OpenLMIS Software Development Ron Pankiewicz, VillageReach Evan Waters, Partners In Health

Open Source Software A History of Success… Linux and derivatives ( aLinux, Alpine Linux, ALT Linux, Annvix, Arch Linux, Ark Linux, Asianux, BLAG Linux and GNU, Bodhi Linux, Caixa Mágica, CentOS, CRUX, Damn Small Linux, Debian, DeLi Linux, Devil-Linux, dyne:bolic, EasyPeasy, Edubuntu, Elive, EnGarde Secure Linux, Fedora, Finnix, Foresight Linux, Freespire, Frugalware, Gentoo, gNewSense, gnuLinEx, GoboLinux, Gobuntu, Impi Linux, Kanotix, Knoppix, KnoppMyth, Kubuntu, Kurumin, Linux Mint, Lunar Linux, Micro Core Linux, MintPPC, Musix GNU/Linux, Network Security Toolkit, NimbleX, NUbuntu, openSUSE, Pardus, Parsix, PCLinuxOS, Puppy Linux, Sabayon Linux, Scientific Linux, sidux, Slackware, Slax, SliTaz GNU/Linux, Source Mage GNU/Linux, Symphony OS, SYS, Tiny Core Linux, Tor-ramdisk, Trustix, Ubuntu, Ututo, Super OS, Xubuntu, XBMC Live, Yoper, Zenwalk penWrt ) Firefox OpenMRS

What is OpenMRS? The Open Medical Record System (OpenMRS) is: A collaborative, open source project A reference Electronic Medical Record (EMR) application that can be customized with no additional programming knowledge A flexible software platform that can be extensively adapted by software developers Multi-institution, and non-profit project 3

Background Founded in 2004 by Regenstrief Institute and Partners In Health after meeting at MedInfo Medical Research Council (MRC) of South Africa joined as additional partner Initial deployments: AMPATH headquarters in Eldoret, Kenya by Regenstrief Rwinkwavu Hospital, Rwanda by PIH Richmond Hospital, KZN South Africa by MRC 4

OpenMRS Platform Modular architecture Programmed in Java with MySQL database Concept dictionary allows flexible data modeling Stores patient-level data Variety of data input, reporting tools available Customizable and extensible for specific deployments 5

6 OpenMRS Concept Dictionary

7 Example Patient Dashboard

8 Customized Dashboard for MDR-TB (PIH)

Fostering Collaboration 9

How does the collaboration work? 1.Uses modified version of Mozilla Public License 2.Variety of forums include mailing lists, weekly calls 3.Wiki for documentation, user guides 4.Open source, public issue tracking (JIRA) and code review (Bamboo); code stored in Subversion 5.Two-week “sprints” for core development 6.Beginning work on series of webcasts for “OpenMRS University” 7.Annual conference for implementers and developers 10

Recreating the same collaborative success

ROLES Decision Makers System Architects Developers / Resource Contributors Super reviewers and Testers 12

PRIORITIES AND STANDARDS 13 Prioritization of Functionality Coding Standards, APIs Testing and Inclusion Criteria Documentation Standards FOSS vs l.c. OSS

RESOURCES 14 Global Health Logistics Reference Source Core Platform Reference Implementation Support Forum Discussion Forum

15 Open Source software… Does it work in Global Health?

OpenMRS Conference Attendees Kigali, Rwanda 16

Supporters of OpenMRS The Canadian International Development Research Centre (IDRC) Center for Disease Control (CDC) The Fogarty International Centre Google The Millennium Villages Project of the Earth Institute, Columbia University National Institutes of Health Oregon State University Open Source Lab (OSUOSL) Partners in Health Regenstrief Institute The Rockefeller Foundation South African Medical Research Council ThoughtWorks, Inc. World Health Organization 17

18 OpenMRS Today Version 1.9 nearing release Deployed in more than 40 countries, primarily in the developing world More than 100 modules available in the repository Interoperability with other healthcare information systems as part of a broader eHealth architecture Numerous deployment in use or underway from national level down to community level 18

19 Initial OpenMRS Deployments Rwinkwavu, Rwanda PIH, August 2006 Eldoret, Kenya Regenstrief, February 2006 Richmond, South Africa Medical Research Council, August 2006

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PROPOSAL FOR SOFTWARE DEVELOPMENT WORKING GROUP Assign people to key roles Determine priorities and define standards Define Architecture Develop plan for creating resources… How to engage domestic and in-country talent Identify any currently available software resources that can jump-start the process 21