Participants involved creating this Gap Analysis:

Keziah Muiruri, Lousa Yogo, Kote Cosmas Eric Achillah Grace Potma , Eric K, Kennedy Makombe

Reference Demos (videos or demo environments)

KenyaEMR Demo: https://data.kenyahmis.org:8500/openmrs/login.htm Admin/Admin123
All KenyaEMR HIS products: https://data.kenyahmis.org:8181/

Scope Plan

Initial goal is HIV-related programs.

Kennedy Makombe will be leading 3.x Development.

Questions/Concerns/Gaps for Discussion:

Forms AND Programs are shown based on ELIGIBILITY
config where forms are tied to visit type?

Next Steps

Initial Gap Analysis
- First session: Sample workflow walkthrough
- Second session: Sample 3.x workflow walkthrough
- Third session: I.d. Gaps and add Priority levels for gaps
- I.d. scope of 3.x pilot / initial 3.x work
  - Confirm roadmap status re Appointments Part 1: Scheduling Clerk Workflows
- BA Acceptance testing of form (may be some overlap with form issues already uncovered and addressed at Ampath)
Dev Onboarding
- Palladium Devs: Onboarding with Ampath Devs → 3.x now running Now instead of referencing OMRS demo server, get it to reference KenyaEMR
- 1: Palladium Devs: Set up demo environment where 3.x runs on top of KEMR; ensure KEMR can run on 3.x (ongoing, led by Kennedy Makombe)
- 2: Palladium Devs: Set up HTS Encounter Form & HIV Program Enrollment Form in Ampath Forms so it can be viewable/useable in KenyaEMR 3.x view (Guide: https://ampath-forms.vercel.app/)
  - Server set-up for 3.x → To publish forms above. (Schema is ready!)
  - Confirm unblocked re. Forms List Widget config to only show 3.x Forms (not HFE) (slack convo here)
- 3: Service Delivery Queues Start:
  - Issues created in Jira, so folks can pick up tasks there (Eric Achillah)
  - Internal dev demos and onboarding to 3.x at Palladium by Kennedy Makombe
  - Meeting w/ backend team (Bett & Ian)

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 KenyaEMR	Future State (with 3.x)	Status	Priority	Notes/Comments
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	Auto-searches as you type	Bug: Search doesn't auto-run 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' 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. Include Next of Kin marital status Occupation (Comprehensive list) Education level Guardian (For children under 18 years) Ability to edit the relationship feature independently Deceased status Date of death	GAP	HIGH
Registration	Address hierarchy	just for Country, Sub-County, Ward		TO CONFIG	MEDIUM	Various addresses in KenyaEMR to be included
Registration			Blocker Bug: Can't successfully register new patient	GAP	HIGH
Registration	Estimated age should auto-populate the estimated DOB		Expect DOB to populate basted on	GAP	HIGH
Registration	Ability to add multiple ID Numbers			TO CONFIG	HIGH
Registration	Next of Kin (like Contact person)	Different than adding a relationship		GAP	HIGH
Registration	Combine Relationship & Next of Kin in one area	Nice to have in near future: Contact/phone number & Address of someone who is BOTH a "Relationship" and a "Next of Kin/Contact" (so that not duplicating doing both Relationship and NoK information) Discussed with devs - they said we can just add both fields into a from.		TO CONFIG	HIGH
Registration	Relationships list			TO CONFIG	LOW
Patient Chart	Role Based Dashboards Clerical Dashboard? & different dashboard for Triage nurse vs clinician	Clinician wants to see just what they need e.g. Triage: e.g. Clinician: (it's only the available forms and completed forms that are different between Triage nurse and Clinician - only forms applicable for Triage nurse will be seen by triage) Also forms shown depend on programs pt enrolled in (e.g. MCH, TB, etc)		TO CONFIG Set up Clinical Views for program	HIGH
Patient Chart	Overview
Check-in	Check in to visit	(Same as starting a visit)		READY	READY	Form fields
Triage	Vitals: Form	Using Triage app Captures Reason for visit Configure: Add LMP Label change : From 'Biometric' to 'Other recordings'		GAP	HIGH
Triage	Vitals: Recent. See recent vitals beside Current	(Should see Date last taken as well as the recent measurements)		READY		Just need to set up form
Triage	Check Alerts (aka Clinical Decision features) - gives quick glance of key things (e.g. on ART) or for info that needs to be ready before patient sees clinician (e.g. get VL result)	See client is due for VL test - either they haven't had it or it hasn't been entered.	Include Clinical decision support features	GAP	HIGH
Clinician Visit	See Vital Signs as part of form workflow	Clinician themselves can also take new measurements (the "Recent" shows what was done at the desk) This enables the clinician to double check the result if they are concerned about the result or they want to verify it.		READY	READY
Patient Chart		Patient Chart (Overview) is separate from Triage & Clinician dashboard	Already brought together - can quickly toggle to summary. Don't have to open separate chart	READY	READY
Patient Homepage	Enroll	Based on what patient qualifies for (e.g. 34yo wouldn't see pediatric options) - all sites have the same options; options are based on client		TO CONFIG	MEDIUM
Program Enrollment	Program Enrollment form	Trigger form based on which program you want them enrolled into		TO CONFIG	HIGH
Program Enrollment	Form Builder need	Form changes based on type of transfer (e.g. Transfer In vs Transit)		TO CONFIG	HIGH	Set up the forms in Ampath forms
Program Enrollment	Form Builder need	Some sites need auto generator and ability to add multiple ID numbers		READY	READY
Program Enrollment	Form Builder need	Auto populate facility name		GAP	MEDIUM
Program Enrollment	Form Builder need	Would be nice to auto-populate this (just an idea from Grace)
Clinical Encounter	Clinical Encounter Form	Pick a form from an "Avail	"Recommended" just shows recommended for the HIV return visit.	TO CONFIG	HIGH	Need some config to specify what forms are recommended for what visit types. _____
Clinical Encounter	Encounter Form			GAP	HIGH	Could create form in Ampath Forms next?
Clinical Encounter	Form Builder need	Form options change based on radio selection		READY	READY
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: