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  • Lacolline V1 (2012 - 2015):  Patient registration was introduced at the Lacolline health center to replace an EpiInfo system. The Lacolline EMR produced plastic ID cards to patients, registered new patients with demographic information, collected information at check-in to the clinic, and recorded diagnoses from paper dossier by data entry clerk after the visit in the outpatient clinic.  Patient registration and payments were entered at point-of-care.  This EMR guided requirements and development of the sophisticated Mirebalais EMR.  OpenMRS V1.9 with custom modules.

  • MDRTB EMR (2014 - present):  Multidrug-resistant TB (MDRTB) EMR in Cange and Hinche with local servers.  An earlier ZL MDRTB EMR (2009) was cloud-based and required reliable internet.   OpenMRS V1.9 with MDRTB module.

  • Mirebalais EMR (2013 - present):  The initial implementation of the ZL EMR. Record every patient who arrives for care at the University Hospital at Mirebalais (HUM) (Outpatient (SSPH), Emergency, Inpatient, Surgery, Women’s Health, Radiology, Dental, etc) and data entered at point-of-care (new patient registration, patient check-in, clinical consult, vitals, radiology orders, PACS integration, surgery, chemotherapy, appointment scheduling, drug dispensing, etc).  Recent additions include mental health assessment, emergency triage workflow, mental health assessment, insurance information, and medical procedures.  The Mirebalais EMR MVP was used to create the OpenMRS 2.0 and the OpenMRS Reference Application.

  • Mental Health EMR (2016 - present):  All ZL mental health patient assessments are captured in multiple servers.  Mental health patients at Mirebalais are on multiple laptops while at University Hospital at Mirebalais, patient data is recorded directly into the Mirebalais EMR.  For the other clinical facilities, mental health staff has OpenMRS is installed on their laptops.  They use the local server/laptop to record the mental health assessmentthe laptops of the Mental Health staff.  This is necessary because internet is unavailable at those facilities. The laptop is their local EMR server.  On a monthly basis, the laptops are brought to a centralized location with internet where data export and backups are possible.  The Mental Health EMR has the same software as the Mirebalais EMR, but the deployment is different with these "mobile" laptops and disconnected databases.  OpenMRS 1.10 + Reference Application.

  • ZL EMR (2016+): Roll-out of the ZL EMR at Thomonde and Lacolline health centers, with additional functionality for primary care. Lacolline, Thomonde, and Mirebalais share the same software, but with some features toggled on/off.  60K patients were migrated from Lacolline V1 to the Lacolline ZL EMR (2016).  OpenMRS 1.10 + Reference Application.

Technical specifications

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