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Re: HL7 in Botswana

 

Interesting discussions on interoperability........just hearing of DSPL and it looks like something worth looking into .



Regards,

Adedapo Adejumo.
Mobile : +2348033683677
Skype  : dapojorge


--- On Thu, 2/17/11, Bob Jolliffe <bobjolliffe@xxxxxxxxx> wrote:

From: Bob Jolliffe <bobjolliffe@xxxxxxxxx>
Subject: Re: [Dhis2-devs] HL7 in Botswana
To: "Knut Staring" <knutst@xxxxxxxxx>
Cc: "Kabelo Bitsang" <k.bitsang@xxxxxxxxx>, "Chris Seebregts" <Chris.Seebregts@xxxxxxxxx>, dhis2-devs@xxxxxxxxxxxxxxxxxxx, "Merritt, Scott A." <MerrittS@xxxxxxxxxx>, "Carl Leitner" <cleitner@xxxxxxxxxxxxxxxx>
Date: Thursday, February 17, 2011, 2:00 AM

On 17 February 2011 09:45, Knut Staring <knutst@xxxxxxxxx> wrote:
> In addition to SDMX, there is the Dataset Publishing Language (DSPL):
>
> http://code.google.com/apis/publicdata/

Yes there is.  And a few other things aside :-)

>
> On Thu, Feb 17, 2011 at 10:22 AM, Bob Jolliffe <bobjolliffe@xxxxxxxxx> wrote:
>> Hi Scott
>>
>> On 17 February 2011 07:53, Merritt, Scott A. <MerrittS@xxxxxxxxxx> wrote:
>>> Thanks for this Crizelle. In particular, the vision in Botswana is to have
>>> DHIS serve as the repository and visualization tool of record for health
>>> data for the foreseeable future. But, as electronic tools roll out, it would
>>> be nice to eliminate the need for data re-entry from these systems, while
>>> allowing for manual entry from the programs and locations that are not yet
>>> electronic. At the same point, as the tools change, we would prefer to have
>>> a single common interface via Mirth to DHIS as opposed to creating
>>> interfaces for iHRIS, all of our EMR tools, DisaLab, ETR.net, …. Is anything
>>> similar happening elsewhere? If not, can someone help explain why not?
>>
>> My understanding is that Mirth is essentially an HL7 switch which
>> transports and transforms electronic patient record data.  I guess
>> this is why all your EMR tools can talk to it and so they should.  But
>> DHIS (and for that matter iHRIS) is not an EMR tool.  We don't deal
>> with individual patient data.  And it would probably be a bad idea in
>> terms of application scope if we did.
>>
>> There will be a point in all of your EMR tools where they generate
>> summary reports.  How many malaria cases this month etc.  It is this
>> summary data which is the province of dhis.  And HL7 is not the format
>> for representing that summary data.  In the absence of an HL7
>> equivalent for summary data we have been  strongly advocating that
>> systems use SDMX-HD for this to avoid the proliferation of interfaces
>> you refer to.
>>
>> As I suggested (guessing really) it is probably possible to do the
>> aggregation at the HL7 level with some sort of HL7 aggregation filter,
>> but I doubt if this is the easiest way to do it.  When I think of the
>> logic engine and reporting framweork in a tool like OpenMRS for
>> example, I can imagine it would take some heavy lifting to get that
>> functionality into Mirth.  All of the EMR systems should have the
>> ability to produce summary reports and the challenge is to get them
>> all to use a comon standard reporting format (ie SDMX).  I think by
>> analogy you might think of dhis as your SDMX-HD hub in the same way as
>> mirth is your HL7 hub.
>>
>> Regards
>> Bob
>>
>>>
>>>
>>>
>>> Scott
>>>
>>> From: Crizelle Nel [mailto:crizellenel@xxxxxxxxx]
>>> Sent: Thursday, February 17, 2011 7:07 AM
>>> To: Knut Staring; Bob Jolliffe; Johan Ivar Sæbø
>>> Cc: Merritt, Scott A.; Kabelo Bitsang; Phumzile Khumalo; Chris Seebregts;
>>> dhis2-devs@xxxxxxxxxxxxxxxxxxx
