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Overview
Reference Application 2.8.1 is a release of our new Reference Application, a state of the art implementation of OpenMRS, which may serve as a solid base for new implementations. It is designed using the latest UI 3.x and App Framework, which make it easy to add new functionality as small apps in a similar fashion to mobile applications. The Reference Application comes with a number of apps out of the box. Currently we provide apps, which enable you to:
- Register patients
- Start and end visits
- List patients with active visits
- Admit/transfer/discharge patients
- Take clinical notes
- Capture patient vitals
- Display patient summary and visit history.
- Capture allergies
- Enter forms from the patient dashboard
- Patient request/scheduling appointment
- Patient's condition list
- Dispense medication
- Attach patient note
Try It Out!
Hosted Demo Server
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You can explore the latest released version of the Reference Application by going to demo.openmrs.org and signing in with the following credentials:
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Note that this server is reset every 24 hours, so if it is unresponsive or the entire site seems down, please try again in 10-15 minutes.
Standalone
You can download a standalone version of this release from http://openmrs.org/download. The first time you run this you have the option of setting up demo data or not.
Enterprise
You can run the OpenMRS Platform with the Reference Application modules on top of it. These are two separate downloads at http://openmrs.org/download ("Platform", and "Modules & Data").
Demo patients
If you want to see demo data on top of an Enterprise installation, go to Advanced Settings and set "referencedemodata.createDemoPatientsOnNextStartup" to the number of demo patients you want to create, then restart your servlet container. (Creating demo patients is a bit slow, so we recommend creating <50 the first time you try this.)
Legacy OpenMRS vs. Reference Application
The Reference Application is built on top of the OpenMRS Platform 2.x, which still includes the Legacy User Interface (the original web application). You can still download and use the legacy application. See the download page. (for legacy UI module)
The Reference Application is a set of modules that are installed in addition to the legacy OpenMRS web application. It means that when you install the Reference Application, you can still access all the features of the legacy application, however we keep them hidden from users by default.
Required Initial Configuration
For all features of the reference application to work well, you will need to make the configurations below:
- To register a patient, the logged in user needs to have an associated provider account, meaning no patient registration will be possible if there is no user that has a provider account and yes this includes super user. Go to System Administration - Manage Accounts - Add New Account to add a new user and provider. Remember to create both a user account (with appropriate privileges) and a provider account.
Advanced Configuration
You can find more info about configuring the reference application here.
Features
As mentioned previously the Reference Application is built of small apps. There are a couple of apps provided out of the box and we expect to improve them and increase their number over time. The apps that come with the Reference Application focus on basic functionality. They are designed and developed in a way that satisfies as many use cases as possible and also can be adjusted to specific needs. In this paragraph we will describe features that come with the Reference Application and their configuration options.
Location based login
When you first open up the Reference Application you will see a login screen.
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You should change the system developer password by going to System Administration - Advanced Administration - Manage Users. Search for admin, pick it in results, change the password and hit Save.
Role based home page
You can see all apps that are available in your installation by logging in as a system developer and opening the home page.
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When you create users, you need to create providers as well, otherwise they will not be able to enter data. Go to System Administration - Advanced Administration - Manage Providers and bind a new provider with a previously created user.
Multilingual
The Reference Application is partially translated into several languages. (To see how to contribute translations, or just see the current status, see Translating the Reference Application.)
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The next time the user logs in, they will see the UI in the newly-selected language.
Registration
The registration app is available under the Register a patient button from the home page. It is seen by users having the "Application: Registers patients" role.
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If you want to integrate the Address Hierarchy Module or add custom person attributes, you can find directions for Registration App Configuration.
If you want to integrate Registration with a Master Patient Index (MPI) you can find directions for /wiki/spaces/~approce/pages/16875546.
If you want to add/remove address fields or change the address field labels that appear on the form, you can go to System Administration - Advanced Administration - Manage Address Template. For more information see Administering Address Templates.
Patient search
You can use the Find Patient Record app to display recently viewed patients or find any patient in a database by name or ID.
