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Contact: Have an interesting initiative you want to see on the Community Product Roadmap? Contact Director of Product Grace Potma at: grace@openmrs.org
Vision & Top 3 Strategic Directions
We work together in a global fight to improve health care. Tech is one tool we use to bring better care to patients, the providers who care for them, and the organizations who steward health resources. This means the tech we develop together must have Great Tooling + Great Documentation to unlock scale to ensure patients get the right, timely, and appropriate care; provide health workers with timely, accurate, and complete information; and, give organizations data to improve the efficiency and quality of care delivery.
| Our top 3 Strategic Directions guide us now and in the future 5 years to achieve our Vision. We call these strategies our "3 C's":
...and of course, Ongoing Platform/Core Maintenance, including library upgrades and security patches. |
Top Priorities in 2023
- Out of the Box Outpatient EMR completed and being leveraged in the real world.
- Release O3 apps often and with confidence. A regular cadence with clear release notes and stable versions #'s will help O3 implementers to rapidly benefit from bug-fixes & new features. Part of achieving this requires extensive test automation baked-in to both our PR and release pipelines. (O3, or "OpenMRS 3", is our next-generation version of OpenMRS.)
Product Roadmap
Product Roadmap | |||
Recent Work Completed |
What We're Working on Today (Active Design or Development) |
Emerging Community Priorities | |
CARE: | Implement Patient Flags Initial designs here; we would like to get these done. First legos to support decision support. OMRS INC FELLOWS A 'snapshot' of active visits and patient priority levels. Goal is to improve clinic workflows / service delivery queues, and team communication, starting with Outpatient clinic workflows. PALLADIUM BROWN METS Status: IN PILOT Ability to print things from the EMR, e.g. HIV Clinical Summary GSOC '22 PIH ANC SMART Guidelines: Decision Support UI and Engine for O3 FELLOWS AMPATH MEKOM PIH For Facilities: Configure what appointments are provided, and how they can schedule pts. stats, lists. PALLADIUM Status: IN PILOT Expand the design assets & components currently in our Zeplin Styleguide into a more easily accessible, robust set of guidance that can be directly followed by designers and developers working on 3.x-related features. AMPATH/SONDER Status: IN DESIGN Ability to show and use the O3 EMR within an iframe / in another system, eg Moodle. Timeline: ~Q2 2023 FAIMER MEKOM UCSF-TAP REGENSTRIEF PIH AMPATH PILOT KenyaEMR with O3 Appointments + Queues: ~Nov 9 2022, 2 small sites PALLADIUM PILOT ICAP-Ethiopia: OHRI/3.0 Clinical Testing Go-Live, 2 small HIV sites (Q3 2022) ICAP-ETHIOPIA UCSF-TAP Group Sessions / Group Visit Management 3.x feature for Group Sessions, starting with Mental Health group sessions. Aka Bulk Data Entry, Line List style, Tabular data entry view. MEKOM ICRC Status: IN DEV Target: SEPT '22 Offline Mode for CHWs/Outreach Registration, Forms ready for field use offline AMPATH MEKOM ICRC Status: IN DEV Target: SEPT '22 Configurable Lab Results table view Configurable extension to show labs of interest in a table (timeline) view. (e.g. "Just HIV-Related Labs") AMPATH MEKOM First Form-Embeddable Widget: Conditions, Address Hierarchy ICAP-ETHIOPIA UCSF-TAP Basic HTML Form Entry (HFE) Form Support in 3.x Workflow to allow users to open HFE forms within a 3.x workflow. MEKOM ICRC (+ input from PIH) 3.x Address Hierarchy Component ICAP-ETHIOPIA UCSF-TAP 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. AMPATH PIH UCSF i18n Date Picker: Ethiopian Calendar + more ICAP-ETHIOPIA UCSF-TAP Field Discovery: UX and Product field research In-person shadowing and interviewing end-users at large to small sites, including ecosystem of lab/pharm/billing where relevant Point of Care: AMPATH (6 sites) Retrospective Data Entry: PALLADIUM (2 sites) LIVE! PILOT Ampath 3.x Pilot (Kenya): 3.0 Go-Live with Clinician Workflows at large HIV Outpatient Clinic (Started Feb 2022) AMPATH PILOT Ampath 3.x Live Test (Kenya): End to End Testing with Outpatient HIV Clinicians AMPATH(Q 4) Status: DONE 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) PIH OHRI/UCSF Status: DONE Q3 Goal = end to end outpatient workflow launched online for public use & experimentation. Includes:
