OpenMRS: Open-source EHR and support for patient care in low income settings

October 26, 2018
Free for AMIA members; $50 for non-members.
Hamish Fraser, MBChB, MRCP, MSc.

OpenMRS is a leading open source EHR system implemented in more than 60 low or middle income countries, providing support for the treatment of HIV, MDR-TB, oncology, heart disease and primary and inpatient care. OpenMRS grew out of a collaboration between AMIA members starting at Medinfo 2004. In this talk, presenter Hamish Fraser will outline briefly the history of the project, the current scale of the use of OpenMRS and the range of health care areas supported. He will also discuss the evidence base on clinical impact from OpenMRS, and future directions. 

Learning Objectives

After participating in this activity, the learner should be better able to:

  • Recognise the role of EHR systems in low and middle income countries
  • Discuss the history of OpenMRS and key design decisions that have facilitated its' growth
  • Identify the range of clinical care supported by OpenMRS and similar EHRs in LMICs
  • Evaluate the evidence that exists on clinical impact for OpenMRS and related systems

Speaker Information

Hamish Fraser, MBChB, MRCP, MSc.
Associate Professor of Medical Science
Brown University

Dr. Fraser has been working on development, implementation and evaluation of eHealth systems since 1995 and has worked in Low and Middle Income Countries for two decades. He started teaching a fellowship program then MS in medical information systems at University of Kwazulu-Natal, South Africa in 1999. For 12 years he directed the informatics programs at Partners In Health, working in Peru, Haiti, Rwanda, Malawi and the Philippines. He has also led several initiatives to create an evidence base for eHealth around the world. In 2011 he organized and co-led a conference with Rockefeller Foundation and WHO to improve the quality and use of eHealth evaluation in low income countries. He is a co-founder of the OpenMRS open source EHR collaborative and a member of an evaluation working group for CDC/PEPFAR. He also focuses on clinical decision support systems (CDSS) for improving diagnosis and clinical management. This spans high-income settings for example diagnostic decision support, and low-income settings, evaluating CDSS for HIV care in Rwanda. He practices, publishes and teaches extensively on evaluation methods for health information systems.

This presenter has been quoted, appeared in media outlets, and/or published in:

- Oza S, Jazayeri D, Teich JM, … Fraser HS.  Development and Deployment of the OpenMRS-Ebola Electronic Health Record System for an Ebola Treatment Center in Sierra Leone.
J Med Internet Res 2017;19(8):e294   doi:10.2196/jmir.7881
- Oscar Agoro, Sarah Kibira, Jenny Freeman, Hamish S F Fraser. Barriers to the Success of an Electronic Pharmacovigilance Reporting System in Kenya. An Evaluation Three Years Post Implementation. JAMIA 2017, DOI: 10.1093/jamia/ocx102