Ahh... I just got the summary of the discussion you made in the conference
And here is my feeling. Honestly I don't see these
technologies/frameworks/choices really relevant at least to start with
(though being future-proof is fine), because if we continue to do this we
will never agree on anything and finally reach august with nothing. I
better if we could stick to "keep it simple" phiolosohy and reach on
something with the frameworks and technologies we are currently using -
"known devil is better than unknown angel".
For me, what will be interesting at this stage is to throw as many inputs
as possible all focused on the requirements and functionalities of the
system we are trying to comeup with - India needs it, Vietnam needs it,
Tanzania, Malawi and also Ethiopia.
From my side: the requirement is to have a system capable of registering
visits for specific programs (FP, ANC and Immunization at least to start
with). And below is a little break-up of this.
1. *Individual/Patient Management Module *–the requirement here is
to systematically manage (as well as track) individuals. Very much
to orgunit hierarchy operation and module in DHIS2.
· Village(name, house(s), ANM(s), …)
· House(houseno, family, ?gpslocation?,…)
· Family(house,husband,wife,son(s), daughter(s),..)
*2. **Health Program Management – *This is something (I would say)
similar to advanced dataset management. This module is to enable users
manage programs (for e.g. Family Planning, ANC, Immunization, Line-List
Birth, Line-List of Death, …)
· Program(name, frequency, program_phase(s),…)
· Program_phase(name, frequency, register,
*3. **Register Management – *Probably this is the most complicated
part of the system. And I would be happy if Saptarshi can pull something
from OpenMRS especially from the XML_Reporting module. Because there
are saved in plain XML raw data – which I think is quite ok because there
will be a wide range of objects to be part of a register (Individual,
· Functionalities expected from this module
o Add/Edit/Remove register
o Assign objects to register
§ objectes could be – dataelement, individual, house, village, period,
o Arrange objects or create a register form
§ Depending on the type of objects assigned to the register a form need
to be designed using different dataentry boxes (boolean, calendar,
text/integer box, drop_down, hierarchy browsing, …
*4. **Activity Plan Generator*
· Cross-check services/programs provided and forecast the next
program_phase – activity plan. The forecast is expected to have
o A list of tasks detailing what_service_to_provide(which phase,
register_related_information, for_whom(individual), where_to_go (village,
*5. **Aggregation Module*
· As much as possible a ?free_text? (combinations of
objects/drop_downs/,…) query engine. Again there is a lot to take from
OpenMRS cohort manager.
· Queries should be mapped to existing objects (or their
combinations) and saved for later use.
Can the Vietnam, Tanzania and Malawi team comment of this and also
their own requirement?
2009/5/20 Saptarshi Purkayastha <email@example.com>
Great to have you back! I just reached Delhi today from Kerala after
starting the mobile pilot in that state.
We had a conference call on the discussions on how to move forward with
I suggested that we use the whole JavaEE 6 stack (JPA, Servlet 3.0, EJB
3.1, JSF 2.0 -- the web profile) for the CBHS and if everyone likes it
working, we can then port parts of DHIS2 to use the same architecture
frameworks. It makes us future-proof to some extent...
What do you feel about JavaEE 6??
One simplistic example:
Architecture for writing JavaEE 6 Apps:
Director R & D, HISP India
Health Information Systems Programme
My Tech Blog: http://sunnytalkstech.blogspot.com
You Live by CHOICE, Not by CHANCE
2009/5/19 Abyot Gizaw <firstname.lastname@example.org>
I am now back to action fresh and full of energy!
It is true that we need to synchronize our effrots and come up with
something working that benefits the whole HISP network. But at the same
we need to be carefuel not to swamp ourselves with too many design
I like Arthur's "Keep It Simple Stupid" phiolosohpy. Anyways it would
great, as Lars asked, if we could get a more formal and detailed
of the system "Child Health Record". And just a question how
different/similar is it from the system Thanh is
and if it is sort of recording then I would say OpenMRS will be a good
Sort of crazy idea I have is, two broad classification of health
information systems - one focusing on curative and the other one on
preventive. The community based system we plan is in the category of
preventive and hence issues of planning, scheduling, alerting and
outreaching are very much critical. And this category is perfectly
the philosophy of DHIS2/HISP. In the other category, curative systems,
focus is on the history of a patient(child, mother, ...) and hence
retrival, and the like are the main issues. so my question is therefore
are we mixing the two? if so how? and also ask our Vietnam team to
Saptarshi.... is there anything you would like to share/update me
regarding the community system?