AMPATH MEKOM PIH BROWN Status: DONE Updated 3.x Frontend to use 3rd party design system. Result: Faster design & development outputs. AMPATH MEKOM Share Frontend Widgets with Plug-and-Play Architecture Microfrontend framework completed; enables implementers to re-use others' frontend features. AMPATH MEKOM Step by step guide to the new Design System & Microfrontend architecture. Will help Devs implement 3.x for their org, or contribute to Squad. PIH NCD Use Cases & Design Research User Research, Designs, & Testing to validate and prepare EMR for NCD care context. E.g. NCD-specific widgets and sections of Patient Chart, NCD Peer Support. AMPATH (input from PIH) Status: IN DESIGN | Retrospective Data Entry to enable management and editing of past visits & encounters, chart corrections, etc. PIH Status: IN DESIGN O3 Form Recommendations Show & recommend specific forms based on information about Patient or Program Enrolment (eg show ANC forms for ANC visits); likely specified via Form Schema & executed via Form Engine PALLADIUM React Form Engine feature parity with existing O3 Engine Roadmap here UCSF-TAP OMRS INC Status: IN DEV 2.x & 3.x UI to enable Pharmacists to mark drugs and fully or partially dispensed. Pilot plan in Sierra Leone for Oct 2023 PIH UCSF-TAP Status: IN DEV | Content Templates & Toolkits: Packaging and Ingestion Method TO DO O3 Docs Harmonization Bring into 1 place all config & devops & dev & setup docs Interested: OMRS INC MSF Implement Tasks (to be driven by CDS) Initial designs here; we would like to get these done. First legos to support decision support. OMRS INC FELLOWS Collecting requirements for inpatient care, e.g. Bed Mgmt, MAR. PIH MEKOM In-form Appointment Date Checker Endpoint convention in OMRS to connect (e.g. "on this day, how many appointments already booked?") OPEN Interactive Forms: Embedding Orders, Conditions... 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). MEKOM UCSF-TAP Interested: ICRC NOT STARTED Embedding Allergies/Conditions etc in Form Workflows Status: IN DESIGN Lead: OHRI/UCSF OPEN Use case & design input from: TBC (new) Rules Engine (e.g. for Workflow State management; Clinical Decision Support) Interested: Ampath, ICRC, Mekom OPEN NOT STARTED Autosave a Form Draft Interested: _______ NOT STARTED 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 MEKOM ICRC NOT STARTED (Interested: Ampath, UCSF) Referrals 3.x UI to send and receive referrals. Status: IN DESIGN Bed Management MEKOM ICRC NOT STARTED Team Communication e.g. Notifications between team members (within UX of System wide / Global notifications; for 1 user but not about 1 patient) MEKOM ICRC NOT STARTED Create a UI that would be able to run an existing report with parameters (if applicable), select the output format and download it J&J GPH SOLDEVELO Reg page is one of first apps new users/devs look at, and it's not meeting requirements or code expectations. Need to re-design, re-architect, & confirm requirements - eg to prevent pt duplicates, handle site- or org-specific field requirements & allow enable-whens, accept mini-apps like address hierarchy, handle National ID or Insurance system integration... Status: NOT STARTED Orgs: MEKOM ICRC Merging the O3 Monorepos for better DevX OPEN |
| Legend |
Recent Work Completed |
What We're Working on Today (Active Design or Development) |
Emerging Community Priorities |