If the search field is empty, you see a listing of recently viewed patients. As soon as you start typing and enter at least the number of characters set as the value of the Min Search Characters global property on the settings page, you will see results changing live for what you entered. Note that when searching by patient identifier you need to enter the full patient identifier because partial searches only work when searching by patient name.
Patient Summary
Once you open up a patient you see a clinical summary.
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Right below the header you can see boxes DIAGNOSIS, VITALS and VISITS. To the right you can find General Actions and Current Visit Actions if a patient has an active visit.
Diagnosis
Currently you can see there a list of diagnoses entered as visit notes from 3 years back with the most recent at the top. You can configure the period by going to System Administration - Advanced Administration - Settings - Coreapps and enter Recent Diagnosis Period in Days.
A diagnosis that was entered as free-text is displayed in quotes. Each kind of diagnosis is displayed only once. See also Visit Notes.
Vitals
The box shows the last captured vitals. See also Capture Vitals.
Visits
The box lists previous visits. It says if it was an outpatient or inpatient visit. You can click each visit to open up Visit details. Click the pencil next to visits to see them all, and edit them.
Allergies
This area lists known allergies, and the effect they have on the patient. Click the pencil next to allergies to add/edit allergies.
Actions
On the right you can find a box with actions. General Actions are:
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Note: You can now add custom forms in the actions section. See Manage Forms to add your own action items.
Custom widgets
In Reference Application 2.6.0 we introduced a number of new customizable widgets. Please see this page for more information.
Patient Visits
It is accessible from the Visits box on Patient Summary. You can either open up a specific visit or click Show more info to display the latest visit.
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There's also Actions on the right where you can find general actions, which are the same as in Patient Summary.
Active Visits
You can see patients with active visits through the Active Visits app available from the home page.
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When you click on a name you will see that patient's summary.
Capture Vitals
It is accessible from both the home page via the Capture Vitals app or directly from Current Visit Actions on both Patient Summary and Patient Visits. The app is designated for a standalone capture vitals station. It allows you to quickly find a patient, enter vitals and continue repeating this process. The action available from Current Visits Actions allows you to capture vitals for the currently displayed patient and return to the summary.
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The form for capturing vitals has basic validation. It calculates BMI from Height and Weight. It supports keyboard navigation in the same way as the registration form.
Capture Allergies
It is accessible from the Patient Dashboard, by clicking the pencil beside allergies. If there are any existing allergies, it shows them in the list. If the patient has no known allergies, this can be specified by clicking the green "No Known Allergies" button.
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When you click to "Add New Allergy", it allows you to select the allergy type; drug, food or environmental. You can click the allergen, and then specify the reaction it causes and the severity. You can also add a comment if you like. After you click save,
Visit Notes
The form for entering visit notes is accessible from Patient Summary and Patient Visits. It is listed under Current Visits Actions.
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It is also possible to enter a free-text clinical note. When you are done you just need to click Save.
Admissions, Discharges and Transfers
A patient can be admitted, discharged or transferred from Patient Summary or Patient Visits under Current Visit Actions.
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For an example look at the setup in the demo data. See Demo.
Configure Metadata
Click on the Configure Metadata app on the main apps screen. If you want to add, edit, retire/restore or delete metadata in the new UI, this is where you go.
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When you click on any of the links in blue above, you should be able to view page that lists the respective metadata, the action column on the right has these icons , click the pencil icon to edit, the 'x' icon to retire and the trash icon to delete items forever. When you retire an item, the 'x' icon gets replaced with 'restore' icon which when clicked should un retire the item. To add a new piece of metadata, click on the add button at the top of the listing page, e.g 'Add New Encounter Type' in case of encounter types.
Manage Forms
Under the Configure Metadata screen, there is now a new app to "Manage Forms". It is possible to add custom forms to the new user interface without any custom programming! When you initially enter Manage Forms, it shows you a list of forms that exist in the system. Obviously, before you can configure where a custom form will appear in the system, you must create the form. Both HTML and XForms are supported, but they must be created through the legacy user interface, under System Administration - Advanced Administration.
