Participants involved creating this Gap Analysis:

Kemar Celestin, Dupuy Rony Charles, Jean Daboul MAXY Max Christina White, Jan Flowers, Jennifer Antilla, Grace Potma

Currently already working to switch sites from iSante to iSantePlus. (Workflow modifications; iSante wasn't OMRS based). (~150 sites; 64 sites using plus; 23 switching in March; 100 sites using iSantePlus by Feb end)

Users' reactions to the changes: Not that hard. If already familiar w iSante, really easy to switch. Rare complaints. 2-3 days of in person training with them, then they call for assistance as needed. Complaints more often about "we used to have this, now we don't". Or it was there, they just couldn't find it.

Reference Demos (videos or demo environments)

Next Steps

Initial Gap Analysis
- 2022-01-27 session - First session: Sample workflow walkthrough
- 2022-02-03 session - Second session: Sample 3.x workflow walkthrough
- 2022-02-10 session - continue 3.x workflow with sample patient flow
- ____ - I.d. Gaps and add Priority levels for gaps
- Confirm: Any role-based customization? (e.g. Nurse can only see X, Clinician, etc; certain people can only see certain forms?)
- Look at sample Test Results
- OCL and OMRS (Maxy talking to PIH)
Dev Onboarding & Capacity Building planning
- Mozzy & Piotr to set up 3.x frontend on existing DB (cc Xina, Rony, Jan, Kemar & Maxy)
- Peer support options
ID a first project
ID a pilot goal / scope

New Work Item: Emergency Functionality (ER & Inpatient)

CDC Haiti has added resources into TAP to do this with CHARESS. Scope not yet totally clear.

Current CHARESS priority is the rollout of iSantePlus. Some new dev'mpt assistance from

Scope Ideas for first use case

Pt Registration

Major Questions/Concerns/Gaps for Discussion:

iSantePlus Core version = v1.9.2-3
Accompaniment Support: Small Haitian group ~20 ppl interested in building something on O3. How can they market what they're doing? Peers to join with?
Viewing permissions: e.g. only allow limited version of Patient Summary for someone in Lab? eg **** over certain info? eg Social Worker not able to see Diagnosis History? eg Not want Archivist to see HIV +?
HFE
+++ test rigor in place in existing iSantePlus including for integrations - would want that in place
Performance: how does it compare to 2.x?
- Portable Performance: responsiveness across Desktop and Tablet. E.g. 1 computer on ward, plus tablet(s) nurses can work around with.
  - General need for tablets: Seeing trend of health facilities that would like to expand the scope that OMRS operates in - different service lines. Buying laptops, desktops etc is expenseive, they get stolen. Increasingly thinking "how do we expand scope in a clinic and still have some budget/hardware limits" (esp CDC/MOHs). In some places, seeing clinicians can be more accepting of using EMR if using tablet; easier to move around in hospital where mobile btwn patient stations; cheaper.
  - Haiti: Going to need iSantePlus available for tablets. 3.x as huge opportunity b/c have wanted to use system using tablet. Expands ability to serve inpatient settings.
- Performance on unstable network environment
  - Some sites don't have good connection. Those that do, can update remotely. But still have local server in case of downtime.
- Performance: Time to load → where is this documented? How can I compare to what we have? Is everything frontloaded? What's cached?
- Browser uses ++ memory → unideal for phones
What will we be able to do w/ 3.x? Technical benefits may be clear for technical team, but need the benefits to be clear for the stakeholders too → ways to communicate that
Possible to import Angular or Vue applications
- e.g. could current devs build a widget in Angular
- AngularJS deprecation - iding path of least resistance

Gap Analysis

Legend

Gap Status: READY TO CONFIG GAP

Gap Priority: LOW MEDIUM HIGH

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

Theme	Feature	Current State in iSantePlus	Future State (with 3.x)	Status	Priority
		Flows: Must create Visit to create Encounters. No defined visit "types". Each form = an Encounter Multiple forms/encounters can be included in a Visit Enrollment not so much used in iSantePlus. Gender & Age configures the fields in the form (e.g. don't ask men if pregnant)
				READY
Home	Home page			READY
	Pt Search			READY
	Pt Dashboard	Patient Flags for Pt Alerts: Missed Appointment Permissioning: Based on permissions granted to the user, only certain actions possible. Archivist or Receptionist example: After creating patient, can go to pt dashboard, but can only see some things.		GAP	Patient Flags
	Patient Flags		Where would "missed appointment" & other flags go? → Expect to see at top of patient chart, not necessarily in Header, but at top of patient summary.	GAP	GAP & NICE 3.x IDEA → see timeline idea
	Vital Signs				Can't save vitals form Vitals Form buggy: Grey'd out not clear why
	Registration			TO CONFIG
		Fingerprint		GAP
	Registration Summary	Used after registering to edit pt information		READY	BUG Clicking "Cancel" in Edit form brings you back home instead of into pt chart Chan't save pt edits; get null message
	Address Hierarchy			GAP	GAP
	Fingerprint registration	Adaptation of a fingerprint in core modules AND integration with M2Sys (app that captures the print and provides an additional unique Identifier)		GAP	GAP
		Reports		READY (no change)
		Shows any problems with outgoing data		READY (no change)
				TO CONFIG
				TO CONFIG
	Vaccinations			GAP	GAP
	Growth Chart			GAP
	Lab Orders	Done through Lab Order form: Large effort to mimic the paper form structure - most important when first adopting system. Along the way, modified a bit to have more electronic-friendly functionality. But recognition that designing just like paper form can even be annoying for Point of Care use.		TO CONFIG
	Labs	Lab History:
		Separate Viral Load History:		TO CONFIG
	Medication Orders	Rx Form		TO CONFIG
	Med History			GAP
		Clinicians review Forms history when seeing pt to see what has happened in pt's past		READY
	Pt Summary	Users use dashboard to review case.		GAP
	Diagnosis History