Digital Square Investments in Global Goods

Notice C0 Investments

OpenLMIS: advancing a collaborative, open, and growing community

OpenLMIS is a logistics management information system used to track and manage data for health commodities moving and being used across health systems. This proposal seeks support for community-requested feature development and provide ongoing releases.

Strengthening the OpenMRS implementer ecosystem through community, quality assurance, education, and partnership

OpenMRS is an open source, integrated electronic medical records platform aimed at resource-constrained settings. This proposal seeks to strengthen OpenMRS by gaining insight into the impact of OpenMRS on country health systems by better understanding this growing ecosystem of OpenMRS implementers and the 3,000+ implementations of the OpenMRS system.

Integration of the OpenELIS open-source laboratory information system with leading clinical and logistics information systems

OpenELIS is an open-source electronic laboratory information system software used to track patient testing, diagnosis, and results communication. This proposal will integrate OpenELIS with OpenMRS, Bahmni and OpenLMIS using direct bridges and health information exchange.

Zero to mHero: a packaged workflow for technologists

mHero is a two-way, mobile phone-based communication system that connects ministries of health and health workers. This proposal is to make mHero easier to launch, test, and deploy by developing a standardized and streamlined containerization, orchestration, and configuration of mHero, using Docker or a similar technology.

An Instant OpenHIE

An Instant OpenHIE is a preconfigured version of the OpenHIE architecture and reference technologies optimized for low- and middle-income countries’ workflows. This proposal is to fund time to invest in installation options and rapid configuration scripts and in creating needed mediators to meet the project needs.

DHIS2 utility suite

DHIS2 is a flexible, open-source health information system that allows users to collect, manage, and visualize data. This proposal is to fortify DHIS2 with a suite of tools and utilities that will provide more efficient administration and configuration, integration with other data collection platforms, and the ability to perform more advanced analytics through connectivity with more advanced business intelligence tools.

Notice C1 Investments

DHIS2 as an analytics, reporting, and visualization solution for openIMIS

DHIS2 is a flexible, open-source health information system that allows users to collect, manage, and visualize data. openIMIS is an open-source insurance management information system to provide a comprehensive system linking patient, provider, and payer data. This proposal will develop the openIMIS analytics solution using DHIS2 as the core and primary platform.

Develop a claim submission, enrollment, and enrollment verification module with a clinical point of service application using the relevant HL7 FHIR standards, openIMIS, and OpenMRS

openIMIS is an open-source insurance management information system to provide a comprehensive system linking patient, provider, and payer data. OpenMRS is an open-source, integrated electronic medical records platform (EMR) aimed at resource-constrained settings where structured patient record keeping systems (specifically, electronic medical record systems) can improve health outcomes. This proposal will build the working integration between openIMIS and OpenMRS to develop claim submission, enrollment, and enrollment verification module with a clinical point of service application using the relevant HL7 FHIR standards.

Integrating openIMIS with Bahmni: a Nepal-based proof-of-concept project

Facility-based EHR, NepalEHR, is Nepal’s national EMR system and is built on the OpenMRS distribution with Bahmni, with embedded protocols and the ability to track patient, supply, laboratory, radiology, and pharmacy data. This proposal is to integrate openIMIS with Bahmni through a proof-of-concept claim submission module. The development of this solution will make openIMIS interoperable with national health information architectures in Nepal.

Notice B Investments

Strengthening the Open Civil Registration and Vital Statistics (OpenCRVS) System

Open Civil Registration and Vital Statistics (OpenCRVS) is an open source system supporting the digitization of common processes for civil registration and vital statistics (CRVS), particularly those found in low resource countries. OpenCRVS is a partnership between Plan International and Jembi Health Systems with a number of other collaborators. To date, the project has documented requirements and business processes in a number of countries in Africa and Asia and developed a prototype application. This proposal will supplement other funding streams and allow for the expansion of the software capabilities of the OpenCRVS project.

Strengthening and Expanding the Open Health Information Mediator (OpenHIM)

The Open Health information Mediator (OpenHIM) provides an interoperability solution that makes it as easy as possible to connect systems and exchange relevant data, whilst ensuring security and privacy. The OpenHIM is a an existing open source middleware used to enable interoperability between component health information systems, either individually or as part of a health information exchange (HIE). It is currently one of the reference technologies for the interoperability layer of the Open Health Information Exchange (OpenHIE) community project.

DHIS2 Community of Practice

DHIS2 is the national scale health management information system (HMIS) across 55 countries and Indian states, and scaling up in an additional 33. Beyond the principal application of DHIS2 as an HMIS, we see DHIS2 being applied as national WASH, logistics, agriculture, land tenure, community health, and education information systems. Additionally, DHIS2 is now being used as the central information system for several multinational donor databases and thousands of NGO projects. The University of Oslo aims to minimize the barriers to DHIS2 adoption and full utilization.

