All data is entered into the EMR at point-of-care.  Registration of all new patients is completed by data archivists (name, gender, birthdate, address, insurance info, mother’s name, contact information, etc).  New and returning patients are “checked in” by cashiers who collect payment.  The registration and check-in software is exactly the same as used at University Hospital in Mirebalais.  At check-in, the reason for visit is recorded (ie.  HIV, TB, etc)  (Figure 1).

For Thomonde and Lacolline, the system was expanded to collect the entire visit note so that data would be easily available for patient care and decision support.  A clinical dashboard (Figure 2) was created for a simple summary of the most recent information (ie. vitals, diagnoses, visits, allergies).

After a patient visit is started, the clinician selects the appropriate action (vitals, intake or followup; adult or pediatric).  There are many sections in the various forms (Figure 3) -- but there is a summary available for all the data captured in each section. A printout is available from this page that can be added to the patient file.