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National EMR system

By Ferdinand Muriyesu | 27 Feb, 2016

I would like to know if there is any country with fully integrated health information system by using only open source EMR systems?

I am just curious. In developed country healthcare providers are connected, they can share patient medical information by just click. the patient can access his medical history, prescriptions, lab results, etc.

Any country with such kind of systems with only open source solutions?

I am trying to design an architecture for such kind of system for developing countries but I need some ideas. In the Kingdom of Jordan the implemented VistA as their national EMR system, however Jordan is not a poor country compared to sub Saharan countries. I need to here your experience, if any sub Saharan country that had already implemented national health information system linking all healthcare providers and all partners that will be helpful for me.

Best regards,
Ferdinand

Replies

 

A/Prof. Terry HANNAN Moderator Replied at 6:36 PM, 27 Feb 2016

Ferdinand, Here are some resources. I also have the full text of the Bangladesh project and Portia and Alvin Marcelo can provide you with full text of the Philippines project. As I have trouble uploading documents from my home laptop to GHDonline please send your email to and I can send the full Bangladesh document (also if anyone else wants a copy please send me an email). Terry
1. 1. http://dghs.gov.bd/index.php/en/home/117-english-root/image-caption/648-the-k...

2. Community Health Information and Tracking System : An Electronic Health Record System Built For and By the People Marie Irene Ronquillo-Sy, Eunice Cacatian, Christine Ceblano, Ana Maria Chupungco, Randy Fernandez, Reynaldo Gavino Jr., Arturo Ongkeko Jr., Patrick Sylim, Portia Fernandez-Marcelo [ ] and Alvin Marcelo [ ]

3. Bangladesh: A Quiet Revolution Strengthening the Routine Health Information System in Bangladesh A publication in the German Health Practice Collection For a historical perspective and all documents.
a. The German Health Practice Collection (GHPC) health.bmz.de/en/healthportal/ good-practices/GHPC/index.html to find all publications on the projects and programmes documented since 2004.

Yogesh Lall Replied at 11:16 PM, 27 Feb 2016

Thanks Hannan. My email is

Stephane Morisseau Replied at 11:31 PM, 27 Feb 2016

Hi Hannan
I am interested my email is

Kurt JEAN-CHARLES Replied at 12:25 AM, 28 Feb 2016

Hello Prof Hannan,
I am interested to learn more about the project implemented in bangladesh.
My email is .

Mayena Kpinsaga Replied at 1:52 AM, 28 Feb 2016

Hi Hannan I m intérested my mail is
Le 27 févr. 2016 21:11, "Ferdinand Muriyesu via GHDonline" <
> a écrit :

ANANTHA Nagappa Replied at 5:22 AM, 28 Feb 2016

Please see the website www.indianamericanpharmacist.com,
It is venturing into making a digital data base in India

Mugabo Kamonyo Replied at 3:22 AM, 29 Feb 2016

Hello Prof. Hannan,
I am also interested to learn more about the project implemented in Bangladesh.
My email is:

Gebreamlak Gidey Abebe Replied at 5:09 AM, 29 Feb 2016

Dear Prof. Hannan, i am so interesting to learn from you on the project which will be implemented in Bangladesh.
if you are interesting please communicate me through by email:

Evans Xorse Amuzu Replied at 6:48 AM, 29 Feb 2016

Hello,

I am also interested in the documents. This will be a great resource in shaping by research interest.

My email is

Thank you

Anita Massacane Replied at 12:19 PM, 29 Feb 2016

Hi Hannan, I am interested too, my email is

Anita Massacane
Coordinadora Laboratorio de Innovación Digital

*Fundación Huésped*A. Peluffo 3932 (C1202ABB) - Buenos Aires, Argentina,
Tel: +54-911-4439-4500
E mail:
TW: @anitamassacane
www.huesped.org.ar // facebook.com/FundHuesped
<http://www.facebook.com/fundhuesped> // @ <http://goog_1172363618/>
FundHuesped <http://www.twitter.com/FundHuesped>


