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Vision

Strategy Themes - and the 4S’s (Stable, Scaleable, Sustainable, and Secure)

Better Care through Better Information.

Stronger digital health ecosystems in countries.

Improve healthcare for millions of people in challenging environments around the world, by empowering Healthcare Workers with the tools they need out-of-the-box.

🎁 Ready for Implementers to scale their work. (Stable)

  1. 📋 Feature-rich EMR for Outpatient management.

  2. 🏃 Easier deployment. Set-up wizard to get you started; tooling to make life easier when you scale.

  3. 📊 Sample Reports & some Clinician-friendly Data Viz

  4. 🏥 Facility-Wide. Growing into Inpatient care. Prioritizing integrations with non-EMR care areas, like Labs, Pharmacy, Inventory, and Billing/Insurance.

  5. ✅ Tested, Trusted Releases. Rapidly see your bug-fixes & new features in global releases. Mandatory test coverage; test automation in PRs and pipelines; regular release cadence with clear notes and stable versions #'s.

🧑‍⚖️ Ready for eHealth Leadership. (Scaleable)

  1. 🏛️ Aligned with Government eHealth Leaders' initiatives (eg HIE, UHC, charge-capture)

  2. ☁️ Cloud-Friendly. Without leaving last-mile sites behind.

  3. 🔒 Invest in Security. (Secure)

  4. 🔥 Invest in Standards, like FHIR.

🤝 We Build Together. More ready & responsive than ever. (Sustainable)

  1. Squads. Work mainly happens through Squads, with Global Support Team support as-needed.

  2. 📖 Docs, 🎓 Academy. Documentation is mission-critical to working together and growing our community.

  3. Vibrant Community: Events and local networks. In-person and virtual connection opportunities. Build local/regional communities.

  4. Dedicated Mentorship Time. We mentor change agents.

Flexible Content for Whole-Patient care. (Scaleable)

  1. 🩺 Ready-to-Go Content.

  2. ✏️ Non-Dev Friendly Content tooling. Form building, clinical terminology management, content sharing. Increase what can be done where there’s not as much dev support available.

  3. 🛑 Decision Support that optimizes for pt safety.

  4. 🈶 In Many Languages. Scale through Translation, a translator community.

Product Roadmap

 ℹ️ About this Product Roadmap

About: This is a dynamic space, open to feedback; a home-base where anyone, especially day-to-day Implementers interested in the OMRS roadmap, can see at a glance some key initiatives going on around our community: what's happening, who's putting resources in, what needs more support, and where there are specific opportunities to join.

Subscribe to Updates: To follow new Roadmap additions or changes, subscribe to this page. Short Link to this page: om.rs/product

Contact: Have an interesting initiative you want to see on the Community Product Roadmap? Contact Director of Product Grace Potma at: grace@openmrs.org and/or Community Coordinator beryl at: beryl@openmrs.org. We'd love to hear about your priorities and current focus areas!

Criteria: How items get on this Community Roadmap

All of these items are:

  • being conducted in a public community process, with involvement & investment from 2+ Organizations

  • being shared with /omrs/5 facilitators, and are receiving some degree of dedicated support from OpenMRS Inc

  • likely to provide wide community value (i.e. fit under the definition of "Shared Assets" for community)  

(tick) Done

Recently completed (<1yr)

(plus) Now

Actively being worked on, in-progress

(lightbulb) Next

Emerging as strong community priorities

❄️ Icebox

Ideas and needs with no active work or engagement yet

  🌐 Translation Guide (Docs)
 ✅🤖 Review all Automated Test Coverage (QA)

OMRS INC

 ✅🧯 Created Release QA Protocol & Team
  • Created Release QA Team, for careful manual review of EMR before every release

  • Protocol here

OPENMRS INC PIH PALLADIUM INTELLISOFT MEKOM VOLUNTEERS

 🏎️ 📲 Loads Faster on Low-resource devices
  • The latest version of the O3 EMR loads faster on low-resource devices

 📶 Reduced Bandwidth usage
  • The latest version of the O3 EMR uses substantially less bandwidth (which is especially helpful for places that pay for bandwidth use). 

 🇫🇷 French Translation of O3 EMR

100% of code strings were translated into French in Q3 2024!

