Info

icon	false
title	Participants involved creating this Gap Analysis:

Keziah Muiruri, Lousa Yogo, Kote Cosmas Eric Achillah Jacqueline Njeri, @Nyevu Karisa, Grace Potma

____

Info

icon	false
title	Reference Demos (videos or demo environments)

eHospital Demo
Demo link: https://demoehospital.intellisoftkenya.com/
EMR Module: Username: clerk | Password: Clerk123
Lab Module: Username: lab | Password: Lab123!
Stock, Inventory & Billing: Username: billing | Password: Billing123

___

Note

icon	false
title	Scope Plan

Note

title	Questions/Concerns/Gaps for Discussion:

____

Info

icon	false
title	Next Steps

Facility re-visit
Initial Gap Analysis
- First session: Sample workflow walkthrough
- Second session: Sample O3.x walkthrough

Gap Analysis

Info

title	Legend

Gap Status:

Status

colour	Green
title	Ready

Status


colour	Yellow
title	To Config

Status


colour	Red
title	Gap

Gap Priority:

Status


colour	Green
title	LOW

Status


colour	Yellow
title	Medium

Status


colour	Red
title	High

Note
Note: Any OMRS tickets identified/created in this process should be labelled "kenyaemr"

To ConfigRegistration - PaymentGapConsultationEncounter Form

Theme

Feature

Current State in eHospital OR Client Requirement

Future State (with 3.x)

Status

Priority

Notes/Comments

Login

Image Added

Status

colour	Green
title	Ready

Status

colour	Green
title	Low

Home

Home page

Image Added

Status


colour	Red
title	Gap

Status


colour	Red
title	High

***This is a good opportunity for KenyaEMR Dev team.

Search

Image Added

Able to see more info about client and do actions on the client even from the search list

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Use as is

Search

Search - using phone number

Image Added

Feature request

Status


colour	Yellow
title	To Config

Status


colour	Yellow
title	Medium

This depends on metadata configuration

Search

Search auto-complete

Auto-searches Does not autosearch as you type

Image Removed

Bug: Search doesn't auto-run as you type

Image Added

Status


colour	Red
title	Gap

Status


colour	Red
title	High

Complete search still works

Search

Search - actions bug

Bug: Clicking on Add past visit not working

Status


colour	Red
title	Gap

Status


colour	Red
title	High

Registration

Registration fields

Image RemovedImage RemovedImage RemovedImage Added

Sex - drop 'Other' and 'Unknown' option
Date of birth - Auto calculate the estimated date of birth from estimated years
Ability to record multiple identifiers e.g. Patient Clinic number, National ID number etc.
IncludeAdd the following data elements
- Nationality
- Identification document (Passport, Birth Certificate or National ID) alongside the identification document number
- Next of Kin
- marital Marital status
- Occupation (Comprehensive list)
- Education level
- Guardian (For children under 18 years)
Ability to edit the relationship feature independently
Deceased status
Death information - Date of death, Cause/Reason of death

Status


colour	Red
title	Gap

Status


colour	Red
title	High

Registration

Address hierarchy

just for Country, Sub-County, Ward

Image RemovedImage Added

Separate the Contact Details from the Residential information

Add a field for an Alternative Contact/Telephone number

Image Added

Status


colour	Yellow
title	To Config

Status


colour	Yellow
title	Medium

Various addresses in KenyaEMR to be included

Registration

Blocker Bug: Can't successfully register new patient

Image Removed

Status

colour

Red

title

Gap

Status

colour	Red
title	High

Registration

Estimated age should auto-populate the estimated DOB

Image Removed

Expect DOB to populate basted on

Image RemovedImage Added

Have the Date of Birth auto-populated once the estimated age is input. The option to input either the age or the DOB displayed in the same screen instead of clicking the Yes/No option.

Image Added

Status


colour	Red
title	Gap

Status


colour	Red
title	High

Registration

Ability to add multiple ID Numbers

Image RemovedCurrently only allows capturing of the national ID.

Image Added

Status


colour	Yellow
title	To Config

Status


colour	Red
title	High

Registration

Relationship list

This is also the Next of Kin

Image Added

Allow capturing of the Next of Kin

(like Contact person)

Different than adding a relationship

Image Removed

's contact details.
Some of the relationship types are repretitive

Image Added

Status


colour	RedYellow
title	GapTO CONFIG

Status


colour	RedYellow
title	HighMEDIUM

Registration

Combine Relationship & Next of Kin in one area

Nice to have in near future: Contact/phone number & Address of someone who is BOTH a "Relationship" and a "Next of Kin/Contact" (so that not duplicating doing both Relationship and NoK information)

Discussed with devs - they said we can just add both fields into a from.

Status

colour

Yellow

title

Image Added

Allow addition of payment details/fees. This allows the registration clerk to specify the fees for each visit type and also the type of payment. The following options can be included:

Payment type
1. Cash
2. Mobile Money
3. Insurance
Exempt payment - this could apply for scenarios where a patient return to the hospital within 24hrs thus they do not need to pay registration/consultancy fees
Consultation fee
Waivered - for patients who cannot afford to pay for the services and are waivered

Status


colour	Red
title	GAP

Status


colour	Red
title	HighHIGH

RegistrationQueues

Relationships listQueues

Image RemovedImage Added

Status


colour	YellowRed
title	To ConfigGAP

Status


colour	GreenRed
title	LowHIGH

Patient Chart

Role Based Dashboards

Clerical Dashboard?

