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This form bank is an exchange area between OpenMRS implementers to share electronic forms.  Please consider exporting your forms with the Metadata Sharing Module and sharing them here. Contributors should attach the OpenMRS form to this page, along with an optional original paper form. It is recommended that metadata sharing module is used to create a zip file which contains the form along with all dependencies (concepts, datatypes, classes, etc). The form could be htmlform, Xforms or an Infopath form.  To use a form from the form bank, you will need to download and install the Metadata Sharing Module.  You can find instructions for importing metadata (the XML files on this page) in the User's Guide for Metadata Sharing.

Forms can now be exported between various versions of OpenMRS.  See OpenMRS ticket [META-44] and  [META-168]

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Contributor

Program

Description

OpenMRS 1.8OpenMRS 1.9OpenMRS 1.10

Paper form (optional)

   MDS package created with OpenMRS 1.8.3, Metadata Sharing 1.0.1 and htmlform 1.8.3-SNAPSHOT MDS package created with OpenMRS 1.9.2, Metadata Sharing 1.1.8 and htmlform 2.0.5MDS package created with OpenMRS 1.10.1, Metadata Sharing 1.1.8 and htmlform 2.5-SNAPSHOT 
Ellen Ball on Nov 2017Haiti forms for multiple clinical programsPrimary care, oncology, surgery, NCD, mental health, etc.  Github   
Ellen Ball on Nov 2017PIH Malawi forms for HIV and NCDsHIV, NCD (hypertension, diabetes, epilepsy, mental health, chronic lung disease) Github  
James ArbaughHospital Albert Schweitzer Haition Jan. 2015VaccinationVaccination and Supplement Form  Vaccination_and_Supplement

Carte Nationale de Vaccination 2.jpg

Vaccination_and_Supplement_HTML.txt

Vaccination_Form_Features_Explanation.pdf

James ArbaughHospital Albert Schweitzer Haiti on Jan. 2015PrenatalBasic Prenatal Form  Prenatal
 

Hospital Albert Schweitzer Haiti by James Arbaugh on 24 Feb. 2012

Lab

Lab form for entering various lab results

Lab [metadata of htmlform]  

 

Hospital Albert Schweitzer Haiti by James Arbaugh on 10 April 2012

Hospital Admission/Discharge

Form for entering hospital admission and discharge information.

Hospital Admission/Discharge [metadata of htmlform]

(MDS 1.0.5 and HFE 1.9.1)

  

Hospital Admission Form [pdf] (At time of admission, initial information is entered, and the HTML form is printed.  The doctor writes his notes on the printed form.)

Hospital Albert Schweitzer Haiti by James Arbaugh on 24 Feb. 2012

Surgery

Surgery Form based on the anesthesia paper form.

Surgery [metadata of htmlform]  

Anesthesia Record [pdf]

Partners In Health by Ellen Ball on 28 January 2015SurgeryPost-operative surgery note 

Surgery post-operative note

(OpenMRS 1.9.4 with MDS 1.1.8 and HFE 2.2.1)

  
Partners In Health by Ellen Ball on 17 August 2015OncologyOncology consult note 

Oncology consult note (English)

(OpenMRS 1.9.8 with MDS 1.1.8 and HFE 2.2.1)

Note: This looks great with RefApp SimpleFormUI and message.properties.

 Oncology Consult Note [docx] (with additional sections for specimen tracking)

Partners In Health by Ellen Ball on 9 April 2012

Rehabilitation

Rehabilitation evaluation in English

 

Rehabilition Evaluation [metadata of htmlform]

(MDS 1.1, HFE 1.10)

 

Rehab Evaluation [doc]

Partners In Health by Ellen Ball on 12 April 2012

HIV PMTCT

Lesotho HIV PMTCT followup in English

 

Lesotho HIV PMTCT

 lesotho_htmlform_common.js [javascript]

(MDS; HFE 2.2.1)

 

 

Partners In Health by Ellen Ball on 12 April 2012 

HIV Adult

Rwanda HIV adult intake (DdB) in French

 Rwanda HIV DdB [metadata of htmlform] 

HIV Adult intake [doc]