2016-02-27 20:42 GMT-03:00 A/Prof. Terry HANNAN via GHDonline <

ANANTHA Nagappa Replied at 4:14 PM, 29 Feb 2016

Dear Sir,
Please send me a copy of EMR system documents for Bangladesh, I wish to
begin in India now
Thanking you
Professor A N Nagappa from acpikspor,
India

A/Prof. Terry HANNAN Moderator Replied at 4:46 PM, 29 Feb 2016

Anantha, please send email address

Boney Mutabazi Replied at 4:51 PM, 29 Feb 2016

Hi Professor Hannan,
I would be glad to have a copy too, especially the Bangladesh project
Email <>

ANANTHA Nagappa Replied at 4:52 PM, 29 Feb 2016

Joaquin Blaya, PhD Moderator Replied at 6:06 PM, 29 Feb 2016

Hi Ferdinand,
I think there are very few countries connected in a fully integrated IT system as you mention, being able to share medical information. In the US for example there are no two hospitals that talk to each other. There are other countries that are more successful like Australia and Canada.

There are a couple of organizations that come to mind that I know that have done work with national level arquitecture projects. Though these are the two I know, I’m sure there are others.

Jembi in their health enterprise arquitecture project
http://www.jembi.org/project/health-enterprise-architecture-laboratory-heal/

Health Enabled which does more around capacity building
http://www.healthenabled.org/

I’ve also reached out to them to see if they have more information to add to this discussion.

A/Prof. Terry HANNAN Moderator Replied at 7:12 PM, 29 Feb 2016

Joaquin did the Dropbox link come to you with the documents?

Neha Goel Replied at 8:49 PM, 29 Feb 2016

Hi Prof Hannan,

I'm interested in receiving the document too. My email is

Best,
Neha Goel
Global Health Innovation Fellow
Center for Bioengineering Innovation and Design, Johns Hopkins University
| | +1-667-212-8244 (USA)
+91-97699 26384 (India) | +880-16268 80521 (Bangladesh)

M.S. Applied Health Sciences Informatics, Johns Hopkins University School of Medicine

B.E. Biomedical Engineering, Mumbai University

Neha Goel Replied at 8:49 PM, 29 Feb 2016

Hi Prof Hannan,

I'm interested in receiving the document too. My email is

Best,
Neha Goel
Global Health Innovation Fellow
Center for Bioengineering Innovation and Design, Johns Hopkins University
| | +1-667-212-8244 (USA)
+91-97699 26384 (India) | +880-16268 80521 (Bangladesh)

M.S. Applied Health Sciences Informatics, Johns Hopkins University School
of Medicine

Judy Phillips Replied at 9:10 PM, 29 Feb 2016

I would also like to receive the document. Thank you very much Prof. Hannan! <mailto:>

Judy Phillips
Assistant Professor Nursing
Nurse Practitioner
Cancer Care of WNC

onesmus kamau Replied at 1:28 AM, 1 Mar 2016

I am also interested to hear more about the national EMR and can as well share the documents through my email. My address is



Sent from Yahoo Mail on Android

From:"Anita Massacane via GHDonline" <>
Date:Mon, 29 Feb, 2016 at 20:29
Subject:Re: National EMR system

Anita Massacane replied to a discussion in Health IT:

Hi Hannan, I am interested too, my email is

Anita Massacane
Coordinadora Laboratorio de Innovación Digital

*Fundación Huésped*A. Peluffo 3932 (C1202ABB) - Buenos Aires, Argentina,
Tel: +54-911-4439-4500
E mail:
TW: @anitamassacane
www.huesped.org.ar // facebook.com/FundHuesped
<http://www.facebook.com/fundhuesped> // @ <http://goog_1172363618/>
FundHuesped <http://www.twitter.com/FundHuesped>

2016-02-27 20:42 GMT-03:00 A/Prof. Terry HANNAN via GHDonline <

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A/Prof. Terry HANNAN Moderator Replied at 2:01 AM, 1 Mar 2016

My humblest apologies to all I had replied to to. Somehow I inadvertently did not post the Bangladesh report to DropBox. it is there now. "A Quiet Revolution"..........enjoy the delayed read........... Terry

Edward Krisiunas Replied at 8:19 AM, 1 Mar 2016

Interesting piece in the Economist...

http://www.economist.com/news/science-and-technology/21693565-disease-has-rob...