& different dashboard for Triage nurse vs clinician

Clinician wants to see just what they need

Image Removed

e.g. Triage:

Image Removed

e.g. Clinician: (it's only the available forms and completed forms that are different between Triage nurse and Clinician - only forms applicable for Triage nurse will be seen by triage)

Image Removed

Also forms shown depend on programs pt enrolled in (e.g. MCH, TB, etc)

Image Removed

Dashboards

The clinican is able to have a quick glance of any services provided to the patient across all points of care

Image Added

Status


colour	Yellow
title	To Config

Set up Clinical Views for program

Status


colour	Red
title	High

Patient Chart

Overview

Check-in

Check in to visit

(Same as starting a visitClick on the Consultation button)

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Form fieldsTriage

Consultation

History & Examination

Image Added

Consultation

Vitals: Form

Using Triage app

Captures Reason for visit

Configure: Add LMP

Label change : From 'Biometric' to 'Other recordings'

Image Removed

Image RemovedThe system flags abnormal values immediately as data is being captured for clinical decision support

Image Added

The system flags abnormal values after the data has been saved

Image Added

Status


colour	Red
title	GapHigh

Status


colour	Red
title	High

Triage

Vitals: Recent. See recent vitals beside Current

Image Removed

(Should see Date last taken as well as the recent measurements)

Status

colour	Green
title	Ready

Just need to set up form

Triage

Check Alerts (aka Clinical Decision features) - gives quick glance of key things (e.g. on ART) or for info that needs to be ready before patient sees clinician (e.g. get VL result)

Image Removed

See client is due for VL test - either they haven't had it or it hasn't been entered.

Include Clinical decision support features

Status

colour

Red

title

Adding other Observation form

The clinician can select whichever observation forms they need to fill

Image Added

Status


colour	Yellow
title	TO CONFIG

Status


colour	Red
title	High

Clinician Visit

See Vital Signs Viewing vital signs and other information as part of form the workflow

Clinician themselves can also take new measurements (the "Recent" shows what was done at the desk)

This enables the clinician to double check the result if they are concerned about the result or they want to verify it.

Image Removed

Image RemovedThe clinician is able to view the date services were provided and the data captured. This enables them have a glance of the patient's history.

Image Added

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Patient ChartPatient

Chart (Overview) is separate from Triage & Clinician dashboard

Image Removed

Already brought together - can quickly toggle to summary. Don't have to open separate chart

Image Removed

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Patient Homepage

Enroll

Image Removed

Based on what patient qualifies for (e.g. 34yo wouldn't see pediatric options) - all sites have the same options; options are based on client

Image Removed

Status

colour

Yellow

title

To Config

Status

colour	Yellow
title	Medium

Program Enrollment

Program Enrollment form

Trigger form based on which program you want them enrolled into

Image Removed

Status

colour

Yellow

title

To Config

Status

colour

Red

title

High

Program Enrollment

Form Builder need

Form changes based on type of transfer (e.g. Transfer In vs Transit)

Image RemovedImage Removed

Status

colour

Yellow

title

To Config

Status

colour

Red

title

High

Set up the forms in Ampath forms

Program Enrollment

Form Builder need

Some sites need auto generator and ability to add multiple ID numbers

Image Removed

Does not have a separate chart but allows the clinician to view the patient's chart

Image Added

The patient summary tab provides and overview of the patient chart

Image Added

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Program Enrollment

Form Builder need

Auto populate facility name

Image Removed

Status

colour

Red

title

Gap

Status

colour

Yellow

title

Medium

Program Enrollment

Form Builder need

Would be nice to auto-populate this (just an idea from Grace)

Image Removed

Clinical Encounter

Clinical Encounter Form

Pick a form from an "Avail

Image Removed

"Recommended" just shows recommended for the HIV return visit.

Consultation

Enroll on a Program

As many programs as possible can be configured and be added for selection

Image Added

Allows selection and enrollment of a patient to several programs

Image Added

Status


colour	Yellow
title	To Config

Status

colour	RedYellow
title	High

Need some config to specify what forms are recommended for what visit types. _____

Medium

Clinical Encounter

Form

Image Removed

Status

colour

Red

title

Gap

Status

colour

Red

title

High

Could create form in Ampath Forms next?

Clinical Encounter

Form Builder need

Form options change based on radio selection

Image Removed

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Clinical Encounter

Builder need

Whole sections open or hide based on radio selection (in this case having a "Yes" in the TB screening questions opened an "Action Taken" section)

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Clinical Encounter

Form Builder need

Opens Modal with IPT form so you can do it right there

Component Forms in Ampath Forms

when you update a component it will affect the forms that share the same component. A modal is also shown to ask if you would want to implement the changes to other forms that share the same component.

