Suggestions inline below.

Regards,
Rob

On 3/29/2012 6:28 AM, Larry Nathanson wrote:

Hi Folks--

A couple of questions from an OpenMRS beginner... By way of quick intro:
I'm assisting an organization that is providing medical care to approx
1,700 Haitian orphans and looking to use an electronic medical record.
The primary goals at this time are to track growth and immunization
status. We have a stable OpenMRS 1.82 implementation configured in an
Amazon EC2 instance. The growth chart module is installed and working. A
few questions that have come up:

1) When entering a new patient, is there a way to automatically generate
the next available ID #? Or barring that, have it auto-calculate the
check-digit when entering one for the first time?

The Id Generation module will do this, and much more, for you. You can generate new id numbers on demand or generate a batch of id numbers and save them into a local pool from which you draw randomly on demand. In the MVP project we use this module to centrally manage id numbers on many separate sites. We use the Luhn 30 check digit method.

2) What is the best way to record the immunization dates? Currently,
I've done <obs conceptId="1410" answerConceptId="159716"/> (Where 1410 =
Vaccine Date and 159716=Tetanus Containing Vaccines). Will this carry
forward longitudinally and be easily reportable? Is there a better way?
Is this the right level of granularity? (or should I be recording dates
of Td, TDaP individually and using 159716 as a way to roll it up and
report?)

3) Is there a way to tie this to a drug order, so that if a specific
vaccine is ordered it would update the field?

4) I tried a few versions of the EzVac Immunization module, but was
getting a number of java errors when I attempted to upload the .csv
rules. I'm not clear whether this is intended to provide guidance on
what's needed or help track what's been given. I couldn't find
documentation or guidance to tell if that was the way to go.

Contact the module author Ben Rukundo (ben.rukundo at yahoo.fr) for advice if he doesn't respond to the list.

Thanks -- I'd appreciate any advice and guidance!

--L



----
Larry A Nathanson MD
Director of Emergency Medicine Informatics, Beth Israel Deaconess
Medical Center
Assistant Professor of Medicine, Harvard Medical School
One Deaconess Rd W/CC-2 Boston MA 02215

617-754-2389
[email protected] <mailto:[email protected]>

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