OpenMRS COVID-19 Response

Projects COVID-19
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Perfect! Thanks @mozzy!

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Wel done too @ibacher :slightly_smiling_face:

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Here are some key points from today’s COVID-19 Response meeting:

  • @wanyee @jdick @ball and @janflowers gave some updates from Kenya, Uganda, Haiti, AMPATH, and PIH.
  • Progress is being made on the three initial forms based on CDC’s PUI form and WHO’s case report form (surveillance, clinical, and travel history).
    • @ibacher would like help someone with experience designing forms to help with the current sprint.
    • Current sprint slated to wrap up on March 31.
    • These will be released as a module.
  • The immediate focus is making sure that this module responds to COVID-19 - and we want to use this opportunity to create a public health response module so we avoid re-creating the wheel every time.
  • @ball outlined essential areas of data collection and we talked about using this to track who is working on what - and what to include in the public health response module for COVID019.

Upcoming webinars:

  • Digital Square: How PEPFAR investments can be re-utilized in the COVID-19 response

    • Thursday, March 26 at 7:30pm IST | 5pm Nairobi | 4pm Cape Town | 2pm UTC | 10am Boston | 7am Seattle

  • Digital Square: Global Goods Demo for adapted tools for COVID-19

    • Monday, March 30 at 7:30pm IST | 5pm Nairobi | 4pm Cape Town | 2pm UTC | 10am Boston | 7am Seattle
    • OpenMRS will be presenting. This Google doc is being used to inform that presentation, slides due COB Friday, March 27.

For more details, please see the notes - which include a link to the call recording.

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25

Hi Terry,

I met you several times when you were working at the VA. We talked about Cullen.com, as my family is full of Cullens :slight_smile: I run a company called Medweb that did the original imaging for the JLV at VA before it became a political football. I am standing up triage clinic workflows for DOD at several Covid19 Isolation Temporary hospitals at Hotels and College Dorms. We have implemented Openmrs for one or 2 hospitals as part of humanitarian work in Kosovo, but now I am going to be standing up 120 Medweb systems, and I am looking to integrate OpenMRS as part of the system. I am looking for an expert or 2 on OpenMRS to integrate it and provide simple training that I can hire remotely for a week or 2.

Please direct me to the correct person to find available developers or trainers.
best Regards, Pete Killcommons MD CEO, Medweb pete@medweb.com 415-283-8374

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OpenMRS wiki: COVID-19 Public Health Response.

Feel free to add your own information, design, meeting notes, modules, resources, links, etc.

In addition, there is a description of the Partners In Health Lab order/results for COVID-19.

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Hi all , I created a PR (WIP) ,to update the reference meta data with the Covid-19 concepts. I want to know exactly the actual Concepts we would want to include as reference metadata .

  • For the above PR , i simply did a text search as “covid” and i added all the concepts returned from that search into the metada package.

@ibacher ,had also suggested we add this entire package here to the reff app.

I would want to confirm the exact package that we would want to use and how to select the actual concepts to include.

cc @ibacher @jennifer @dkayiwa @akanter @ball

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I think we would want to include the concepts being tracked on this page with CIEL IDs: https://docs.google.com/spreadsheets/d/1fvp8uUJ8IbZ8oSrgecYM8k6wckTpBu1WlpnqVewiM88/edit#gid=1188995507

The collection on OCL has not yet been updated with the latest concepts.

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29

hi @jennifer how do I become a part of this team? When are the calls?

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Hi @deb! Our COVID-19 Response project page has a lot of information about what we’re doing and when we meet.

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Hi everyone!

Here are the highlights from today’s meeting:

  • PIH will need their facility forms built in OpenMRS soon. @ddesimone @ball @ibacher and anyone else interested will get together to review and compare the different data collection forms. We’ll also need to do the data mapping, then plan the next sprint.
  • For reporting, @wanyee suggested gathering requirements for high level reporting needs. @terry brought up value sets and data model. @ddesimone @ball @terry will look at what has been done for NCDs
  • @ball highlighted that our COVID-19 response needs the work that the OCL for OpenMRS squad is working on.
  • We need to determine what resources we need to move this work ahead, figure out what’s available, and what additional support will be needed.

Finally, we talked about setting up a virtual round of Lightning Talks next week to showcase work on solutions done in the community. Please indicate your availability by filling in this Doodle poll.

Notes (with link to recording): 2020-04-08 COVID-19 Response

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For anyone who’s interested the forms I tried to demo this morning are available on the system running here: https://brown.edu/go/omrs-covid19.