Status

colour	Green
title	Ready

(UI slightly different)

Status

colour	Green
title	Ready

Clinical Encounter

Form Builder need

Complete a required field/question using a related but separate checkbox

Status


colour	Red
title	Gap

Status


colour	Red
title	High

Clinical Encounter

Form Builder need

Table style form entry. Goal is to allow user to see all this at once.

Currently no table layout in Ampath Forms

But can still gather the info

Status


colour	Red
title	Gap

Status


colour	Yellow
title	Medium

Clinical Encounter

Form Builder need

Appointment

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Clinical Encounter

Form Builder need

Autopopulation of a question based on other answers (e.g. "False" because No was selected for all)

Support in Ampath Forms

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Clinical Encounter

Form Builder need

Error message blocks submission if incomplete; which area is incomplete

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Clinical Encounter

Form closing

Ability to collapse incomplete form and come back to it (user request)

Status

colour	Green
title	Ready

Status

colour	Green
title	Ready

Orders

Drug Order

New Drug Order:

Order Basket

Status


colour	Grey
title	TO REVIEW

Status


colour	Grey
title	TO REVIEW

Pharmacy

Post to ADT Cue:

ADT Integration with Pharmacy System

Status


colour	Red
title	Gap

Status


colour	Red
title	High

Clinical Encounter

Lab Orders

Image Added

Ampath:

Status


colour	Grey
title	TO REVIEW

Status


colour	Grey
title	TO REVIEW

Clinical Encounter

Lab Results

Status


colour	Grey
title	TO REVIEW

Status


colour	Grey
title	TO REVIEW

Clinical Encounter

Give reason for change or stop (eg. toxicity)

Status


colour	Grey
title	TO REVIEW

Status


colour	Grey
title	TO REVIEW

Pharmacy

Dispense History

They get dispense history from ADT back to Kenya EMR, this is how they confirm dispensing has happened. Then drug is moved into "Past Drug Orders".

No UI to show what was dispensed

Status


colour	Red
title	Gap

Lab Orders

Panel

Capture order date and reason

Confirm orders:

Imaging

Labs

Referrals

Med

Status


colour	Red
title	Gap

Lab Orders

Integration

Order is moved to "previous orders" when the Lab system sends the result back

Status


colour	Red
title	Gap

Lab Orders

Lab result entry

Facility enters lab results manually

Status


colour	Yellow
title	To Config

HTS Contact Tracing

Contact Listing for HTS

Register Contact: Form autopopulates when you click "Register" under contact

No widget for this now, can be configured.

Status


colour	Yellow
title	To Config

Status


colour	Red
title	High

HTS Form

HTS

Status


colour	Yellow
title	To Config

Recommended: Set up in Ampath Forms

Calendar

Registration desk uses this to prepare for the clinic

Could use Appointment Module

Seen patients:

Status


colour	Grey
title	TO REVIEW

Status


colour	Grey
title	TO REVIEW

Appointments

When booking appointments, can see how many patients are already booked for that day

Status


colour	Grey
title	TO REVIEW

Status


colour	Grey
title	TO REVIEW

Appointments

Update Appointment date

Status

colour	Green
title	Ready

FYI: Patient appointments not directly connected to calendar

- Eligibility:
  - Forms AND Programs are shown based on ELIGIBILITY
  - Forms only show up when someone in X program
  - config where forms are tied to visit type
  - ideally config would work across other areas e.g. program elibility
    - → Ken & Donald & JJ to follow up
    - Ability to discontinue or edit programs
BA Acceptance testing of form (may be some overlap with form issues already uncovered and addressed at Ampath)
- Not allow future dates for some date q's (already exists as property of date range. Can also be used to exclude PAST dates, e.g. booking an Apptmt)
- Offline issue
- Demo envis different
  - Ability to hide sections/pages based on previous answers

Contact Tracing

Contact Tracing
No "OpenMRS 3" way to do Contact Tracing, yet - would need to include discussion on backend support for how you handle contacts (so you don't have to create them as Patients when they are just a Contact)
Used by both clinicians and HTS when looking at index client
When turn +: Just click "Register" button on the contact:

Gap Status:

Status

colour	Green
title	Ready

Status


colour	Yellow
title	To Config

Status


colour	Red
title	Gap

Gap Priority:

Status


colour	Green
title	LOW

Status


colour	Yellow
title	Medium

Status


colour	Red
title	High

Link to Jira Issues for Gaps

Jira Legacy

server	OpenMRS Issues
columnIds	issuekey,summary,issuetype,created,updated,duedate,assignee,reporter,priority,status,resolution
columns	key,summary,type,created,updated,due,assignee,reporter,priority,status,resolution
maximumIssues	20
jqlQuery	labels = kenyaemr AND resolution = unresolved
serverId	45c5771b-fa4b-3e43-b34a-c19dc45ccc95

Versions Compared

Old Version 1

New Version 2

Key

Gap Analysis

Link to Jira Issues for Gaps

Page Comparison

Versions Compared

Old Version 1

New Version 2

Key

Gap Analysis

Link to Jira Issues for Gaps