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Show If - Do you want to display the form only if the patient has certain characteristics? Perhaps you would only want a maternal health form to be visible on the patient dashboard of a female patient. You would use something like "patient.person.gender=='F' && patient.person.birthdate < '2001-01-01T00:00:00.000+0000' && patient.person.dead==false". Or show if males with an active visit "visit.active && patient.person.gender=='M' ". Or show if the patient has a current visit and they are currently admitted, "visit.active && visit.admitted". For more information on what properties are available, see the Conditionally displaying Apps and Extensions page.
If you are replacing a built-in form, with a new custom form, you can view the configuration of the integrated forms in the source code.
Data Management (Merge Patient Electronic Records)
Under the Data Management App, you will find the ability to Merge Patient Electronic Records.
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Click the green button labeled Yes, Continue, the records will be merged, the other patient will be archived and you will be redirected to the patient screen.
System Administration
Under the System Administration App, you will find system administration tools. This currently includes the Style Guide, especially useful to programmers, It also includes Advanced Administration which returns you from the new user interface to the legacy user interface. This is useful for configuring legacy settings and modules that don't yet have a user interface in the new UI; like Reporting and Facility Data Module for example. You can also manage global properties and user accounts by selecting the appropriate app from the page shown in the screenshot below, you can navigate to this page by selecting Home -> System Administration.
Manage Apps
This allows implementers to add or remove applications to/from the system without having to build a module. This is done by configuring a JSON definition. For more information see System Administration: Manage Apps.
Viewing And Managing Accounts
In the reference applications, user and provider accounts are linked to a person record and are managed from the same page. From the home page navigate to the account listing page by clicking System Administration -> Manage Accounts as seen in the screenshot above to view all the accounts.
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Note: Retiring and deleting user and provider accounts is not supported as of 2.3 but should be in future releases.
Viewing And Managing Settings (formerly Global Properties from 1.8 downwards)
From the home page navigate to the account listing page by clicking System Administration -> Manage Settings (formerly Global Properties from 1.8 downwards) as seen in the screenshot above to view all the Settings (formerly Global Properties from 1.8 downwards).
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Note: Some Setting (formerly Global Property from 1.8 downwards) values are truncated to fit in the allocated space, clicking the pencil icon should take you to the edit screen from where you can see the entire value. On the listing page, hovering over the name cell should display the description also.
New Features
Built-In Reports
What this module does
Built-in reports OWA provides basic reporting and give some insight into your data in Reference Application distribution. Data can be seen visually how they have spread and it gives an overview about the present data.
Currently there are some basic reports available. If anyone wants to add more sophisticated reports, it's really easy and there are some common components that can be reused from the OWA when it comes to displaying the data.
Documentation / How-To
You need to have the Reference Metadata module 2.7.0 or higher installed in your OpenMRS server. This module includes the report definitions which the built-in reports OWA is being displaying.
Currently there are 10 basic reports have configured.
- Number or Visits
- Number of Patient Registrations
- Number of Admissions per service area
- Number of Transfers per service area
- Number of Discharges per service area
- Number of Visit Notes
- List of Diagnosis’s made and quantity
- List of Providers (grouped by active/retired)
- List of Users (grouped by active/retired)
- List of new Patient Registrations
You can see those reports under Administration -> Manage Report Definitions -> Report Administration once you install the Reference Metadata module 2.7.0 or higher.
After ensuring that the reports are properly configured with the Reference Metadata module installation, you can upload the openmrs-owa-built-in-reports to your OpenMRS server.
Then you can open up the owa from Administration -> Open Web Apps Module -> Manage Apps -> Built In Reports.
Downloads
https://github.com/JudeNiroshan/openmrs-owa-built-in-reports
Screenshots
List of Users in the OpenMRS system has visualized as follows:
List of Diagnosis in the entire system is available as below:
When there is no data in OpenMRS for any of the reports, it will be indicated to the user like below:
More MetaData Management in Admin UI
OpenMRS Legacy Module contains a lot of administrative functionalities which are needed to manage the reference application. Most of this administrative functionalities contain a legacy model and less experience to the users. So OpenMRS Community wanted to migrate those administrative features to the Modern Open web app view.