 🎓 Academy: Form Builder course

Implementers can now be trained on the User-Friendly Builder through the new Virtual Academy Course: O3 Form Builder

 ⚠️ Upgraded Abnormal Range UI

Improved how EMR displays numeric values that are out of range: more clear and consistent across whole application.

 Mass Wiki Update (Docs)

Archived hundreds of out-of-date pages and improved Wiki Information Architecture (Article)

 🏋️ Automatic Load & Performance Testing

 ☁️📖 Cloud Hosting Guidance & Kubernetes Testing (Docs)

Cloud/Cluster Deployment Guidelines on Wiki Cloud/Cluster Deployment

 🏎️ O3 Performance 5x Faster

  OMRS INC UW DIGI

Improvements merged; Migration guide for Implementers here

Status: ROLLING OUT 

 ⛳️ CDS: O3 Patient Flags

Initial designs here; we would like to get these done. First legos to support decision support. 

  OMRS INC  FELLOWS

 🖨️ O3 Basic Printing Support

Ability to print things from the EMR, e.g. HIV Clinical Summary

 GSOC '22  PIH

 🔗 ERP Next Integration

Via Ozone Interop Layer. (Odoo already existed)

MEKOM PALLADIUM-KE

 📦 Content Packages v1

Tech Definition & Schema

Plug-In Technology completed and working. Globally reusable templates and kits for disease- or service-specific areas, that plug into OpenMRS, with concepts/terminologies, forms, and apps (e.g. HIV Package).

Wiki | Talk Forum | ___

UW DIGI OMRS INC

 🗂️ Embed Orders, Meds, Allergies, Conditions in Forms

e.g. Starting an Order within a Form Workflow. Forms/notes become the centring piece for teams - we need to figure out how to represent not just data collection, but also embed widgets into the process (so that user doesn't have to click around the EMR to find the information they need while also trying to do a form). users don't have to leave a form to record data in these components.

UCSF-TAP OPENMRS INC UW DIGI METS

 📋 HFE HTML Forms supported in O3

HFE forms can now be opened in the O3 Form workspace!

PIH

 📆 13 Calendars Supported in O3 Date Picker

i18n Date Picker: Ethiopian Calendar + more

OMRS INC  ICAP-ETHIOPIA UCSF-TAP UW DIGI

 🧺 Order History UI (for all kinds of orders)

O3 Labs v2: Order, Status

UCSF-TAP UW DIGI

 🥼 Lab Tech Dashboard (Lite)

O3 Labs v2: Order, Status

UW DIGI UCSF-TAP 

 🧪 Simpler Test Results View

O3 Labs v2: Result

UCSF-TAP OMRS INC SONDER

 🚒 Stable Form Engine in ReactJS, with modern RHF library
 💊 Pharmacy & Dispensing (Lite)

O3 UI to enable Phamacists to review drug orders and mark dispensing status. Now live in Sierra Leone!

 🤖 Support for more OMRS Attributes in FHIR API

Support things we don't currently support in OMRS data model - e.g. pt phone numbers (current support is fragile) - Completed through a GSOC project

 GSOC

 🤓 Moved from Hibernate API to JPA!

Moved from Hibernate API to JPA (Java Persistence API) which attracts talent because this is far more commonly used by backend engineers worldwide (since older technology is not as exciting to work on).

OMRS INC

 ✅Infrastructure Tech Debt Improved (DevOps)

OMRS INC VOLUNTEERS

 🎁 Separate Content Versioning

UW DIGI OPENMRS INC

Separate RefApp software releases from Content releases → means demo data will need to be bundled separately, available like an Add On, and versioned

 🔥🧐 Translating OpenMRS to the OMOP CDM (Common Data Model)

OMRS INC UW DIGI

Make OpenMRS-collected data easier to use for Researchers and Program Decision Makers. (1) Translate OpenMRS to the OMOP Common Data Model and (2) set up a re-useable tooling pipeline for data to be extracted.

