OpenELIS Global An open source Enterprise Laboratory Information System for Global Health Casey Iiams-Hauser, MIA Dec 2018 Photo (bottom right) courtesy of Bogomolets National Medical University, www.nmu.edu.ua

What Is OpenELIS Global? The OpenELIS Global software is an open enterprise-level laboratory information system built on open source web-based technologies that has been tailored for low-and-middle income country public health laboratories. The software serves as both an effective laboratory software solution and business process framework. It supports the effective functioning of public health laboratories for best laboratory practice and accreditation. Designed to support quality laboratory services and test results from high volume clinical and reference laboratories Robust, flexible, Web based architecture – easy connectivity without necessity for Internet Ease of interoperability, based on defined international standards Self-contained application, new modules/functions can be added easily Quality and population reporting to support monitoring and evaluation Open source provides allowance for in country capacity development OpenELIS Global

LIS supports lab workflows Sample Collection and Registration Patient Registration and Test Order Quality Assurance PRE-ANALYTICAL Results Reporting and Laboratory Service Reports POST- ANALYTICAL ANALYTICAL Testing OpenELIS covers the full laboratory testing workflow, including all 3 phases: pre-analytical, analytical, and post-analytical. The pre-analytic testing phase occurs first in the laboratory process. This phase may include specimen handling and identification issues that occur even prior to the time the specimen is received in the laboratory. It’s important to use an appropriate digital tool to capture accurate and timely data on the reasons for rejecting specimen. Such data can be used to take corrective actions in the pre-analytic phase. The LIS must support rigorous control measures to avoid unwittingly allowing problems or errors to travel further "downstream." The second phase is the analytic phases. This phase includes what is usually considered the "actual" laboratory testing or the diagnostic procedures, processes, and products that ultimately provide results. The LIS must have the ability to navigate the complex interactions between the analyzers, electronic processes, human manual processes, and the quality assurance checks and balances throughout in order to provide an accurate test results for providers to count on in their diagnoses. The post-analytic phase is the final phase of the laboratory process. This phase culminates in the production of a final value, result, or in the case of histology, a diagnostic pathology report. This is the laboratory’s endorsement of the result to provide to the clinician for his care of a patient. An LIS must be architected correctly within a robust software development cycle that includes end-to-end quality testing of the software product to ensure that the results provided and the reports that are generated can always be trusted. Those pictured here are not the full coverage of features that OpenELIS offers, but shows that the testing process is part of the business processes that OpenELIS addresses. Lab Analyzer Test Import And Results capture Biological/Manual Validation Technical validation OpenELIS Global

Geographic Coverage 46 Reference + Clinical Labs in Cote d’Ivoire 41 Reference + Clinical Labs in Haiti 20 Clinical Labs in Vietnam ~50-70 Bahmni OpenELIS Implementations in 14 countries There are also a number of State Public Health Laboratory implementations in the United States of the OpenELIS U.S. codebase – including Iowa, Minnesota, Missouri, and South Carolina. These teams of developers and implementers are eager to learn from and share their lessons learned with the OpenELIS Global implementers and developers. As of April 2018 OpenELIS Global

Core Technologies Open Source Stack of Technologies No license fees Jasper Reports and OpenReports In Fall 2018 Struts has been challenging to find capacity for, and is now out of date, so we’re moving to the current Spring Framework OpenELIS also has been built so that some level of modularity exists, allowing modules to be built to be plugged in to OpenELIS as enhanced workflows or features. OpenELIS Global

Key Features Interoperability with iSante+ (OpenMRS) Analyzer Interface Plug-In Library Viral Load Scaleup Multilingual - English and French Customizable workflow Viral Load Dashboard – Cote d’Ivoire Uses HL7 2.5.1 messaging Implemented between OpenMRS (iSante+) in Haiti Supports LOINC codes to uniquely ID tests Analyzer Interface 14 current analyzers have an interface prebuilt Plug-in architecture Supports viral load scale up (Batch entry, Study support, Barcoding) OpenELIS Global

What’s Next for OpenELIS Global Security Upgrades Spring Rewrite 2019 Consolidated Server Rapid Result Reporting EID Dashboard 2020 OE Global into Bahmni OOTB OpenMRS integration TBD Horizonal timeline, pending funding box in table Security upgrades – ETA OCT 2019 Struts to Spring conversion Bring stack to 100% supported, hardened CIS standards Consolidated server Rapid Result Reporting Out of the box OpenMRS integration Integrate new OE Global into Bahmni distribution Updated websites, SOPs, etc OpenELIS Global