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Re: HL7 in Botswana

 

On Thu, 17 Feb 2011 09:53:06 +0200, "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?

Dumela,

Regarding a switchboard, I'm not too sure about what's going on around, but in slide 13 og this presentation:
http://www.healthunbound.org/sites/default/files/Jorn%20Braa%20-%20HIS%20architecture.pptx

you will find how it is currently envisioned (and implemented) in West Africa and other places. DHIS2 serves as a repository and visualization tool, and you have the option to either enter data directly, if the source is on paper, or to import it. OpenMRS and iHRIS are already SDMX-HD compliant, so they can aggregate and send the required data to DHIS2 (functionality for importing the definitions from DHIS2 in OpenMRS, so it knows what and how to export it is also there). More is underway, the logistics system OpenLMIS might implement SDMX-HD soon, and I know people behind a lab-system were active in a workshop on the standard. So the idea is then that DHIS2 can handle both electronic interoperability, and manual data entry, and that manual data entry can be phased out whenever some electronic system that supports SDMX-HD is in place, just like you're aiming for in Botswana.

For more on this interoperability, there is a nice and short blog here:
http://www.capacityproject.org/hris/blog/index.php/2010/09/his-milestone-reached-health-information-systems-prove-interoperability-success-at-his-unconference-and-training-workshop/

Regards,
Johan


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  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  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  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 [4]
Cell: 084 580 3342
Fax: 0866 509 502
Web: http://www.hisp.org/ [5]



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--
Cheers,
Knut Staring



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