Wiki: https://openmrs.atlassian.net/wiki/x/AYBpDw

 ✅🤖 Enhance O3 E2E Automated Test Coverage (QA)
 📖 🤖 API Docs: Use Swagger to Auto-Generate API Docs

UW DIGI OPENMRS INC VOLUNTEERS PIH

Swagger Docs Update: Updating this to use latest version of Swagger, to make more useful → Gives reliable docs for devs on what our REST API can do (instead of maintaining manual docs, auto-generate a library)

 🎁 📝 RDE: 🧐 Better Historical Visit view

PIH MEKOM SONDER

Retrospective Data Entry to enable management and editing of past visits & encounters, chart corrections, etc., in O3 UI.

Status: DESIGN COMPLETE 

 💰 Billing (Lite; for small sites)

PALLADIUMMETSUCSF-TAP

See Billing Squad details on the Squad Dashboard.

 📦 Inventory, Stock, & Commodity (Lite; for small sites)

METSPALLADIUMUCSF-TAP

See Inventory Squad details on the Squad Dashboard.

 📖 O3 Wiki & Docs clean-up

OPENMRS INC VOLUNTEERS

Bring into 1 place all config & devops & dev & setup docs. Make easy to find.  

 🔒 O3 Audit Log

OMRS INC

Backend done; UI in progress. We previously had no auditing around views, or changes: if a form was filled out multiple times, we'd only have information on the first time and the most recent update.

Talk Thread: https://talk.openmrs.org/t/new-audit-log-system-for-openmrs-seeking-feedback-and-suggestions/43137

 🛒 Expand Orders: Add Referrals, Procedures, and Materials

MEKOM

3.x UI to order Referrals, Procedures, and Materials in the order basket.

 🎗️HIV Care & Treatment: Content Package
 🛏️ IPD: Bed Management & Ward Management

PIH MEKOM

UI to manage location and status of patients across beds in wards, including Moms/Babies, and multiple patients in 1 bed.

 📝 Form Builder Technical Debt

OMRS INC

Ongoing fixes and improvements to the new O3 Form Builder GUI; Substantial refactoring to simplify and improve codebase. Adding Markdown editing. Epic here. 

 🔎🔥 National Registry Patient-Lookup & Auto-Population

UW DIGI OMRS INC UW DIGI-CIV OHRI/UCSF PALLADIUM

Pt lookup on Registration page. National ID / HIE / CR Client Registry / MPI Master Patient Index system integration via FHIR Protocol.

Todo: Backend Module & right API

Demo Video | Forum

 👶🍼 + 👵♿︎ CDS: Age-Based Range Support & beyond

OMRS INC

implemented ability to change a range depending on a given variable (eg age, sex) in flexible way; can be done with bare minimum change of data model. Also implemented in our data model FHIR’s obs reference ranges which enables OpenMRS to receive reference ranges from an LIS system (instead of disregarding this). Obs Interpretation: Based on those ref ranges, can apply whether this is Normal, Low, Critically High, etc. This is now part of the data stored in the DB. Overall this means that Pediatric and Elderly lab/vitals range differences now supported, warning flags now supported better.

Wiki Docs

 🏥 HIS Distro (Out-of-the-Box Fx-Complete Facility HIS)

UCSF MEKOM

A sample software distribution that demonstrates how integration of OpenMRS with external systems can be achieved. https://github.com/openmrs/openmrs-distro-his

 🔥 IPS Support Part 1: Ingestion & Display

This will be a great addition to O3, which will help connect patients’ histories across sites and share data when there is more than one health information system creating relevant clinical data.

Wiki | Talk | GitHub

UW DIGI

 ⏰ Performance Enhancements: Backend & API

OMRS INC

 🖨️ Label Printing

MSF / MADIRO

 📊 Superset HIS integration

Ozone team is open-sourcing the integration between OpenMRS and Superset.

MEKOM

 🎨 Icons & Pictograms throughout EMR

Talk post | Epic | Tech framework done

OMRS INC VOLUNTEERS

  🎁 Automate EMR-distro releases (Smoother O3 RefApp releases)

Automating: QA Release build, run E2E tests on all repos when esm-core is released, stricter typechecking. To Do: Test with 3.2-rc, then update O3 Release Guide Docs.

UW DIGI OMRS INC MEKOM

 ⏱️ Platform 2.7 Release with 2x-faster platform for development & start-up time!

OMRS INCUW DIGI

 🔒 CyberSecurity 3rd Party Penetration Test

3rd party pen test completed of the O3 RefApp. Fixes ongoing.