Illuminate Data with a DHIS2 Business Intelligence Connector

Population Services International (PSI) would like to partner with technology firm BAO Systems and the University of Oslo (UiO) to develop a connector between Power BI, Microsoft’s suite of business analytic tools, and DHIS2. The connector will enable non-technical users to easily share data between DHIS2 and Power BI in order to visualize and compare vital information from multiple data sources. Power BI allows health program managers to affordably and quickly generate dynamic infographics that better communicate data, thereby informing health program strategy and improving health outcomes.

OpenMRS Sync 2.0 Module Development, Implementations and Maintenance

This proposal is about building a new Sync 2.0 module that will be a replacement for the OpenMRS legacy Sync module. The new module will be based on Fast Healthcare Interoperability Resources (FHIR), a flexible next generation standards framework created by HL7, and atom feeds as a communication channel between different nodes. This new solution will be secure, reliable and provide OpenMRS a completely new level of interoperability. After implementing FHIR it will be possible to synchronize data between OpenMRS and other systems, that implement the FHIR specification.

Packaging OpenSRP for Scale and Community-Driven National Adoption

OpenSRP (Open Smart Register Platform) is an open-source mobile health platform to empower frontline health workers and simultaneously provide program managers and policy makers with current data for decision and policy-making. A committed community of technology, research and implementation partners has evolved the software to a point of early maturity characterized by multiple deployments, high performing technology at scale, and emerging documentation around specific use cases for RMNCAH, TB, HIV, Malaria and Early Childhood Development.

Global Healthsites Mapping Project: Building a Curated Open Data Commons of Facility Data with OpenStreetMap

The Global Healthsites Mapping Project is building a global commons of health facility data by making OpenStreetMap useful to the medical community and humanitarian sector. This open data approach invites organizations to share health facility data and collaborate to establish an accessible global baseline of health facility data. Understanding the health capacity of a region is a vital asset in times of emergency and for day to day operational work in the health sector. Maintaining a high quality, global Healthsites dataset cannot be done in isolation. Over the past few years we established partnerships with The MissingMaps, CartONG, The International Committee of the Red Cross, Médecins Sans Frontières The International Hospital Federation, The Humanitarian OpenStreetMap Team, Kartoza and others to inform both the system design and provide data for the platform.

Building an Open Source LIS Technologies Community of Practice

Our team aims to support the building of a community of practice to serve as an organizational home for the open source laboratory information systems, OpenELIS Global and BLIS, and the independent open source laboratory instrument interface software, OpenLabConnect. In addition, the team aims to support building out of the laboratory sub-community of practice under the OpenHIE community to develop the workflows, transactions, technologies, and supporting materials for integrating laboratory information systems into the larger facility-level and upper-level eHealth ecosystems using the OpenHIE design pattern and technologies.

OpenLMIS Advocacy and Community Engagement

OpenLMIS is an open source electronic logistics management information system (LMIS) that has been designated a Global Good by the Digital Square initiative and is supported by a community of health, technical, and financing partners working collaboratively to advance health logistics data management globally. The primary purpose of this proposal is to request support for advocacy activities for the Initiative.

Expanding the Bahmni Hospital System as a FOSS Project

Bahmni is an easy to use, complete, open source Hospital Information System (HIS) and Electronic Medical Record (EMR) that has been built in the Global South to meet the needs of low resource environments. Bahmni is a distribution of the OpenMRS medical record platform, with a user interface built from the ground up. It also supports Odoo (formerly OpenERP), OpenELIS, and dcm4chee, providing an integrated robust solution that manages patient information in a flexible fashion through the care cycle, including registration, various points-of-care, investigations, lab orders and results management, PACS and billing.

Notice A Investments

Bahmni: Transition

In collaboration with DIAL, Digital Square is supporting the evolution the Bahmni governance by creating a new Bahmni Coalition and giving it full ownership over the Bahmni product and initiative, transforming Bahmni from being a ThoughtWorks-owned-and-operated project to a collaborative open-source one hosted through OpenMRS Inc. To speed up and smooth this transition, Digital Square and DIAL are supporting the following activities:

• Collaborative development work on community-prioritized product evolution
• Set-up of processes and tooling for FOSS development
• Creation of a Development Team Reference Manual
• Development of Standard Processes for Subcontracting
• Transitioning of Bahmni IP from ThoughtWorks to the coalition