On Thu, May 14, 2009 at 12:59 PM, Ola Hodne Titlestad <email@example.com >>>>> > wrote:
Saptarshi and Abyot:
These Vietnamese requirements (attached .doc) to a patient-level child
health system fits well with the community household based system
are working on.
As Jørn mentioned in a previous mail related to design discussion on
the new community system it is important that we think broader than
requirements in India, but also include these requirements in Vietnam,
also the quite similar requirements of a planned maternal health
Tanzania and Malawi.
Lars already requested more details from Vietnam on the actual user
requirements for the child health system so hopefully we can all
that shortly. I will also push Caroline and Marlene from TZ and Malawi
write up requirements for their planned maternal health system.
There is a trend all around the HISP network towards electronic
capturing of patient or case (vital events, notifiable diseases etc.)
information in relation to DHIS implementations, and we need to target
with a broad enough approach so that the new CHBS (that is the name
India) can benefit the whole HISP network. Concetually I see this as a
based version of the DHIS 1.4 patient module, but somehow extended to
include tracking of patients. Still following a simplistic approach
intending to become a fully fledged electronic record system (like
To me it seems as all these proposed systems build around the same
functionality; to be able to define, capture and store
patient/case/household-level data in DHIS, to track patients across
cases/events, and to relate the patient data to routine (aggregated)
through user-defined expressions.
As you see there is ongoing work in HISP (especially in India) to
develop a similar system to what you are proposing so you should try
involved in the ongoing discussion and work being done on this.
and Abyot (e-mail addresses included in this mail) are driving this
Ola Hodne Titlestad
University of Oslo
---------- Forwarded message ----------
From: Cong Duong Dinh <firstname.lastname@example.org>
Date: Thu, May 14, 2009 at 3:55 AM
Subject: FW: Child Health Record - ideas in Viet Nam
To: Arthur HEYWOOD <email@example.com>, firstname.lastname@example.org, Jorn Braa <
email@example.com>, Jørn Braa <firstname.lastname@example.org>, email@example.com,
Knut Staring <firstname.lastname@example.org>, Ola Hodne Titlestad <
email@example.com>, Ola <firstname.lastname@example.org>, Suddeps Sed <
email@example.com>, Sundeep <firstname.lastname@example.org>
Dear all specialists,
I manage Tran work, I can not comment her ideas,
Thanh said that it's impossible, because he did work longtime on it.
But I doubt about this idea. We had DHIS2.0 not DHIS1.0.
Sop we decide let Tran work for this for some months and see what
Tran prepare well her protocol, so I really hope you can give us some
Tran said that DHIS2.0 is a very good, strong base to built this up.
What do you think..
Thanh said that, now Oslo just had a new policy for DHIS?
I hope I can receive from you, that will help me to manage the team
Thanh said that now we have to ask Tran work for DHIS, I can not do
that because I have to help Mother and Child Health Centre and me and
did agree that with Giang - Director of Health Service.
Yesterday Chinh met us and ask us again about this issue, I had
13.000.000 VND # 7.000 USD for this work, but the output should be
because he can not use that money for resaerch.
So please give Tran some comments and good support for her work.
Duong Dinh Cong CUF/UTC 520 Ng Tri Phuong QX HCM-City Vietnam Tel 84 8
8631383 Fax 84 8 650025
Date: Wed, 13 May 2009 13:25:10 +0700
Subject: Child Health Record - ideas in Viet Nam
CC: email@example.com; firstname.lastname@example.org;
We're going to build Child Health Record based on DHIS. I send the
document to represent our ideas about the module.
Please enclose the attached file and give us suggestion about the
According to our ideas, we try to create a form from system, but we
can't share data. Now we're researching how to solve this big
Chau Thu Tran
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