Partners In Health by Ellen Ball on 12 February 2015 HIVMalawi ART Visit in English HIV ART Visit [metadata of htmlform]  
Partners In Health by Ellen Ball on 12 February 2015 HIV AdultRwanda HIV adult flowsheet (followup) in French HIV Adult flowsheets [metadata of htmlform] Forms include allergies, OI, problems, labs, hospitalization, and visit.  
Partners In Health by Ellen Ball on 12 February 2015 HIVLesotho HIV forms: ART, Pre-ART, and PMTCT Lesotho HIV followups [metadata of htmlforms]  

Partners In Health by Ellen Ball on 12 April 2012

HIV Pediatric

Rwanda HIV pediatric intake (DdB) in French.

 Rwanda Pediatric HIV DdB [metadata of htmlform] 

DdB HIV Pediatric RW [doc]

Partners In Health by Ellen Ball on 12 April 2012

HIV-exposed infants

Rwanda HIV-exposed infant intake (DdB) in French

 HIV-exposed infant intake [metadata of htmlform] 

ExposedInfant Intake [word]

Partners In Health by Ellen Ball on 12 April 2012

HIV-exposed infants

Rwanda HIV-exposed infant followup in French

 HIV-exposed_infant followup [metadata of htmlform] 

ExposedInfant Followup [word]

Partners In Health by Ellen Ball on 12 April 2012

HIV-exposed infants

Rwanda HIV-exposed infant clinic visit in French

 HIV-exposed_infant visit [metadata of htmlform] 

ExposedInfantFlowsheet [word]

Partners In Health by Ellen Ball on 12 April 2012

HIV (lab)

Rwanda HIV Lab Results, French

   

Rwanda HIVTB Lab Results [doc]

Partners In Health by Ellen Ball on 5 June 2014MDRTBMDRTB (Multidrug- resistant Tuberculosis) intake form use in Haiti   MDRTB Donnees de Base [doc]

Partners In Health by Ellen Ball on 12 April 2012

MDRTB (lab)

Haiti - lab results for MDRTB patients includes all lab results.

 MDR - RESULTAT DE LABORATOIRE [metadata of html form] (OpenMRS 1.9.4; MDS 1.1.8; HFE 2.2.1) 

Mdr Resultat de Laboratoire [doc]

Partners In Health by Ellen Ball on 5 June 2014

MDRTB

MDRTB followup (RdV) for Haiti in French.

   

Mdr Rv Haiti [doc]

Partners In Health by Ellen Ball on 12 April 2012

Non-communicable disease (NCD)
Heart Failure

Intake Form - Heart Failure or Edematous State
in French

 Heart Failure Intake [metadata of htmlform] 

Heart Failure Intake Form [word]

Partners In Health by Ellen Ball on 12 April 2012

NCD
Heart Failure

Cardiology consult form French with English

 Cardiology Consult [metadata of htmlform] 

Cardiology consultation [word]

Partners In Health by Ellen Ball on 12 April 2012

NCD Heart Failure

Rwanda heart failure flowsheet.

 Rwanda HF Flowsheet [metadata of htmlform] 

Rwanda HF Flowsheet [doc]

Partners In Health by Ellen Ball on 12 April 2012

NCD Hypertension

Rwanda hypertension flowsheet.

 Rwanda Hypertension Flowsheet [metadata of htmlform] 

Flow HTN RW [doc]

Partners In Health by Ellen Ball on 12 April 2012

NCD Hypertension

Rwanda hypertension intake (ddb) form.

 Rwanda Hypertension ddb [metadata of htmlform] 

DDB HTN RW [doc]

Partners In Health by Ellen Ball on 12 April 2012

NCD
Diabetes

Diabetes intake form French with English

 Diabetes Intake [metadata of htmlform] 

Diabetes intake [word]

Partners In Health by Ellen Ball on 12 April 2012

NCD Asthma

Rwanda Asthma intake form

 

Rwanda Asthma Ddb [metadata of htmlform]

 

DDB Asthma RW [doc]

Partners In Health by Ellen Ball on 16 August 2011

NCD Epilepsy

Rwanda Epilepsy intake form

 Rwanda Epilepsy Ddb [metadata of htmlform] 

Epilepsy intake [word]

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