrition among individuals starting HIV treatment in East Africa. PLoS One. 2018 Jan 17;13(1):e0190828. doi: 10.1371/journal.pone.0190828. eCollection 2018. PubMed PMID: 29342180. | 2018 | Holmes 2018 | Helped understand the impact of pregnancy and sex on retention in care | ||
HIV | Wools-Kaloustian K, Marete I, Ayaya S, Sohn AH, Van Nguyen L, Li S, Leroy V, Musick BS, Newman JE, Edmonds A, Davies MA, Eboua FT, Obama MT, Yotebieng M, Sawry S, Mofenson LM, Yiannoutsos CT. Time to First-Line ART Failure and Time to Second-Line ART Switch in the IeDEA Pediatric Cohort. Journal of acquired immune deficiency syndromes. 2018; PubMed [journal] PMID: 29509590 | 2018 | Wools-Kaloustian 2018 | Helped identify delays in switching failed regimens. | ||
| EMR Open Source | Syzdykova A, Malta A, Zolfo M, Diro E, Oliveira JL. Open-Source Electronic Health Record Systems for Low-Resource Settings: Systematic Review. JMIR Med Inform. 2017 Nov 13;5(4):e44. doi: 10.2196/medinform.8131. PMID: 29133283; PMCID: PMC5703976. | 2017 | General | Syzdykova 2017 | ||
| ANC, MCH | E. Kimei and K. Kalegele, "Digitization of antenatal health card and integration with OpenMRS platform: System analysis and design," 2017 IST-Africa Week Conference (IST-Africa), Windhoek, Namibia, 2017, pp. 1-7, doi: 10.23919/ISTAFRICA.2017.8101976. | 2017 | Tanzania | Kimei 2017 | ||
| EMR | Bashiri, A., & Ghazisaeedi, M. (2017). Open MRS softwares: effective approaches in management of patients' health information. Int J Commun Med Publ Health, 4(11), 4. | 2017 | Global | Bashiri 2017 | ||
| EMR Ebola | Oza S, Jazayeri D, Teich J, Ball E, Nankubuge P, Rwebembera J, Wing K, Sesay A, Kanter A, Ramos G, Walton D, Cummings R, Checchi F, Fraser H. Development and Deployment of the OpenMRS-Ebola Electronic Health Record System for an Ebola Treatment Center in Sierra Leone J Med Internet Res 2017;19(8):e294 DOI: 10.2196/jmir.7881 | 2017 | Sierra Leone | Oza 2017 | The rapid assembly of a community of designers and developers to build a new tablet based UI and workflow for an Ebola treatment program in Sierra Leone. One of a handful of EHR like applications actually implemented and used for clinical care during the Ebola outbreak. | |
Open Source EMR | Kasthurirathne SN, Mamlin BW, Cullen T. Leveraging the Value of Human Relationships to Improve Health Outcomes. Lessons learned from the OpenMRS Electronic Health Record System. Appl Clin Inform. 2017 Feb 1;8(1):108-121. | 2017 | Global | Kasthurirathne 2017 | http://doi.org/10.4338/ACI-2016-08-RA-0139 | |
| Interoperability Indicators Reporting DHIS2 | Kariuki, J. M., Manders, E. J., Richards, J., Oluoch, T., Kimanga, D., Wanyee, S., ... & Santas, X. (2016). Automating indicator data reporting from health facility EMR to a national aggregate data system in Kenya: An Interoperability field-test using OpenMRS and DHIS2. Online journal of public health informatics, 8(2). | 2016 | Kenya | Kariuki 2016 | ||
Patient Outcomes | Evaluating strategies to improve HIV care outcomes in Kenya: a modelling study. Olney JJ, Braitstein P, Eaton JW, Sang E, Nyambura M, Kimaiyo S, McRobie E, Hogan JW, Hallett TB.Lancet HIV. 2016 Dec;3(12):e592-e600. | 2016 | Kenya | Olney 2016 | ||
| Interoperability API EMR | Kasthurirathne, S. N., Mamlin, B., Kumara, H., Grieve, G., & Biondich, P. (2015). Enabling better interoperability for healthcare: lessons in developing a standards based application programing interface for electronic medical record systems. Journal of medical systems, 39, 1-8. | 2015 | General | Kasthurirathne 2015 | ||
