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Note

This page is outdated and no longer receives updates!

Overview

Reference Application 2.8.0  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 
Anchor
demo
demo

You can explore the latest released version of the Reference Application by going to demo.openmrs.org and signing in with the following credentials:

username:

doctor

nurse

clerk

sysadmin

password:

Doctor123

Nurse123

Clerk123

Sysadmin123

Each user has access to different parts of the application and we encourage you to explore them all.

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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.

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When you first open up the Reference Application you will see a login screen.Image Removed

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You can login as a system developer with full privileges by giving the default username admin and password Admin123. You also need to select Location for this session. (For more details see here.) Locations are configurable from Advanced Administration - Manage locations. In order for a location to appear on a login screen you need to open it up and select a checkbox next to the Login location tag.

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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.)

Each user account has a "default locale" that is applied when they log in. The administrator can set this when creating a user account, or a user can change it on their own from My Account (under their username in the header):

Image Modified 

...then by choosing Default Settings and setting the Default Locale

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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.

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Patient Summary

Once you open up a patient you see a clinical summary.

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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.

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On the right you can find a box with actions. General Actions are:

  • Start Visit - start a visit if there is no active visit yet

  • Add Past Visit - enter a retrospective visit

  • Merge Visits - merge past visits

  • Chart Search - search for patient chart

  • Any forms which are marked as showing up under General Action section

  • Schedule a New Appointment

  • Request Appointment

Current Visit Actions are displayed if there is an active visit and they include:

  • End visit - end a visit

  • Visit Note - enter a visit note

  • Admit to Inpatient / Exit from Inpatient - change a type of visit

  • Transfer to Ward/Service - transfer to a defined location (displayed only when in an inpatient visit)

  • Capture vitals - enter patient's vitals

Note: Some actions may not be visible based on privileges of the currently logged in user.

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You can see it has the same patient header as Patient Summary. Right below on the left you can see a list of visits with date and diagnoses captured during a particular visit. The most recent visit is displayed at the top. You can click at any visit to see its details on the right. It has Visit Actions buttons if a visit is active and a list of encounters, which you can view by clicking show details. It is possible to edit them with the pencil icon or delete with the x icon.

Only encounters that are specifically configured as "editable" can be edited. This is how it's done for the built-in reference application forms. There is currently not a way to edit your own forms.   In order to edit an encounter, you either need to have the privilege "Task: emr.patient.encounter.edit", or else have participated in the encounter.

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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, 

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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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First you enter a primary diagnosis by starting to type in the Add presumed or confirmed diagnosis field. It has an auto-suggest feature which finds diagnosis concepts, but also has the Non-coded selection with the value you entered. You need to pick from the auto-suggest list to add the diagnosis, which then appears on the right under Primary Diagnosis. If you repeat these steps, your selections will appear under Secondary Diagnoses.

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A patient can be admitted, discharged or transferred from Patient Summary or Patient Visits under Current Visit Actions.

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Locations can be configured from System Administration - Advanced Administration - Manage Locations. You need to have a location marked with the Visit location tag, which has children marked with the Admission location or Transfer location tags.

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 Image Modified, 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.

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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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After you've created your custom form that you want to add to the new user interface / patient dashboard, you can click "Add" in the UI column next to the form name, as seen in the screenshot above.  Clicking "Add" opens up the configuration screen for that form.

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There is a rich user interface for configuring metadata i.e add, create, retire/void, restore and delete metadata, as seen above you can also configure where and how your form will appear.  Let's discuss these settings individually.

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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.

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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.

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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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  •  To add a new account, from the account listing page, click on the 'Add New Account'  button, fill the form and save.

  •  To Edit an existing account, from the account listing page click the pencil icon beside the account you wish to edit.

    Image Modified
  1. To edit the person details, under person details section click on the pencil icon on the right, make changes and save or press cancel if you don't wish to save the changes.

  2. To add a new user account, under user details section click on the last tab with the '+' sign, make changes and save or press cancel if you don't wish to save the changes. It now includes support for user capabilities.

    Image Modified
  3. To edit an existing user account, under user details section click on the associated pencil icon on the right hand side of the tab content pane for that user account, make changes and save or press cancel if you don't wish to save the changes. 

  4. To add a new provider account, under provider details section click on the last tab with the '+' sign, make changes and save or press cancel if you don't wish to save the changes.

  5. To edit an existing provider account, under provider details section click on the associated pencil icon on the right hand side of the tab content pane for that provider account, make changes and save or press cancel if you don't wish to save the changes.

Note: Retiring and deleting user and provider accounts is not supported as of 2.3 but should be in future releases.

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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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  • Click on the 'Add New Setting (formerly Global Property from 1.8 downwards)' button to add a new Setting (formerly Global Property from 1.8 downwards).

  • The action column on the right has these icons 

    Image Modified

    , click the pencil icon to edit and the trash icon to delete a setting (formerly global property from platform 1.8 downwards).

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:

    Image Modified

     

    List of Diagnosis in the entire system is available as below:

    Image Modified

     

    When there is no data in OpenMRS for any of the reports, it will be indicated to the user like below:

    Image Modified

     

    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

    Image Modified

    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 details

    New 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,

    1. OpenMRS Information

    2. Operating System Information

    3. Java Runtime Information

    4. User Information

    5. Memory Information

    6. Database Information

    7. Module Information

    New Features

    1. Divided the existing System Information under different set of categories to increase the usability

    2. Used some new kind of Icons to illustrate the Information Category properly

    3. 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


      More Info here  wiki  and this blog

  • OWA  included in RA - System Administration, Add-on Manager and Cohort Builder

    See this RA-1427

  • Biometrics 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-1287  

  • Ability to edit implementation forms  

    See Ticket and try it out at  qa-refapp

  • Pre-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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