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Operational solutions

Electronic Health Record Systems

OpenMRS is a software platform and a reference application that enables design of a customized medical records system (MRS). It is a common platform upon which health informatics and eHealth efforts in low-income countries can be built. The system is based on a conceptual database structure that is not dependent on the actual types of medical information required to be collected or on particular data collection forms and so can be customized for different uses.

OpenMRS is based on the principle that information should be stored in a way that makes it easy to summarize and analyse (i.e., minimal use of free text and maximum use of coded information). At its core is a concept dictionary that stores all diagnoses, tests, procedures, drugs, and other general questions and potential answers.

Bahmni is an easy-to-use hospital information system and electronic medical record (EMR) system developed in the global south to meet the needs of low-resource environments. Bahmni is a distribution of the OpenMRS medical record platform, with a user interface built from the ground up. It also supports Odoo (formerly OpenERP), OpenELIS, and dcm4chee, providing an integrated, robust solution that manages patient information in a flexible fashion throughout the care cycle, including registration, various points of care, investigations, laboratory orders and results management, picture archiving and communication systems, and billing.

HospitalRun is an offline-first Docker-based EHR - HIS application.

OpenEMR is an open-source electronic health records and medical practice management solution. ONC certified with international usage, OpenEMR's goal is a superior alternative to its proprietary counterparts.

The LibreHealth EHR application is a clinically-focused Electronic Health Record (EHR) system designed to be both easy to use "out of the box" and also customisable for use in a variety of health care settings.

Health Management Information Systems

DHIS2 is the flexible, web-based open-source information system with awesome visualization features including GIS, charts and pivot tables.

Laboratory and Diagnosis Management Systems

Global OpenELIS (Enterprise Laboratory Information System) is an initiative to provide laboratory information systems for resource-constrained international clinical and reference laboratories.

open-source LIMS Core based on the CMS Plone

Analytics

Metabase is an open-source business intelligence (BI) tool. It lets ask questions about data, and displays answers in formats that make sense, whether that’s a bar graph or a detailed table.

Questions can be saved for later, making it easy to come back to them, or questions can be grouped into great looking dashboards. Metabase also makes it easy to share questions and dashboards with the rest of a team.

Apache Superset is a modern, enterprise-ready business intelligence web application. Apache choose to develop a more comprehensive BI tool, but comes with a less ergonomic user interface than Metabase.

Terminology, Classification and Interoperability

The Open Concept Lab (OCL) consists of an open-source terminology management system (distributed under MPLv2 with a health care disclaimer) to help collaboratively manage, publish, and use metadata in the cloud alongside the global community. Imagine GitHub for indicators, terminology, and metadata—a one-stop shop to access international standards, create and publish your own definitions, or browse country and global indicators with mappings to the diagnoses, procedures, and other data definitions used to calculate them.

Aristotle-MDR is an open-source metadata registry as laid out by the requirements of the ISO/IEC 11179 specification.

The OpenHIM allows you to secure and view requests to your web service APIs. It acts as a reverse proxy to your upstream services and while doing so enables visibility into your service-oriented architecture (SOA) by logging each request and by providing metrics about requests hitting your services. It also provides a central entry point into your SOA and allows you to secure access through mutual TLS or basic-auth.

Surveillance

To ensure interventions reach recommended coverage thresholds, it is necessary to know exactly how many homes should be targeted and their precise locations. Reveal, formerly mSpray, is a spatial mapping and monitoring platform that optimizes health intervention coverage through spatial planning, tasking, in-app navigation support, role-specific dashboards, and built-in decision-making protocols to drive intervention planning. This approach optimizes intervention coverage with data accuracy and transparency. By improving coverage and smart targeting interventions, resources will be spent more effectively and more lives will be saved. We call this approach precision service delivery.

The Surveillance Outbreak Response Management and Analysis System (SORMAS®) is an open-source software that is designed to organize and facilitate disease control and outbreak management procedures in addition to disease surveillance and epidemiological analysis for all administrative levels of the public health system. The mission of SORMAS is to improve prevention and control of communicable diseases particularly in resource-poor settings. SORMAS is free of charge and adheres to the highest data protection standards, good scientific practice, and open access policy. SORMAS is characterized by the following features: digitalized notification at the health facility level, bidirectional information flow, contact follow-up management, and user-centred design. SORMAS includes disease-specific process models for high priority, epidemic-prone diseases.

Mobile Health

The Open Data Kit community produces free and open-source software for collecting, managing, and using data in resource-constrained environments.

KoBoToolbox is a suite of tools for field data collection for use in challenging environments. Mostly used by people working in humanitarian crises, as well as aid professionals and researchers working in developing countries.

CommCare is an offline-capable mobile data collection and service delivery platform designed for everything from simple surveys to comprehensive longitudinal data tracking. A straightforward application builder allows for easy digitization of surveys and forms, as well as the integration of decision support, notifications, and SMS (short message service, or text) messaging. Programs can be scaled from the community to the national level, thanks to simple device deployment and translation features.

Open Smart Register Platform is an open-source mobile health platform that allows frontline health workers to electronically register and track the health of their entire client population.

Visually build nationally scalable mobile applications from anywhere in the world.

ONA is an actively maintained solution whose developers are responsive to the needs of their users, which include a large number of humanitarian organizations.

ONA is based on the Xforms standard. The analysis features on the website are getting better and while ONA is still not a complete analysis solution in itself, it can probably answer a significant share of an operation’s needs, especially closer to field level. User management options are particularly rich, especially for an organization looking at managing different units (country, regions, types of programs) on a single account.

It doesn’t offer advanced features such as case management and isn’t well-suited for monitoring.

FrontlineSMS is a free open-source software used by a variety of organizations to distribute and collect information via text messaging (SMS). The software works without an internet connection and with a cell phone and computer.

mHero is a two-way, mobile phone-based communication system that uses basic text messaging, or SMS, to connect ministries of health and health workers. mHero operates on simple talk-and-text mobile devices—no smartphone or tablet required. IntraHealth International and UNICEF created mHero in August 2014 to support health-sector communication during the Ebola outbreak in Liberia.