Digital Health Atlas: Core Development and Implementation Support

In collaboration with the WHO, we are supporting an upgrade of the existing Digital Health Atlas to provide country portals and country requested functionality. The Digital Health Atlas is a web-based based technology registration and assessment system that enables governments, technologists, and implementers, as well as donors, to manage information about existing and new digital health deployments. It supports cataloging related to scale, functionality, data capture and use, interoperability and standards, as well as use-cases and geographical scope of deployment. Collaborative functional requirements gathering with intended users of the registration system in the West African region will guide the specific functionality of the system and ensure usability, stakeholder relevance, and uptake. Support will be provided to Ebola affected countries.

eIDSR: Core Development

Jembi Health Systems, Vecna Cares, Dimagi and Fio are developing an integrated disease surveillance solution that leverages the value of each of their technological innovations and our community of practice in interoperability. At the core, the solution would see the enabling of CommCare and Fionet to leverage published health standards (OpenHIE, HL7 FHIR) to communicate with a Health Information Exchange through the OpenHIM and submit and query patient level data. The system would also show the ability to trigger alerts based on submitted data and create the opportunity to have patient level data feed a national data warehouse (such as DHIS2) and leverage mHero for communication. This system would ease the burden on community health workers, clinicians, laboratory technicians, and health center admin in under-resourced areas through a more seamless connection between and visibility of data collection points, diagnostics, and workflow support. Government bodies and implementing partners would have better visibility into the data collection and management through this cohesive integrated approach to infectious disease data management. Most importantly, this sustainable solution would provide beneficiaries in critical areas a faster, more reliable connection to critical care and diagnostics for the disease burden pertinent to their district, region, or country.

Global Open Facility Registry (GOFR): Core Development and Implementation

A consortium comprising eHealth Africa, IntraHealth, JSI, and RTI are working on the development of curation tools for managing multiple list of health facilities in order to support ministries of health efforts to develop and maintain a Master Facility List and link with existing public sources of health facility data. Country specific support for implementation of the GOFR tools is being provided to Guinea, Liberia, and Sierra Leone.

iHRIS Foundation: Core Development and Community Support

The iHRIS Foundation , with IntraHealth as secretariat, will focus the development of features and functions to respond to requests from the iHRIS community, including ministries of health and health professional associations; as well as prepare the platform for broader use in new domains. Freed from the strict structure of projects and dependency on piecemeal funding, the iHRIS community, led by the Foundation, will be able to address longstanding issues that affect all users and offer support for new architectures to optimize the functionality and power of iHRIS. New tools, documentation, and capabilities for iHRIS will make it easier to use, more powerful, and more interoperable with the various health information ecosystems utilized by the global community. Improved and more readily available training and learning materials will increase the number of users and their capacity for making full use of the software. These improvements to iHRIS will provide the men and women who make decisions regarding human resources in the health sector with the data they need to better understand how their health systems are working, where their needs are greatest, and how to best meet those needs.

Open Data Kit 2 (ODK2): Core Development and Transition

Global development organizations, and country-based programs increasingly rely on mobile data collection and management tools for a wide range of activities relating to the measurement, evaluation, and delivery of health programs. The collection and use of accurate and timely data is essential to organizations, their intended beneficiaries, and donors. ODK 2.0, from University of Washington, builds on the experience of ODK 1.0. ODK 2.0 has been under development for a number of years and needs to be transitioned to a multi-stakeholder open source community as part of support for more complex mobile data collection scenarios:

• Data management needs are increasing as mobile data collection moves away from collecting one-time survey data to collecting longitudinal data.
• As tools extend to more sophisticated applications, a deployment architect must be able to perform the necessary customizations to locality and over time. ·
• With a growing ecosystem of global good software tools, it is important to have seamless configuration, interoperability and linkages between tools
  • Network infrastructure and connectivity continue to pose significant challenges to mobile data collection, so it is essential that tools function in environments with intermittent mobile connectivity.

OpenLMIS: Core Development and Community Support

A consortium comprising VillageReach, JSI and Ona will develop the features identified during the recent gap analysis work. The consortium seeks to provide the following outcomes:

• Provide feature parity between TZM eLMIS and OpenLMISv3 to the greatest degree possible within funding limits, thereby enabling a cost-effective and efficient path for existing eLMIS countries to upgrade to v3.x
• Add compelling new features and enhancements to existing and new modules using the improved architecture for new country adoption
• Grow the OpenLMIS community by developing Africa-based resources that can eventually serve as software development and implementation partners, regional support centers and code schools.
• Support the OpenLMIS community by continuing to support the Core team providing fundamental support to the community and facilitate the governance, product and technical committees.

Past Investments

OpenLMIS: Gap Analysis

In the spring of 2017, Digital Square, in collaboration with VillageReach, supported JSI to conduct a gap analysis between the functionality present in eLMIS and that in OpenLMIS 3.x to ensure that countries wishing to adopt OpenLMIS 3.x have an upgrade path. Identified functional gaps were prioritized based on country needs.