>>> Subject: Re: [Dhis2-devs] HL7 in Botswana
>>>
>>>
>>>
>>> Thanks for your responses Bob, Knut and Johan.
>>>
>>>
>>>
>>> I have not yet had the opportunity to properly discuss this development with
>>> anyone (I just had a quick telephone call with Scott Merrit from BUTUSA
>>> earlier in the week).
>>>
>>>
>>>
>>> What I can tell you though is that the Tecnhical Work Group in Botswana
>>> (which comprises of key staff from MoH, Local Government, I-Tech, BUTUSA and
>>> more) is absolutely committed to the DHIS. The long-term plan in Botswana is
>>> to interface all applicable systems (i.e. IPMS, ETR.Net, iHRIS etc.) with
>>> the DHIS so that the DHIS acts as an integrator.
>>>
>>>
>>>
>>> I have a meeting with Scott this afternoon and just wanted to gather as much
>>> information as possible beforehand.
>>>
>>>
>>>
>>> I'll be sure to obtain answers to the questions you posed and to get back to
>>> you with Scott's responses.
>>>
>>>
>>>
>>> Regards,
>>>
>>> Crizelle
>>>
>>> On Wed, Feb 16, 2011 at 11:49 PM, Knut Staring <knutst@xxxxxxxxx> wrote:
>>>
>>> This was actually the approach taken by a team in South Africa in 2008
>>> and early 2009 to link OpenMRS and DHIS2, though I don't think it was
>>> put in production.
>>>
>>> Knut
>>>
>>> On Wed, Feb 16, 2011 at 10:30 PM, Bob Jolliffe <bobjolliffe@xxxxxxxxx>
>>> wrote:
>>>> HL7 is for patient data so we shouldn't need to interface directly
>>>> with it.  Possibly they are considering building an aggregation filter
>>>> in Mirth to produce something like SDMX from the patient data.   Don't
>>>> know.  I am not there to negotiate.
>>>>
>>>> But you need to negotiate hard (on your side of the fence) to ensure
>>>> that what comes out of this magic box will be suitable for dhis2
>>>> consumption.  That is the way with these kind of switches .. in the
>>>> end they are proxies for human negotiation :-)  Much like telephone
>>>> switches between phone operators for that matter.
>>>>
>>>> Regards
>>>> Bob
>>>>
>>>> On 16 February 2011 21:22, Crizelle Nel <crizellenel@xxxxxxxxx> wrote:
>>>>> Hi everyone,
>>>>>
>>>>> In Botswana they are discussing developing a software tool (MIRTH) to act
>>>>> as
>>>>> a switchboard between all health systems. For example if you want to
>>>>> export
>>>>> data from their patient-based system (IPMS) to the DHIS 2 for example,
>>>>> you
>>>>> would use the MIRTH interface to do it. It essentially acts as a
>>>>> post-office, simply passing the data between different systems.
>>>>>
>>>>> They would like to use HL7 for MIRTH.
>>>>>
>>>>> Have any of you done something similar in other countries?
>>>>>
>>>>> Has anyone used HL7 before?
>>>>> --
>>>>> Regards,
>>>>> Crizelle Nel
>>>>> Health Information Systems Programme (HISP) Software Development Team
>>>>>
>>>>> Email:  crizellenel@xxxxxxxxx
>>>>> Cell:     084 580 3342
>>>>> Fax:     0866 509 502
>>>>> Web:    http://www.hisp.org/
>>>>>
>>>>>
>>>>>
>>>>> _______________________________________________
>>>>> Mailing list: https://launchpad.net/~dhis2-devs
>>>>> Post to     : dhis2-devs@xxxxxxxxxxxxxxxxxxx
>>>>> Unsubscribe : https://launchpad.net/~dhis2-devs
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>>>>>
>>>>>
>>>>
>>>> _______________________________________________
>>>> Mailing list: https://launchpad.net/~dhis2-devs
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>>>> Unsubscribe : https://launchpad.net/~dhis2-devs
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>>>>
>>>
>>>
>>> --
>>> Cheers,
>>> Knut Staring
>>>
>>>
>>
>
>
>
> --
> Cheers,
> Knut Staring
>

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