More Metadata Management in AdminUI project is one of those projects which are designed to migrate some of these administrative functionalities to the modern open web app view. In the More Meta data Management in AdminUI project, We focused on this following functionalities,
1. Manage Modules - This feature will be used to manage the modules in the OpenMRS reference application.
2. System Information - This feature will be used to display the System information about the OpenMRS server and the system.
3. Manage Scheduler - This feature will be used to manage the tasks in the OpenMRS reference application.These features are implemented as Open Web Apps with the modern view to the users.
Implementation
Those features are implemented as an Open Web App and included into the SysAdmin Open Wep App.
Used technologies for the developments,
- Front End Development : HTML, CSS, Angular JS, jQuery
- Back End Development: Java, REST API
Manage Modules
This feature will be used to manage the modules in the OpenMRS reference application. Users can use this implementation for this following functionalities,
Features of the Manage Modules
Functionalities
Modification
New/ Existing/ Modified Feature
1. List all the installed Module
New Icons used to indicate the module status
Modified Feature
2. Start the module
No Modifications Existing Feature
3. Stop the module
Confirmation Pop up will be shown with the dependent modules details to alert the user
Modified Feature
4. Delete/Unload the module
Confirmation Pop up will be shown with the dependent modules details to alert the user
Modified Feature
5. Check updates
Module updates will be checked with OpenMRS AddOns and listed in the new page for
the user selection.Modified Feature
6. Check one module update
Check the update with OpenMRS AddOns and indicate the update status
New Feature
7. Start All Modules
No Modifications Existing Feature
8. Add/Upgrade Modules
Implemented Drag and Drop feature
Modified Feature
9. Search Modules
Connected with OpenMRS Addons and user can search the module independently
Modified Feature
10. Search Module Information
User can view the detailed information about the searched module
New Feature
11. Module Information View
Used to display the module information with required modules, aware of modules,
and depend on module detailsNew Feature
12. View not installed module information
Connected with OpenMRS add-ons and indicate the user about the installation features.
New Feature
System Information
This feature will be used to display the System information about the OpenMRS server and the system. Users can use this feature to get this following information,
OpenMRS Information
Operating System Information
Java Runtime Information
User Information
Memory Information
Database Information
Module Information
New Features
Divided the existing System Information under different set of categories to increase the usability
Used some new kind of Icons to illustrate the Information Category properly
Modified Module Information Section with some new ideas.
Manage Scheduler
This feature will be used to manage the tasks in the OpenMRS reference application. Users can use this implementation for this following functionalities,
Features of the Manage Modules
Functionalities
Modification
New/Existing/Modified Feature
1.List all the installed Module
New Icons and UI used to indicate the module status
Modified Feature
2. Schedule Task
No Modifications Existing Feature
3. Shutdown Task
Confirmation Pop up will be shown to alert the user
Modified Feature
4. Reschedule Task
It will reschedule the existing task in the system
New Feature
5. Delete Task
Confirmation Pop up will be shown to alert the user
Modified Feature
6. Reschedule All Tasks
It will reschedule all the tasks in the system
New Feature
7. Shutdown All Tasks
It will shut down all the tasks in the system
New Feature
8. Startup Tasks
It will reschedule all the tasks in the system
New Feature
9. Refresh Tasks
It will refresh the list of registered tasks
Existing Feature
10. Add New Task Definition
Used to create new Task Definition
Implemented new UI for this functionality
Modified Feature
11. Edit Task Definition
Used to edit existing Task Definition
Implemented new UI for this functionality
Modified Feature
OWA included in RA - System Administration, Add-on Manager and Cohort Builder
See this RA-1427Biometrics Support in Registration App
See These Tickets ( RA-1406 ,RA-1407 ,RA-1391 ,RA-1395 ,RA-1397 )Sticky Note on the Patient Dashboard
See RA-1287Ability to edit implementation forms
See Ticket and try it out at qa-refappPre-built Reporting Tools
See RA-1257 and RA-1258
OpenMRS Atlas
New to the OpenMRS 2.1 user interface is the OpenMRS Atlas configuration. When the implementation is first established, you must link ownership with an OpenMRS ID. Click “Sign in with your OpenMRS ID” and provide your OpenMRS ID and password. If your browser is already logged in to OpenMRS ID, it will use that account automatically when you click "Sign in".
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