Form Bank

Form Bank

Requirements for the Metadata Sharing Server are being gathered. It is designed to replace this page with a better tailored approach. If you have any suggestions, please visit the project page and contact us.

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]

 

Contributor

Program

Description

OpenMRS 1.8

OpenMRS 1.9

OpenMRS 1.10

Paper form (optional)

Contributor

Program

Description

OpenMRS 1.8

OpenMRS 1.9

OpenMRS 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 2.0.5

MDS package created with OpenMRS 1.10.1, Metadata Sharing 1.1.8 and htmlform 2.5-SNAPSHOT

 

Ellen Ball on Nov 2017

Haiti forms for multiple clinical programs

Primary care, oncology, surgery, NCD, mental health, etc.

 

 

Github  

 

Ellen Ball on Nov 2017

PIH Malawi forms for HIV and NCDs

HIV, NCD (hypertension, diabetes, epilepsy, mental health, chronic lung disease)

 

Github

 

 

Hospital Albert Schweitzer Haiti on Jan. 2015

Vaccination

Vaccination and Supplement Form

 

 

Hospital Albert Schweitzer Haiti on Jan. 2015

Prenatal

Basic Prenatal Form

 

 

 

Hospital Albert Schweitzer Haiti on 24 Feb. 2012

Lab

Lab form for entering various lab results

 

 

 

Hospital Albert Schweitzer Haiti on 10 April 2012

Hospital Admission/Discharge

Form for entering hospital admission and discharge information.

(MDS 1.0.5 and HFE 1.9.1)

 

 

(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 on 24 Feb. 2012

Surgery

Surgery Form based on the anesthesia paper form.

 

 

Partners In Health by Ellen Ball on 28 January 2015

Surgery

Post-operative surgery note

 

(OpenMRS 1.9.4 with MDS 1.1.8 and HFE 2.2.1)

 

 

Partners In Health by Ellen Ball on 17 August 2015

Oncology

Oncology consult note

 

(OpenMRS 1.9.8 with MDS 1.1.8 and HFE 2.2.1)

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

 

(with additional sections for specimen tracking)

Partners In Health by Ellen Ball on 9 April 2012

Rehabilitation

Rehabilitation evaluation in English

 

(MDS 1.1, HFE 1.10)

 

Partners In Health by Ellen Ball on 12 April 2012

HIV PMTCT

Lesotho HIV PMTCT followup in English

 

(MDS; HFE 2.2.1)

 

 

Partners In Health by Ellen Ball on 12 April 2012 

HIV Adult

Rwanda HIV adult intake (DdB) in French

 

 

Partners In Health by Ellen Ball on 12 February 2015 

HIV

Malawi ART Visit in English

 

 

 

Partners In Health by Ellen Ball on 12 February 2015 

HIV Adult

Rwanda HIV adult flowsheet (followup) in French

 

Forms include allergies, OI, problems, labs, hospitalization, and visit.

 

 

Partners In Health by Ellen Ball on 12 February 2015 

HIV

Lesotho HIV forms: ART, Pre-ART, and PMTCT

 

 

 

Partners In Health by Ellen Ball on 12 April 2012

HIV Pediatric

Rwanda HIV pediatric intake (DdB) in French.

 

 

Partners In Health by Ellen Ball on 12 April 2012

HIV-exposed infants

Rwanda HIV-exposed infant intake (DdB) in French

 

 

Partners In Health by Ellen Ball on 12 April 2012

HIV-exposed infants

Rwanda HIV-exposed infant followup in French

 

 

Partners In Health by Ellen Ball on 12 April 2012

HIV-exposed infants

Rwanda HIV-exposed infant clinic visit in French

 

 

Partners In Health by Ellen Ball on 12 April 2012

HIV (lab)

Rwanda HIV Lab Results, French

 

 

 

Partners In Health by Ellen Ball on 5 June 2014

MDRTB

MDRTB (Multidrug- resistant Tuberculosis) intake form use in Haiti

 

 

 

Partners In Health by Ellen Ball on 12 April 2012

MDRTB (lab)

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

 

(OpenMRS 1.9.4; MDS 1.1.8; HFE 2.2.1)

 

Partners In Health by Ellen Ball on 5 June 2014

MDRTB

MDRTB followup (RdV) for Haiti in French.

 

 

 

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

 

 

Partners In Health by Ellen Ball on 12 April 2012

NCD
Heart Failure

Cardiology consult form French with English

 

 

Partners In Health by Ellen Ball on 12 April 2012

NCD Heart Failure

Rwanda heart failure flowsheet.

 

 

Partners In Health by Ellen Ball on 12 April 2012

NCD Hypertension

Rwanda hypertension flowsheet.

 

 

Partners In Health by Ellen Ball on 12 April 2012

NCD Hypertension

Rwanda hypertension intake (ddb) form.

 

 

Partners In Health by Ellen Ball on 12 April 2012

NCD
Diabetes

Diabetes intake form French with English

 

 

Partners In Health by Ellen Ball on 12 April 2012

NCD Asthma

Rwanda Asthma intake form

 

 

Partners In Health by Ellen Ball on 16 August 2011

NCD Epilepsy

Rwanda Epilepsy intake form