CONFIGURATION (& Deployment):Faster Deployment | Reactify & Carbonize O3 Form Builder GUI tool now available in the O3 RefApp admin tools! OMRS INC GSOC UCSF-TAP PILOT Using OCL/Dictionary Manager to manage all UgandaEMR concepts METS REGENSTRIEF Iniz support for OCL & Dictionary Manager work FELLOWS MEKOM PIH Copy & Customize a CIEL Concept Able to re-use a CIEL (or other curated) concept instead of re-creating it manually: copy it and make the non-breaking changes you needed (e.g. change answers, add translations, etc). FELLOWS BROWN OCL Module: Multi-language support Updating translations for concept updates or new subscriptions that have many languages. FELLOWS BROWN Input from: UCSF, MSF Dictionary Manager webapp (aka OCL for OpenMRS) MVP live for production use. See: Intro video; and demo video. FELLOWS OCL MSF PIH REGENSTRIEF BROWN 3.x OpenMRS Forms: Form Management for Non-Tech folks A new Form Builder & Form Engine for OpenMRS, using open source code used by OpenMRS implementer for 5+ years. Allow non-coders to set up clinical forms. MEKOM AMPATH PALLADIUM Lighter Deployment Simpler deployment packaging (3.x RefApp will use a much lighter-weight set of modules) MEKOM BROWN OCL Module Improvements
INTELLISOFT FELLOWS BROWN Designs for Implementer Tool: EMR Setup UI for Non-Tech folks Designs to enable: Non-tech users can set up a 3.x EMR in a friendly, no-code UI, similar to designing a website. AMPATH PIH | UI Feature Improvements to Form Builder GUI Ongoing fixes and improvements to the new O3 Form Builder GUI. Epic here. OMRS INC OCL Module: Automated tests for different data types FELLOWS BROWN IN DEV PILOT Using OCL/Dictionary Manager to manage all PIH concepts PIH REGENSTRIEF Status: FINAL UAT | Separate Content Versioning Separate RefApp software releases from Content releases → means demo data will need to be bundled separately, available like an Add On, and versioned Interested: Mekom, Brown OPEN EMR Packages: Tech Definition & Schema A way to add content (forms, concepts, custom widgets etc) to easily add new program areas to your EMR (e.g. Maternity Package) Input from: REGENSTRIEF MEKOM PIH BROWN OHRI/UCSF ICRC AMPATH An answer to "How do I get my legacy metadata into OCL?" REGENSTRIEF FELLOWSPIH (testing) Status: IN DEV OCL Module: Diff Check workflow "Here's what will change" UX/UI when subscribing. OPEN PILOT 3.x Form Builder: UgandaEMR pilot Easier way of generating forms, via UI. Provide label names + connect pre-defined concepts –> generates JSON file. Finding way to deploy JSON file (Hx of using XML). METS Iniz support for Reports Interested: PIH OPEN 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 |
| Legend |
Recent Work Completed |
What We're Working on Today (Active Design or Development) |
Emerging Community Priorities |
COMMUNICATION: Data Exchange | Shared Basic Lab Dictionary with OpenELIS Collaborated with OpenELIS to establish a shared Basic Lab dictionary collection in OCL, with CIEL codes mapped to LOINC. Public here. OPENMRS INC ITECH / OELIS CIEL Advocacy with other Global Goods to adopt OCL to decrease Implementer dictionary maintenance headaches Significant progress in 2023: large presentations and 1:1 demos at: OpenHIE in Malawi (May), GGIS Summit in Tanzania (June). Result: 2 Global Goods newly working to adopt OCL; 2 others actively considering. OPENMRS INC REGENSTRIEF FHIR 101 Documentation Improvement Clarify OMRS' strategy and tooling for FHIR, how to find supported resources, and what to do to add more. Public here. OPENMRS INC BROWN FHIR Gaps Review Using 3.x RefApp, check for areas where REST API is being used where FHIR either could be used or needs support (Done, Doc Here) UW ITECH BROWN Added support for Immunizations. BROWN UW ITECH MEKOM ICRC Posts aggregate data from OpenMRS to DHIS2, and gives implementers a User Interface for an easier-to-set-up OMRS to DHIS2 pipeline, that doesn’t need manual code fixes every time there’s a change to reporting indicators. Fixed so this can work in production systems, added automatic data sending, and added support for custom period types. GSOC MOSS PILOT Scale-ready ETL Pipeline to FHIR-based tools: Ampath pilot of Analytics Engine. GOOGLE AMPATH | Integration Catalog On OMRS website, help answer the question “Does OpenMRS integrate with…” and give implementers practical resources to follow if they need somewhere to get started. Draft here. OPENMRS INC Mapping OpenMRS Order statuses to FHIR Send a case report from OMRS system to a central repo. UCSF REGENSTRIEF BROWN Send data to Central Repository for Case Based Surveillance Send a case report from OMRS system to a central repo. UCSF (Jembi for mediators) Lab Viral Load Data Exchange Based off of FHIR IG. Proof of concept completed. More to be done for full data exchange of lab request and case report. UCSF (Jembi for mediators) FHIR Implementation Guide (IG) - Supporting OHIE Facility Registry IG Goal: Finish & genericize the ITECH FHIR IGs built for Labs, Lab Workflows, and Facility Registries BROWN UW ITECH IN DEV Identity & Facility Management Get iSantePlus Client Registry & Facility Registry workflows set up with FHIR in iSantePlus working in OMRS-core (using FHIR-based workflows) UW ITECH BROWN IN DEV Lab Exchange Get iSantePlus lab exchange module to work in OMRS-core (connects to id & facility mgmt to i.d. right pt and right facility) (using FHIR-based workflows) UW ITECH BROWN IN DEV MEKOM ICRC IN DEV | 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 FHIR API Support for Terminology Services Currently dependent on REST API for all things concept or terminology related Needed for 3.x dynamic patient list queries to be entirely FHIR based. 3.x test results depend on hybrid of FHIR & REST due to this. OPEN (Interested: Brown, UW ITECH) Support for OpenMRS Attributes Support things we don't currently support in OMRS data model - e.g. pt phone numbers (current support is fragile) OPEN (Interested: Brown, UW ITECH) Odoo integration for Physical Rehabilitation e.g. Creation of prosthesis and financial / patient billing MEKOM ICRC Odoo for Pharmacy MEKOM Odoo integration for Billing MEKOM ICRC Odoo integration for Bed Management MEKOM ICRC |
| Legend |
Recent Work Completed |
What We're Working on Today (Active Design or Development) |
Emerging Community Priorities |
Maintenance & Core Support(Make it possible for implementers to build their features) | Platform 2.6 Release Fixes related to Cross-Site Request Forgery (CSRF). Medication Dispense data model update (needed by new dispensing esm). OMRS INC BROWN REGENSTRIEF
API to get obs for Concept Trees E.g. for Lab Filters/hierarchies. Method to get set of obs based on a concept tree. Actively being used in the new Lab Trees feature! AMPATH MEKOM BROWN 3.X NEED Data Model to support Service Delivery Queues Support for dynamic vs static lists of patients. BROWN AMPATH 3.X NEED
REGENSTRIEF PALLADIUM VOLUNTEERS UW ITECH FELLOWS VOLUNTEERS Thorough Test Coverage: Live OpenMRS QA Dashboard Automated Workflow Tests applied throughout products UW ITECH FELLOWS VOLUNTEERS 38 of 42 modules updated. Includes the SPA module that unlocks Microfrontend capability. VOLUNTEERS | Dockerizing development and deployment of OpenMRS Best practices for OMRS development and deployment. Key to enabling Packages vision and CI. OMRS INC REGENSTRIEF IN DEV 3.X NEED | 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. BROWN NOT STARTED 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 Interested: Ampath, UCSF? 3.X NEED Access Control List support MEKOM REGENSTRIEF VOLUNTEERS 3.X NEED We have no auditing around views. Updates: if a form is filled out multiple times, we'd only have information on the first time and the most recent update. Large project. (eg auditlog work stagnant) There are workarounds, eg Statistics Module, or by configuring the server to log URLs requests (Tomcat or the entry proxy) Status: NOT STARTED Orgs: SEEKING Order Sets Support for Sets of anything that's order-able (e.g. COVID assessment set can contain Meds, Labs, Referrals...) REGENSTRIEF AMPATH 3.X NEED Additional Security Automated Test Coverage UW ITECH FELLOWS VOLUNTEERSOPEN Horizontal Scaling Bottlenecks SEEKING OPEN Java Changes Major breaking changes happening in Java community. NOT STARTED |
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