OMRS INCUW DIGI PIH FELLOW

 ☕️ Java Upgrades: Java 17 Support

Major breaking changes happening in Java community. Support for Java 17 in OMRS core also gains us greater security.

OMRS INC VOLUNTEERS

 ✅🤖 Easier Test Writing tool

UW DIGI

  • Test Automation coverage requirements tool in progress to make it easier to write tests for our code. Should make it easier to write unit tests. Slow grind being done by Ian.

 ⬆️ Liquibase upgrade

Major Liquibase upgrade that gains better security and stability

OMRS INC VOLUNTEERS

 ✅🏋️ Fix API Performance Issues (locations & visits)

Fix issues with API performance, found via Automatic Load & Performance Testing. (Speed of loading: Locations, and Visits view)

 💊 Drug Order Templates

Order Template Modelling E.g. Common Rx's 

GitHub Example

Interested: UCSF, PIH, Mekom

 💊+🧪+🛌 Order Sets

Support for Sets of anything that's order-able (e.g. COVID assessment set can contain Meds, Labs, Referrals...)

Interested: PIH, Mekom, Sonder, OpenMRS Inc, FAIMER

 🩺 Make Clinical Views clearly configurable

Clinical Views

Ability to add specialized program- or condition-specific views. Ideally, able to update config easily to add more - e.g. represent clinical view w/ JSON structure. 

UCSF  OMRS INC

 🔧 Fix Generic Encounter Widget 

Generic Encounter Widget 

Reuseable version of a common widget, powered by config that's easily editable (e.g. if you want to change columns & data shown in a table)

Orgs: SEEKING OMRS INC

 🏥 IPD Requirements Gathering

IPD Requirements Gathering

Collecting requirements for inpatient care, e.g. Bed Mgmt, MAR. PIH  MEKOM UCSF MSF

 🛜 Offline EMR Use (No Internet/Power Loss)
 📊 OpenMRS Reporting UI

OpenMRS Reporting UI

Create a UI that would be able to run an existing report with parameters (if applicable), select the output format and download it

METS

 📊 Data Visualizer in the EMR (Lite)

METS

 📖 Docs: How to Configure the Registration Page

GSOC project?

 ✅Password Change in O3

Backend Dev work complete; UI work next.

 Clearer OpenMRS Branding
 ☁️ Triage & address Horizontal Scaling Bottlenecks

Horizontal Scaling Bottlenecks

API Architecture Planning for new endpoints to reduce load from several particularly bottlenecked endpoints.

SEEKING OPEN

 ⏱️ Improve Demo Data Module performance implications

Currently the DD Module causes slow startup times because of how patients are being created & data loaded. Idea: Generate the data once in it's own docker container instead of generating every time we start an instance. Largely coming from appointments module. The real fix is content packages, so we can remove the Demo Data from the base distro so everyone doesn't have to run the Demo Data when they start up the application. (Only 50 pts, but slows down startup by ~10 minutes; additional errors coming from Bahmni Telecom module)

  NOT STARTED 

 🔒⏱️ Remove Dynamic/Production run-time Module System & simplify class loaders

Remove because this feature is significantly underused and slow (it's faster to stop, add an OMOD, and re-start your instance than it is to upload an OMOD on-the-fly at run time), and because the OMOD upload fx has security implications. The hope years ago was that Spring support would make this a more stable, performant feature, but this didn't happen, and it is very underused.

 🔗 HIS Distro: Needs Consistent Endpoints & Data Formats

In order for the EMR-distro vs HIS-distro vision to work, the way data is served-up to the frontend needs to work smoothly & function the same way - otherwise neither application will be sustainable (especially with HIS-Lite fx being added to the EMR-distro like Billing, Inventory, Labs, and Data Viz). Plan is for a FHIR-based approach.
FUNDING NEEDED

  Translation Support built-in to Form Builder

 🐛 Bug Fix Bulk RDE

Bulk Retrospective Data Entry is regressed and unuseable in the O3 EMR distro. Very helpful for RDE so should be resurrected.

