Participants involved creating this Gap Analysis:

Jacqueline Njeri, @Nyevu Karisa, Grace Potma

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

Scope Plan

Questions/Concerns/Gaps for Discussion:

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Next Steps

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

Gap Analysis

Legend

Gap Status: READY TO CONFIG GAP

Gap Priority: LOW MEDIUM HIGH

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

Theme	Feature	Current State in eHospital OR Client Requirement	Future State (with 3.x)	Status	Priority	Notes/Comments
Login	Login			READY	LOW
Home	Home page			GAP	HIGH	***This is a good opportunity for KenyaEMR Dev team.
Search	Search		Able to see more info about client and do actions on the client even from the search list	READY	READY	Use as is
Search	Search - using phone number		Feature request	TO CONFIG	MEDIUM	This depends on metadata configuration
Search	Search auto-complete	Does not autosearch as you type		GAP	HIGH	Complete search still works
Search	Search - actions bug		Bug: Clicking on Add past visit not working	GAP	HIGH
Registration	Registration fields		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. Add the following data elements Nationality Identification document (Passport, Birth Certificate or National ID) alongside the identification document number Next of Kin Marital status Occupation (Comprehensive list) Education level Guardian (For children under 18 years) Ability to edit the relationship feature independently Death information - Date of death, Cause/Reason of death	GAP	HIGH
Registration	Address hierarchy		Separate the Contact Details from the Residential information Add a field for an Alternative Contact/Telephone number	TO CONFIG	MEDIUM
Registration	Estimated age should auto-populate the estimated DOB		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.	GAP	HIGH
Registration	Ability to add multiple ID Numbers	Currently only allows capturing of the national ID.		TO CONFIG	HIGH
Registration	Relationship list	This is also the Next of Kin	Allow capturing of the Next of Kin's contact details. Some of the relationship types are repretitive	TO CONFIG	MEDIUM
Registration	Registration - Payment		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 Cash Mobile Money 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	GAP	HIGH
Queues	Queues			GAP	HIGH
Patient Chart	Dashboards	The clinican is able to have a quick glance of any services provided to the patient across all points of care		TO CONFIG Set up Clinical Views for program	HIGH
Check-in	Check in to visit	(Click on the Consultation button)		READY	READY	Form fields
Consultation	History & Examination
Consultation	Vitals: Form	The system flags abnormal values immediately as data is being captured for clinical decision support	The system flags abnormal values after the data has been saved	HIGH	HIGH
Consultation	Adding other Observation form	The clinician can select whichever observation forms they need to fill		TO CONFIG	HIGH
Clinician Visit	Viewing vital signs and other information as part of the workflow	The 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.		READY	READY
Patient Chart	Overview	Does not have a separate chart but allows the clinician to view the patient's chart	The patient summary tab provides and overview of the patient chart	READY	READY
Consultation	Enroll on a Program	As many programs as possible can be configured and be added for selection	Allows selection and enrollment of a patient to several programs	TO CONFIG	MEDIUM
Clinical Encounter	Form 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)		READY	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.	READY (UI slightly different)	READY
Clinical Encounter	Form Builder need	Complete a required field/question using a related but separate checkbox		GAP	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	GAP	MEDIUM
Clinical Encounter	Form Builder need	Appointment		READY	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	READY	READY
Clinical Encounter	Form Builder need	Error message blocks submission if incomplete; which area is incomplete		READY	READY
Clinical Encounter	Form closing	Ability to collapse incomplete form and come back to it (user request)		READY	READY
Orders	Drug Order	New Drug Order:	Order Basket	TO REVIEW	TO REVIEW
Pharmacy		Post to ADT Cue:	ADT Integration with Pharmacy System	GAP	HIGH
Clinical Encounter	Lab Orders		Ampath:	TO REVIEW	TO REVIEW
Clinical Encounter	Lab Results			TO REVIEW	TO REVIEW
Clinical Encounter			Give reason for change or stop (eg. toxicity)	TO REVIEW	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	GAP
	Lab Orders	Panel Capture order date and reason Confirm orders: Imaging Labs Referrals Med		GAP
Lab Orders	Integration	Order is moved to "previous orders" when the Lab system sends the result back		GAP
Lab Orders	Lab result entry	Facility enters lab results manually		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.	TO CONFIG	HIGH
HTS Form	HTS			TO CONFIG		Recommended: Set up in Ampath Forms
Calendar		Registration desk uses this to prepare for the clinic Could use Appointment Module Seen patients:		TO REVIEW	TO REVIEW
Appointments		When booking appointments, can see how many patients are already booked for that day	When booking appointments, can see how many patients are already booked for that day	TO REVIEW	TO REVIEW
Appointments		Update Appointment date		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: