1. OpenMRS

2. Silos

3. Each organization developed its own system Usually multiple systems within an organization Disadvantages None of the systems “talk” to each otherNone of the systems “talk” to each other Resources spent on re-inventing the wheelResources spent on re-inventing the wheel Does not expand with needs of organizationsDoes not expand with needs of organizations Can not get lessons learnedCan not get lessons learned

5. Toward a Common Infrastructure Data

6. Toward a Common Infrastructure Data

7. Toward a Common Infrastructure Data API

8. Toward a Common Infrastructure Data API

10. Collaborators and Funders Partners In Health Regenstrief institute Medical Research Council, South Africa World Health Organization US Centers for Disease Control Brigham and Women hospital Harvard Medical School University of KwaZulu-Natal Millennium Villages Project International Development Research Centre Rockefeller Foundation Fogarty International Center, NIH Boston Consulting Group Google Inc

11. OpenMRS sites Over 50 countries USA Rwanda (PIH) Lesotho (PIH) Peru (PIH) Kenya South Africa Tanzania Uganda Haiti Zimbabwe Pakistan Norway

12. OpenMRS sites Includes 5 National-level primary care implementations Rwanda Kenya Nepal Tajikistan Philippines 2 National-level hospital implementations Kenya Bangladesh 180 hospitals

13. Google Maps Integration Credit: Owais Ahmed, Aamir Khan

14. Inpatient Care Credit: Andrey Kozhushkov, Ghislain Kouematchoua (Göttingen)

15. Research Data Coordination Credit: Dave Thomas

16. “Mateme” Touchscreen Registration Credit: Jeff Rafter (Baobab), Evan Waters (PIH)

17. Health Data Exchange Credit: Odysseas Pentakalos