Introduction

OpenMRS is an open source medical record system that was first released in 2004. This research study analyzed OpenMRS implementations by conducting a survey of implementers and by reviewing publicly available data reported to the OpenMRS Community to learn about the utilization and impact of OpenMRS over the past 15 years.

Methods

Data about the use of OpenMRS were collected by conducting a survey of OpenMRS implementers that included both quantitative and qualitative questions. Data were also gathered from the OpenMRS community-hosted Atlas website and the OpenMRS Community Annual report to arrive at a comprehensive view of OpenMRS implementations.

Results

OpenMRS has been implemented in over 62 countries worldwide (Community Annual report). The survey was responded to by 16 organizations with projects spanning 16 countries, which were launched over 15 years (2004–2019). Fourteen of these sites reported a total of 1,436,357 patients; 4,248,248 visits; 18,028,204 encounters; 312,068,205 observations; and 5088 users, of which 3933 were health providers, recorded in the system database. Implementers reported a positive impact from implementing OpenMRS in streamlining operational processes for healthcare delivery; improved interoperability; improved reporting; improved availability and quality of data for decision making, advocacy, and research; and, improvement in the quality of healthcare delivery. Key challenges in implementing OpenMRS included finding skilled technical staff; acceptability of electronic health records by clinical staff; poor training provided to staff when transitioning from a paper-based to an electronic system; technical challenges, including infrastructure availability (computers, servers, equipment, connectivity, power); missing clinical/programmatic functionality in OpenMRS; poor documentation; and, difficulties faced when contributing code to the open source project.

Conclusion

OpenMRS has a broad reach globally in a variety of settings. Organizations have reported a positive impact on health care delivery after implementing OpenMRS. Several risks and challenges were identified by implementers that need to be addressed to deliver successful implementations. Continued investment in the development of OpenMRS is needed to sustain and scale its impact.

中文翻译：

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OpenMRS作为全球性产品：实施15年的影响，机遇，挑战和经验教训

介绍

OpenMRS是一个开放的病历系统，于2004年首次发布。该研究报告通过对实施者进行调查并查看报告给OpenMRS社区的公开数据来分析OpenMRS的实施情况，以了解OpenMRS在过去的使用和影响。 15年。

方法

通过对OpenMRS实施者进行调查，收集了有关OpenMRS使用情况的数据，其中包括定量和定性问题。还从OpenMRS社区托管的Atlas网站和OpenMRS社区年度报告中收集了数据，以全面了解OpenMRS实施情况。

结果

OpenMRS已在全球超过62个国家/地区实施（社区年度报告）。这项调查得到了16个组织的回应，这些组织的项目跨越15个国家（2004-2019年），项目涉及16个国家。这些站点中有14个报告了总计1,436,357名患者；4,248,248次访问；18,028,204次遭遇；312,068,205观察；系统数据库中记录了5088位用户，其中3933位是健康提供者。实施者报告说，实施OpenMRS可以简化医疗保健交付流程，从而产生了积极影响。改进的互操作性；改进报告；改进决策，宣传和研究数据的可用性和质量；以及改善医疗保健质量。实施OpenMRS的主要挑战包括寻找熟练的技术人员；临床人员对电子健康记录的接受程度；从纸质系统过渡到电子系统时，对员工的培训不足；技术挑战，包括基础架构可用性（计算机，服务器，设备，连接性，电源）；在OpenMRS中缺少临床/程序功能；不良文件；并且，在向开源项目贡献代码时面临困难。

结论

OpenMRS在各种环境下在全球范围内具有广泛的影响力。组织已经报告了实施OpenMRS后对医疗服务的积极影响。实施者确定了一些风险和挑战，需要交付成功的实施方案。需要持续投资于OpenMRS的开发，以维持和扩大其影响。