Informatics Capacity Building | Building Comprehensive and Sustainable Health Informatics Institutions in Developing Countries: Moi University Experience. Were MC, Siika A, Ayuo PO, Atwoli L, Esamai F.Stud Health Technol Inform. 2015;216:520-4. | 2015 | Were 2015 | Building informatics capacity in Kenya; additional information on AmpathMRS. Per Ampath: "The publications using AMRS have helped us identify key gaps in the HIV care and treatment program including the high rate of LTFU from the first paper we published. We also used AMRS to inform MOH about VL testing in pregnancy a few years ago though this was not published as a paper. More recent use of AMRS data has been in IeDEA analysis that have looked at a number of things including new guideline adoption." | ||
| LTFU HIV | Geng EH, Odeny TA, Lyamuya RE, Nakiwogga-Muwanga A, Diero L, Bwana M, Muyindike W, Braitstein P, Somi GR, Kambugu A, Bukusi EA, Wenger M, Wools-Kaloustian KK, Glidden DV, Yiannoutsos CT, Martin J. Estimation of Mortality among HIV-infected people on antiretroviral therapy treatment in east Africa: a sampling based approach in an observational, multisite, cohort study. Lancet HIV. 2015 Mar 1;2(3):e107-e116. PubMed PMID: 26120593; PubMed Central PMCID: PMC4480204. | 2015 | Geng 2015 | Identified LTFU patients to be tracked to help understand what was going on. | ||
Informatics Capacity Building | "These are good problems to have…": establishing a collaborative research partnership in East Africa. Tierney WM, Nyandiko WN, Siika AM, Wools-Kaloustian K, Sidle JE, Kiplagat J, Bell A, Inui TS.J Gen Intern Med. 2013 Sep;28 Suppl 3(Suppl 3):S625-38. | 2013 | Tierney 2013 | https://pubmed.ncbi.nlm.nih.gov/23797916/ | Building informatics capacity in Kenya; additional information on AmpathMRS | |
Decision Support (CDS) | Computer-generated reminders and quality of pediatric HIV care in a resource-limited setting. Were MC, Nyandiko WM, Huang KT, Slaven JE, Shen C, Tierney WM, Vreeman RC.Pediatrics. 2013 Mar;131(3):e789-96. | 2013 | Were 2013 | One of the most important clinical evaluation studies of the impact of OpenMRS in improving care. | ||
EMR Open Source Modular | Kasthurirathne, S. N. (2012). Designing and developing an open source medical informatics module. XRDS: Crossroads 19(2), 20-23. doi:10.1145/2382856.2382866 | 2012 | Kasthurirathne 2012 | http://dl.acm.org/citation.cfm?id=2382866 | ||
| Open Source | de Abajo, B. S., & Ballestero, A. L. (2012). Overview of the most important open source software: analysis of the benefits of OpenMRS, OpenEMR, and VistA. In Telemedicine and e-health services, policies, and applications: Advancements and developments (pp. 315-346). IGI Global. | 2012 | General | de Abajo 2012 | ||
| Implementation EMR Open Source | Mohammed-Rajput NA, Smith DC, Mamlin B, Biondich P, Doebbeling BN; Open MRS Collaborative Investigators. OpenMRS, a global medical records system collaborative: factors influencing successful implementation. AMIA Annu Symp Proc. 2011;2011:960-8. Epub 2011 Oct 22. PMID: 22195155; PMCID: PMC3243141. | 2011 | Global | Mohammed-Rajput 2011 | ||
| Terminology SNOMED Tuberculosis | Halland, K., & Britz, K. (2011). Investigations into the use of SNOMED CT to enhance an OpenMRS health information system. South African Computer Journal, 47(1), 33-45. | 2011 | South Africa | Halland 2011 | ||
Decision Support (CDS) | Evaluation of computer-generated reminders to improve CD4 laboratory monitoring in sub-Saharan Africa: a prospective comparative study. Were MC, Shen C, Tierney WM, Mamlin JJ, Biondich PG, Li X, Kimaiyo S, Mamlin BW.J Am Med Inform Assoc. 2011 Mar-Apr;18(2):150-5. | 2011 | Were 2011 | Early clinical evaluation of the impact of OpenMRS (paper based) reminders on patient care | ||
| HIV | Manders, E. J., José, E., Solis, M., Burlison, J., Nhampossa, J. L., & Moon, T. (2010). Implementing OpenMRS for patient monitoring in an HIV/AIDS care and treatment program in rural Mozambique. In MEDINFO 2010 (pp. 411-415). IOS Press. | 2010 | Mozambique | Manders 2010 | ||
MCH | Thompson, A., Castle, E., Lubeck, P., & Makarfi, P. S. (2010). Experience implementing OpenMRS to support maternal and reproductive health in Northern Nigeria. In MEDINFO 2010 (pp. 332-336). IOS Press. | 2010 | Nigeria | Thompson 2010 | Early implementation of OpenMRS for maternal-child health | |
