AMPATH Medical Record System (AMRS): collaborating toward an EMR for developing countries

Abstract

Millions of people are either living with or dying from HIV/AIDS; most of this living and dying is taking place in developing countries. There is an immediate need for electronic medical record systems to help scale up HIV/AIDS prevention and treatment programs, reduce critical human errors, and support the research necessary to guide future efforts. Several groups are working on this problem, but most of this work is occurring within silos. To be more effective, we must find ways to collaborate. We describe a system built on the 30+ years of experience at Regenstrief Institute to serve as the seed for building toward a common infrastructure. We discuss the design goals, data model, and implementation of a data entry component. Further details are available online at amrs.iukenya.org.

Figure 1

Design Goals used for the AMRS

Figure 2

AMRS Data Model. An overview of the data model shows the overall organization of the tables into basic categories. Details available at amrs.iukenya.org/datamodel.

Figure 3

Data entry form. On the left, the original paper form; on the right, the electronic equivalent able to deliver data directly to the central repository. little purpose.