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33

Thanks @ibacher

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@ibacher It looks like https://dursamrscit.services.brown.edu/covid/htmlformentryui/htmlform/enterHtmlFormWithStandardUi.page?patientId=aca9c9c5-6f92-4258-a637-1a66c7b486b4&formUuid=39ddd651-d561-46ab-92db-f6a169497b20createVisit=true&breadcrumbOverride= throws an error

  1. Screening Form lacks BreadCrumb so Navigation is a little troublesome. and throws error "Unexpected Error " Please Contact Adminstrator

  2. For Case Reporting form the Error is "

java.lang.IllegalArgumentException: Couldn’t find a form"

details here

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Thanks @tendomart. I’ll look into those issues.

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On Wednesday, we had a great virtual round of Lightning Talks on OpenMRS COVID-19 solutions! A huge shout out to @ibacher, @ball, @ddesimone, @burke, @sanjayap, @anant, @aojwang, @danfuterman for your presentations.

Next step: @burke and I will work on making each Lightning Talk available as an individual video to post on our Wiki. In the meantime, you can watch the hour-long round via this link.

During the weekly COVID-19 Response squad meeting, we debriefed the Lightning Talks and talked about the implications for our work towards a COVID-19 Public Health Response module or distribution:

  • Agreed that there were common themes across the presentations - forms, reporting
  • Look into sharing code on GitHub so that others can leverage the great work being done in the community
  • Create a COVID-19 Form Bank - check out what @ball has already added to our Wiki!
  • Consider organizing the tools into classes - a category of forms for patients, reports and dashboards, etc
  • Explore packaging the forms, recognizing that this would be a heavy lift
  • @ibacher, @hamish and @ball are going to review the forms from the Lightning Talks

See the notes (with link to recording) for more details.

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37

2 posts were split to a new topic: Proposal: OpenHIM COVID-19 Data Exchange Use Case for OpenMRS

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I updated the first tab of our COVID-19 Response spreadsheet to reflect the COVID care cascade and workflow. Based on the different Lightning Talks presented in April, I mapped what has already been developed (or is WIP) in the community to the care cascade. This is still pretty high level, but what is clear is that we have a lot of coverage and quite a bit that we can potentially harvest into a community COVID-19 PH Response set of tools or modules.

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39

After reviewing the care cascade+workflow+tool mapping on last week’s COVID-19 Response call, @jteich came up with four possible packages that could be used individually or make up an end-to-end solution to support not only COVID-19 but any future outbreaks:

  • Package #1: Management of individual cases from healthy to pre-hospitalized
  • Package #2: Contact tracing
  • Package #3: Surveillance / Reporting for public health
  • Package #4: Acute care

He shared these on Wednesday’s COVID-19 Response call. The main takeaways:

  • Package #4 is a gap that OpenMRS naturally fills
  • Package #3 - especially if it features integration with other systems like DHIS2 - is in demand.
  • Packages #1 + #2 have been the focus of many countries and some are using community tools like CommCare. Our effort could focus on integration with these digital solutions.

As a next step, we’d like to talk through the core technologies (mobile/tablet, offline, API, etc) in the course of this week.

Please weigh in:

  • How would you rank these packages in terms of importance to new and existing implementations?
  • Are there particular packages that you are interested in building?
  • What core technologies would we need for an end to end package?

For more details, see the notes+recording.

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40

In terms of the 4 packages there are as you note Jen a number of effective tools for #1 and #2 and I note that CommCare and MedicMobile just received large grand form Rockefeller to manage those tasks. That said we have seen from HIV and TB screening that patients are diagnoses via many different routes depending on where they live and their modes of contact with the health system (e.g. through primary care, urgent care, antenatal etc.). So I think it is important to include the case finding, testing and contact tracing capabilities in OpenMRS. These must be integrated with the community based tools so that data flows allow comprehensive case detection and contact tracing, not separate silos.

For task #4 acute care, OpenMRS clearly has a critical role in the many sites already using it and potentially for sites without a current EHR where OpenMRS - initially focussed on COVID-19 could be rolled out promptly. Again effective interoperability with other health information systems including labs, imaging and medication ordering will be valuable. This is a role that the community based applications are not able to fulfill well.

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This article in the Lancet on COVID-19 and impact on global health is worth reading. Strong focus on communities in LMICs managing their own responses to COVID and avoiding economic shut downs that cause devastating effects on the poorest members of the community. Despite being published on May 5th it is already somewhat out of date given the surge of cases and mortality in certain countries like Ecuador and parts of Nigeria like Kano. Also the emphasis on the need for ventilators has receded as it became clear that less aggressive respiratory support can be better even in the best resourced health systems.

Crafting practical treatment strategies that build on local experience managing TB, HIV, cholera and pneumonia seems to me to be the right way to go. That includes an important role for an EHR like OpenMRS to support new treatment protocols as we have been discussing.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)31089-8/fulltext

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