| Implementation | Tierney, W. M., Achieng, M., Baker, E., Bell, A., Biondich, P., Braitstein, P., ... & Tanzania-Uganda OpenMRS Consortium. (2010). Experience implementing electronic health records in three East African countries. In MEDINFO 2010 (pp. 371-375). IOS press. | 2010 | Tanzania Uganda Kenya | Tierney 2010 | https://ebooks.iospress.nl/doi/10.3233/978-1-60750-588-4-371 | |
Implementation | Seebregts, C. J., Mamlin, B. W., Biondich, P. G., Fraser, H. S. F., Wolfe, B. A., Jazayeri, D., ... & Kanter, A. S. (2010). Human factors for capacity building. Lessons learned from the OpenMRS implementers network. Yearbook of medical informatics, 19(01), 13-20. | 2010 | Global | Seebregts 2010 | https://www.thieme-connect.com/products/ejournals/html/10.1055/s-0038-1638681 | A second paper on the openMRS implementors and community |
| HIV | Braitstein P, Ayuo P, Mwangi A, Wools-Kaloustian K, Musick B, Siika A, Kimaiyo S. Sustainability of first-line antiretroviral regimens: findings from a large HIV treatment program in western Kenya. Journal of acquired immune deficiency syndromes. 2010;53(2):254-259. | 2010 | Kenya | Braitstein 2010 | Helped look at sustainability of firstline regimens | |
| PMTCT HIV MCH | Nyandiko WM, Otieno-Nyunya B, Musick B, Bucher-Yiannoutsos S, Akhaabi P, Lane K, Yiannoutsos CT, Wools-Kaloustian K. Outcomes of HIV-exposed children in western Kenya: efficacy of prevention of mother to child transmission in a resource-constrained setting. Journal of acquired immune deficiency syndromes. 2010;54(1):42-50. | 2010 | Kenya | Nyandiko 2010 | Helped assess the effectiveness of the PMTCT program. | |
| EMR Open Source | Christopher J. Seebregts, Burke W. Mamlin, Paul G. Biondich, Hamish S.F. Fraser, Benjamin A. Wolfe, Darius Jazayeri, Christian Allen, Justin Miranda, Elaine Baker, Nicholas Musinguzi, Daniel Kayiwa, Carl Fourie, Neal Lesh, Andrew Kanter, Constantin T. Yiannoutsos, Christopher Bailey, The OpenMRS Implementers Network, International Journal of Medical Informatics, Volume 78, Issue 11, 2009, Pages 711-720, ISSN 1386-5056, https://doi.org/10.1016/j.ijmedinf.2008.09.005. | 2009 | Global | Seebregts, 2009 | https://www.sciencedirect.com/science/article/abs/pii/S1386505608001652 | Important early paper on OpenMRS community with Chris Seebregts one of the 4 co-founders as first author. |
| Implementation HIV | Allen, C., Jazayeri, D., Miranda, J., Biondich, P. G., Mamlin, B. W., Wolfe, B. A., ... & Fraser, H. S. (2007). Experience in implementing the OpenMRS medical record system to support HIV treatment in Rwanda. Studies in health technology and informatics, 129(1), 382. | 2007 | Rwanda | Allen 2007 | Early work with OpenMRS in Rwanda | |
EMR Nutrition Rural | Allen C, Manyika P, Ufitamahoro E, Musabende A, Rich M, Jazayeri D, Fraser H. Expanding an electronic medical record to support community health worker and nutritional support programs in rural Rwanda. AMIA Annual Symposium Proceedings. 2007 Oct 11:860. | 2007 | Rwanda | Allen 2007 | Early work with OpenMRS in Rwanda | |
Tuberculosis Labs | Blaya JA, Shin SS, Yagui MJ, Yale G, Suarez CZ, Asencios LL, Cegielski JP, Fraser HS. A web-based laboratory information system to improve quality of care of tuberculosis patients in Peru: functional requirements, implementation and usage statistics. BMC Medical Informatics and Decision Making. 2007 Oct 28;7:33. | 2007 | Peru | Blaya 2007 | http://www.ncbi.nlm.nih.gov/pubmed/17963522 | |
| EMR | The AMPATH medical record system: creating, implementing, and sustaining an electronic medical record system to support HIV/AIDS care in western Kenya. Tierney WM, Rotich JK, Hannan TJ, Siika AM, Biondich PG, Mamlin BW, Nyandiko WM, Kimaiyo S, Wools-Kaloustian K, Sidle JE, Simiyu C, Kigotho E, Musick B, Mamlin JJ, Einterz RM.Stud Health Technol Inform. 2007;129(Pt 1):372-6. | 2007 | Kenya | Tierney 2007 | General background on the early days of OpenMRS, it's precursor system and AmpathMRS. | |
