OpenMRS PoC - Q&A

Owned by Ryan Crichton
Feb 10, 2014
#1 - From among these, which encounter types could we expect to see multiple times per each patient ?
One thing we need to get in the habit of using is a time period. Are we looking at one pregnancy, one lifetime? I look at these during a lifetime. 
a) Only seen once in a lifetime 
  • RapidSMS Notification Maternal Death
b) Seen only once during a single pregnancy, but seen multiple times due to multiple pregnancies: 
    • ADULTINITIAL
  • ANC OB and Past Medical History
c) Seen multiple times in a single pregnancy, and seen multiple times over multiple pregnancies:
    • ADULTRETURN
  • ANC Physical  
  • ANC Testing                               
  • ANC Maternal Treatments and Interventions 
d) 1) may not be seen at all or 2) once over a single pregnancy or 2) multiple times during a single pregnancy and multiple pregnancies  - dependent on each mother
  • (1, 2, 3) ANC Referral Confirmation
  • (1, 2, 3) ANC Referral
  • (1, 2, 3) RapidSMS Notification RISK
  • (2, 3)RapidSMS Notification BIRTH - Will show once if the mother only gives birth to 1 child during the first pregnancy. Will show multiple times during the first pregnancy if multiple children are delivered. Will show multiple times over a lifetime due to multiple deliveries in a lifetime. 
  • (2, 3)ANC Delivery Report - Will show once if the mother only gives birth to 1 child during the first pregnancy. Will show multiple times during the first pregnancy if multiple children are delivered. Will show multiple times over a lifetime due to multiple deliveries in a lifetime. 
 e) Exploring in more detail:
  • PEDSINITIAL - Need to investigate. May not show until maternity since mother returns 7-9 days after delivery with baby
  • PEDSRETURN   - Need to investigate. May not show until maternity since mother returns 7-9 days after delivery with baby
  • ANC - Not sure what encounter this shows with but investigating. I think it's a mistake                        
#2 - Four ANC Visits
  • This is a major indicator for MOH reporting both for the HMIS report and performance based financing (PBF). I'm working with Michele at MOH just now to get the module for these reports. 
     
#3 - Threshold Numbers
  • I think it will be good to discuss this one on the Thursday call. I think this requires some national data from past reports as a reference, in my opinion, otherwise we're just making up our own numbers. 
    
#4 - Review of the electronic forms and when they are used:

First-Time Visit
  • Past Medical History
  • Physical Exam
  • Investigation
  • Referral (if needed)
Return Visit
  • Physical Exam
  • Investigation
  • Referral (if needed)
  • Delivery (when needed) 

#5 - For each of the four ANC visits, which encounter types are being filled out:
Context: I'm responding to this in the context that the four ANC visits are for when a mother physically arrives at the health facility (no RapidSMS messages) 
1st visit
  • ADULTINITIAL
  • ANC OB and Past Medical History
  • ANC Physical
  • ANC Testing  
  • ANC Maternal Treatments and Interventions
  • ANC Referral (dependent on condition of mother at first visit)
2nd, 3rd, 4th visit
  • ADULTRETURN
  • ANC Physical
  • ANC Testing 
  • ANC Maternal Treatments and Interventions 
  • ANC Referral (dependent on condition of mother at visit)
  • ANC Referral Confirmation (dependent on if a referral is made during any of these visits)                
Delivery
  • ANC Delivery Report - the 4th ANC visit is ideally the last regular checkup before the delivery, so the delivery will be its own separate encounter