Great use of mobile phones and GPS...data collection...

Not exactly EMR but good to see progress..

carolina caccese Replied at 8:44 AM, 1 Mar 2016

Good morning to all!!!
I am also interested in learning more about the project, my email is:
Thank you.

Rodrigo Cargua Rivadeneira Replied at 9:04 AM, 1 Mar 2016

Good morning Fernando In Ecuador we are working on an implementation of a
system intergrade 151 Health medical health units, 109 are primary care
medical units 42 medical health units are hospitals medium and high
complexity . Work on this project as PMP . A orders in what I can
contribute and help .

sorry my English is not perfect


Rodrigo Cargua
"No existe falta de tiempo,
existe falta de interes. Porque
cuando la gente realmente quiere, la
madrugada se vuelve dia. Martes
se vuelve sabado y un momento se vuelve
oportunidad

2016-02-29 18:08 GMT-05:00 Joaquin Blaya, PhD via GHDonline <

suzana brown Replied at 9:40 PM, 1 Mar 2016

How do I get a link for the DropBox? I would like to read "A Quiet Revolution..." from Bangladesh.
Thanks.

Suzana

A/Prof. Terry HANNAN Moderator Replied at 11:17 PM, 1 Mar 2016

Suzanna, send me your email but I also found that I had posted it on GHDOnline last year. I am on a beach so try and search in GHDOnline under my name or Bangladesh

suzana brown Replied at 11:44 PM, 1 Mar 2016

Professor Hannan - my email is . There is no rush for the paper, when you come back is fine. Enjoy the beach...

Suzana

Naomi Muinga Moderator Replied at 1:26 AM, 4 Mar 2016

Here's a link to the webpage hosting the Bangladesh paper.

http://health.bmz.de/good-practices/GHPC/A_Quiet_Revolution/index.html

Joaquin Blaya, PhD Moderator Replied at 7:31 PM, 7 Mar 2016

Hi everyone,
I’ve gotten some interesting suggestions from others around creating nationally integrated health systems. Here they are

Look at the OpenHIE community that addresses this. On their site they have Arquitectures, examples of their work and how to get involved https://ohie.org/ <https://ohie.org/>

Belise reportedly has a national integrated electronic system (http://www.who.int/healthmetrics/library/countries/blz/en/) but not sure it is open source as it is home grown with help of a Canadian university. Note that a national system would naturally need to include more than EMR.

Were these useful?

Joaquin Blaya, PhD Moderator Replied at 7:46 PM, 7 Mar 2016

In looking at these sites, I found some very interesting material which I'm attaching here.
On the Belize National HIS, they had a description of their plan, a score card used to assess how far they would have to go to implement a national HIS as well as the benefits they saw within the first year post implementation.

In the OpenHIE page, there was an entire wiki describing the Architecture and Road Map, which I found very interesting.
https://wiki.ohie.org/display/documents/OpenHIE+Architecture

Attached resources:

A/Prof. Terry HANNAN Moderator Replied at 6:31 AM, 22 Mar 2016

I was unsure where to place this web link for an open source publication. This appeared to be the closest.
Pursuing equity in cancer care: implementation, challenges and preliminary findings of a public cancer referral center in rural Rwanda
NM Tapela, T Mpunga, B Hedt-Gauthier, M Moore… - BMC Cancer, 2016
Feel free to share. http://www.biomedcentral.com/1471-2407/16/237#refs

Joaquin Blaya, PhD Moderator Replied at 5:49 PM, 23 Mar 2016

Ferdinand, in part, the Project Spotlight we are doing next week and the
resources posted should answer some of your questions.
Just in case here's the link
http://www.ghdonline.org/tech/discussion/project-spotlight-interoperability-i...


Joaquín
___________________________________________________________________
Gerente de Desarrollo, eHealth Systems <http://www.ehs.cl/>
Research Fellow, Escuela de Medicina de Harvard <http://hms.harvard.edu/>
Moderador, GHDOnline.org <http://www.ghdonline.org/>

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