EMR HIV | Allen C, Manyika P, Jazayeri D, Rich M, Lesh N, Fraser H. Rapid deployment of electronic medical records for ARV rollout in rural Rwanda. AMIA Annual Symposium Proceedings. 2006:840. | 2006 | Rwanda | Allen 2006 | http://www.ncbi.nlm.nih.gov/pubmed/17238460 | The first paper describing the OpenMRS work in Rwanda. |
| EMR Open Source | Wolfe BA, Mamlin BW, Biondich PG, Fraser HS, Jazayeri D, Allen C, Miranda J, Tierney WM. The OpenMRS system: collaborating toward an open source EMR for developing countries. AMIA Annu Symp Proc. 2006;2006:1146. PMID: 17238765; PMCID: PMC1839362. | 2006 | Global | Wolfe 2006 | Post version of the previous paper in the first year. | |
| EMR Open Source | Mamlin BW, Biondich PG, Wolfe BA, Fraser H, Jazayeri D, Allen C, Miranda J, Tierney WM. Cooking up an open source EMR for developing countries: OpenMRS - a recipe for successful collaboration. AMIA Annu Symp Proc. 2006;2006:529-33. PMID: 17238397; PMCID: PMC1839638. | 2006 | Global | Mamlin 2006 | The first OpenMRS paper the year we first launched in Kenya, Rwanda and South Africa. | |
| HIV LTFU | Wools-Kaloustian K, Kimaiyo S, Diero L, Siika A, Sidle J, Yiannoutsos CT, Musick B, Einterz R, Fife KH, Tierney WM. Viability and effectiveness of large-scale HIV treatment initiatives in sub-Saharan Africa: experience from western Kenya. Aids. 2006;20(1):41-48. | 2006 | Kenya | Wools-Kaloustian 2006 | Identified LTFU as an issue | |
| EMR | AMPATH Medical Record System (AMRS): collaborating toward an EMR for developing countries. Mamlin BW, Biondich PG.AMIA Annu Symp Proc. 2005;2005:490-4. | 2005 | Kenya | Mamlin 2005 | https://pubmed.ncbi.nlm.nih.gov/16779088/ | General background on the early days of OpenMRS describing one of the two precursor systems. |
| EMR | Biondich PG, Mamlin BW, Hannan TJ, Tierney WM. A Call For Collaboration: Building an EMR for Developing Countries. AMIA Annual Symposium; 2005; Washington, D.C.; 2005. | 2005 | Global | Biondich 2005 | https://www.ncbi.nlm.nih.gov/pubmed/16779181 | OpenMRS design and development underway |
| EMR | Fraser H, Biondich P, Moodley D, Choi S, Mamlin B, Szolovits P. Implementing electronic medical record systems in developing countries. Informatics in Primary Care. 2005;13:83-95. | 2005 | Global | Fraser 2005 | https://www.ncbi.nlm.nih.gov/pubmed/15992493 | Early designs and EHR projects in low income settings. Kind of a manifesto for OpenMRS design and use. Strangely has masses of citations even to this day... |
EMR (Early days) | Rotich JK, Hannan TJ, Smith FE, Bii J, Odero WW, Vu N, Mamlin BW, Mamlin JJ, Einterz RM, Tierney WM. Installing and implementing a computer-based patient record system in sub-Saharan Africa: the Mosoriot Medical Record System. J Am Med Inform Assoc. 2003 Jul-Aug;10(4):295-303. doi: 10.1197/jamia.M1301. Epub 2003 Mar 28. PMID: 12668697; PMCID: PMC181978. | 2003 | Kenya | Rotich 2003 | https://pubmed.ncbi.nlm.nih.gov/12668697/ | This described the main precursor system of OpenMRS at AMPATH |
EMR (Early days) | Tierney WM, Rotich JK, Smith FE, Bii J, Einterz RM, Hannan TJ. Crossing the "digital divide:" Implementing an electronic medical record system in a rural Kenyan health center to support clinical care and research. Proc AMIA Symp 2002: 792-795. | 2002 | Kenya | Tierney 2002 | http://www.ncbi.nlm.nih.gov/pubmed/12463933 | This described the main precursor system of OpenMRS at AMPATH |
EMR (Early days) | Hannan TJ, Tierney WM, Rotich JK, Odero WW, Smith F, Mamlin JJ, Einterz RM. The MOSORIOT medical record system (MMRS) phase I to phase II implementation: an outpatient computer-based medical record system in rural Kenya. Medinfo. 2001; 10(Pt 1):619-22. | 2001 | Kenya | Hannan 2001 | http://www.ncbi.nlm.nih.gov/pubmed/11604811 | This described the main precursor system of OpenMRS at AMPATH |