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Definitions

  • Main user: Reception / Registration Clerks. Or, at smaller sites, Nurses or Clinicians who are also providing care. 

User Stories

SummaryUser StoryPriorityNotes
Register a new patient
  • First Registration at Site
  • Search to check for matching/duplicate patients: 
    • Local System Search + MPI Search all at once
    • Ideally seamless one-step process, not multiple. 
Status
subtletrue
colourRed
titleHIGH

Search for an existing patient
  • Subsequent visit at a Site
Status
subtletrue
colourRed
titleHIGH

Send updates ...to a patient identity (X Y Z changed)
Status
subtletrue
colourYellow
titleMedium

Retrieve updates 

...to the identity for an existing local patient
Status
subtletrue
colourYellow
titleMedium

De-duplication at local levelAuthorized users should be able to id likely duplicates, review, and either merge or mark resolved. 
Status
subtletrue
colourYellow
titleMedium

De-duplication at local level escalated nationallyAuthorized users to run de-dupe processes locally to i.d. matching patients that could be sent back to MPI or CR as potential matches (depends on centralized review and decision making)
Status
subtletrue
colourBlue
titleLow

De-duplication between local and national level:

Match locally with someone nationally: eg orphaned record never added to our facility; but we find their record from another facility available in the MPI. (distributed decision making)
Status
subtletrue
colourBlue
titleLow

 


In RegistrationIn Search
UgEMR v3Screenshot 2024-02-09 at 01.32.42Image Modified
KeEMR v3

KeEMR v2Image Modified
Ozone

DS4_HC_Patient Search-Results-PMRSpromptImage Modified

Ampath v3

Image Modified


Ampath v2




When an AMD/GD/OP enters patient information (i.e., care code and socio demogs such as name, sex, age, and/or DOB) from a new paper-based patient chart into OpenMRS, and tries to validate
if this patient potentially already exists, OpenMRS will query PIM when there is an active internet connection to check if the patient has been already registered. The query will be made possible by the connection between OpenMRS and PIM.

...

If deciding not to create the new patient, duplication flags will be created and stored in PIM, and users can access previous duplication flags through PIM.

Data Variables Needed

The EMR Needs:
Care code

First and last names

Sex

Age or DOB

UPID

Address

Cell phone number

...