Interested: ICRC

 ⩙ Content Reconciliation (Overlaps in package contents)
  • Dealing with concept overlaps, i.e. the same concept being a bit different in 2 different packages

 🚨 Easy Switch Path from EMR-distro to HIS-distro

 🔖 Form Recommendations

Show & recommend specific forms based on information about Patient or Program Enrollment (eg show ANC forms for ANC visits); likely specified via Form Schema & executed via Form Engine. Very challenging engineering - would need context, workflow engine. In meantime the Tabbed Table Component from OHRI helps meet this user need to some degree. Future ideal is "If patient is [obs] = X and [visit type] = Y, then show these foms".

 👥 Prevent Pt Duplicates in Registration workflow

"Prevent Pt Duplicates" flow in Registration Page. Possibly should include merging pts. Should leverage pt-duplicate-detector in core.

 💬 Team Communication

e.g. Notifications between team members (within UX of System wide / Global notifications; for 1 user but not about 1 patient)

NOT STARTED

 📋 Patient Lists: Automated (Cohort Builder)

Patient Lists: Automated (Cohort Builder)

(1) Query for patients who meet a certain criteria, and (2) automated adding/removing of patients from this list (so it's automatically maintained). 

E.g. "show me all Patients who missed med pick up..."

E.g. "show me all Patients who missed their appointment..." 

+ Actions on that list (e.g. change patient status)

 OPEN NOT STARTED

(Interested: Mekom, ICRC, UCSF)

 💾 Autosave a Form in draft

Interested: _______ NOT STARTED

 🇺🇳 Easy ICD 11 Integration

 ➗ Calculations Module review

Palladium recommends this OMOD be reviewed as it becomes key in CDS / patient flag calcs and reporting.

 Enhance Cohort Builder in O3

Currently not obvious in UI and underutilized.

 🔒📖 Document how to setup SSL (Docs)

 🔥 IPS Pt 2: Generate an IPS from OpenMRS

 OCL OpenMRS Import feature

OCL OpenMRS Import feature

An answer (and clear documentation) to "How do I get my legacy metadata into OCL?"

REGENSTRIEF FELLOWSPIH (testing) 

 𝛥 OCL Module: Diff Check workflow

"Here's what will change" UX/UI when subscribing. (Possible GSOC Project)

 🔥🛒 Map OpenMRS Order statuses to FHIR

Map OpenMRS Order statuses to FHIR

Send a case report from OMRS system to a central repo. 

UCSF REGENSTRIEF

 🔥 Triage Gaps found in FHIR API Gaps Review

Using 3.x RefApp, UW DIGI checked for areas where REST API is being used where FHIR either could be used or needs support (Doc Here)

 🗺️ Use mappings in a form instead of the concept UUIDs

Goal: Demo a form that’s defined and rendered through mappings (not UUIDs). Eg if a country maps to OHRI concepts → Need ability to map

  UCSF-TAP REGENSTRIEF

 📊 Iniz support for Reports

Interested: PIH OPEN

 Medic Mobile / CHT Reference Integration

A sample integration, both flow and tech, that implementers can easily re-use. Working ad-hoc with CHT Lead Architect on this. 

OPENMRS INC CHT NOT STARTED

 🔥🔗 FHIR API Support for Terminology Services

Goal: To expose OMRS Concept Dictionary through the FHIR API. Currently dependent on REST API for all things concept or terminology related. E.g. Needed for 3.x dynamic patient list queries to be entirely FHIR based; to convert all calls into individual concepts.

OPEN NOT STARTED (Interested: UW ITECH, CIEL)

 🚌 Event Bus

Event bus so that when things happen, they trigger a new process(es) to start. (e.g. patient finishes visit, needs to be moved from one Service Delivery Queue to another) - see OHRI example outlined here re Patient State vs Workflow State 

 Angular Engine deprecation

Roadmap here

   OMRS INC

 * Footnotes

Timeline estimates: (e.g. Q1/Q2/H1/H2 etc) are subject to dynamically changing resources in our opensource community. They refer to a calendar year timeline (eg Q1 ends and Q2 starts when April begins, etc).

Product strategy: Adopted from Gibson Biddle’s DHM Model. Sustainable, Stable, Scaleable, and Secure are our main themes; however, good product strategy answers the question, How will your product delight users & community members, in hard-to-copy, sustainability-enhancing ways?”

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