Workflow Demonstrations

Continuity of Care: Client Registry

This tutorial demonstrates the FHIR-based synhronization of patient data between iSantePlus instances.

The demonstrated communication workflow involves the following components:

a Master Patient Index (MPI)
a Shared Health Record (SHR)
and two instances of iSantePlus

The communication between these systems utilizes the FHIR clinical data standard for representing clinical data, and is orchestrated by the OpenHIM middleware.

Patient Creation and Import - The MPI Workflow

Link to Video

For the first part of this tutorial, we'll be using the MPI to synchronize patient registration data across two iSantePlus instances.

I) Create a Patient

Log into https://isanteplusdemo.com/openmrs
Click Register a Patient
Fill in all of the required patient information, including an error in the spelling of the name
Click Confirm to create the patient

II) View Patient in OpenCR

Log into https://opencr.sedish-haiti.org/crux/#/Login
Search for your created patient by Surname to find the entry.
Click on the patient to view the patient information.

III) Update Patient Birthdate

Go back to the patient chart in isanteplusdemo.com/openmrs
Click Edit next to the patient name on the top of the screen
Change the patient's date of birth
Go back to the OpenCR patient page and refresh to view the updated date of birth

IV) Import Patient in a 2nd Location

Log into https://isanteplus-test.sedish-haiti.org/openmrs/
Click Register a Patient
Begin typing in the names of the patient you created in step I)
You should see a notification show up at the top of the screen with existing patient suggestions.
Click on the Review Patient(s) button and import your patient by clicking the Import and Open button.
You should see a new patient created with information from the MPI

II) View Patient in OpenCR

Go back to the MPI patient page and refresh
You should see two linked patient records for this patient - one from each iSantePlus instance

Continuity of Care: Shared Health Record

Link to Video

For the second part of this tutorial, we will be using the patient from the step above. This patient was created in the iSantePlus instance available at www.isanteplusdemo.com/openmrs, and imported on isanteplus-test.sedish-haiti.org/openmrs.

To start, we will import this patient in the second iSantePlus instance, review the Continuity of Care document (CCD) for the patient, add some additional clinical data, and see this information represented in the CCD of the original instance.

I) Create some medical history on each instance

Fill in some visits, requests, allergies, etc. on isanteplusdemo.com/openmrs and isanteplus-test.sedish-haiti.org/openmrs

II) View CCD for patient

Go the patient registration summary page and look for the Continuity of Care section.
Click on the Import button to import the patient's CCD from the Shared Health Record.
After a small delay, you should see the Patient's CCD.

III) Create a bit of medical history on the other instance

Go back to your patient's chart, and add to the medical history a bit: a. Click on the Edit button in the Allergies section and add some allergy for the patient b. Click on Start Visit to begin a visit for the patient c. Under the Forms tab, click on the Laboratory/Dispense section and select Analyse de Laboratoire d. Add some lab test requests. e. Click on the Visit tab and click End Visit

IV) View the updated Medical History in the CCD Document