OPENMRS KENYA COMMUNITY DISCUSSION MEETING ON THE CONCEPT DICTIONARY HELD AT THE VIC HOTEL IN KISUMU ON THE 30TH MARCH 2015

Attendees:

Edwin Mulwa-FACES

Nicky Okeyo- KEMRI-CGHR

Mathews Odiango- MOH Siaya

Cyrus –MOH Homabay

Kenneth Masamaro- KEMRI-CGHR

Martin Were- AMPATH

Geoffrey Wasilwa- KEMRI-CGHR

Stanslaus Odhiambo-KEMRI-CGHR

James Otieno-MOH Kisumu

Daniel Kwaro- KEMRI-CGHR

Mary Rogito-MOH Kisii

John Odira-MOH Migori

John –MOH Nyamira

Aggrey Keny-AMPATH

Japeth Terer-MOH

Stephen Wanyee-I-TECH

Christine Gichuki-I-TECH

James Odede-Lakehub

The Agenda of the day was as follows:

  • Discussion of some pre-listed topics that were listed on the online discussion forum
  • Begin the process of developing version 1 of the National Concept dictionary.
  • Come up with action plans from the discussion.

National Concept Dictionary Starter Set

Patient demographics

  • Last name, First name, Middle name
  • Date of Birth
  • Age
  • Sex(male/female)
  • Unique patient identifiers (Additional identifiers can be: CCC No, National ID No.)
  • Telephone numbers
  • Email Address
  • Postal Address
  • Marital status(single, married, divorced, separated,widowed,unknown)
  • Relationships (e.g.next of Kin) further defined to role( e.g.treatment supporter)
  • Landmark
  • Administrative units(country, county, sub-county,ward,village,estate)
  • Date of visit

History

  • Reason for visit(e.g. new patient, come for consultation, Picking up medication)
  • Known Allergies (e.g. to drugs)
  • Symptoms

Have a number of possible common symptoms. These areto bepicked from some common symptoms from various data sets from the different systems such as KenyaEMR,Ampath etc.

  • Medical Diagnosis and surgical procedures(qualifier will be time )
  • WHO Staging(specifically HIV)
  • Non-medical and surgical intervention
  • family planning
  • psychological counselling
  • Medication history/Medication(Modifiers to be the date i.e. start date and end date)

Vital signs

  • Temperature
  • Weight
  • blood pressure (the two types should be separated, that is, diastolic and systolic)
  • BMI(To be defined as a calculated value)
  • Head circumference(this is for children)
  • MUAK(This is for pregnant women)
  • Height/length for children
  • Heart rate
  • respiratory rate
  • oxygen saturation

Findings

Physical exam findings

This is to have two categories:

  • General findings/examination
  • Grouped general systems:

Abdominal

Central nervous system

Pulmonary

Cardiovascular

ENT

Tests

Procedures

Medication

  • Combination
  • Agent
  • Form(can be pill, syrup)
  • route of administration(can be oral,injection)
  • Frequency
  • Dosage
  • Life cycle(can be switched, initiated, stopped, substituted)
  • Side effects

Administrative statistics

  • Referral(to different department or hospital and might come back up)
  • Admission
  • Discharge
  • Transfer(in/out and do once gone does not come back)
  • Next appointment
  • Lost to follow up
  • Defaulter
  • Death

Cohorts

  • Lifecycles
  • Disease

ACTION PLANS AND IMPORTANT ISSUES TO CONSIDER:

  • A group of members volunteered to work on the Modelling of the Concept Dictionary. They include:

Nicky Odhiambo - KEMRI

Nicholas Ingosi - I-tech

Steven Wanyee - I-tech

Daniel Kwaro - KEMRI

Kenneth Masamaro-KEMRI

Edwin Mulwa - FACES

Dr. Agri Keny - Ampath

Petronilla - Ampath

Andy - at a consultant level

Mathews Odiango - from Ministry

  • All the concepts should match the data elements in the DHIS
  • There should be another meeting after the development of the first version of the concept dictionary.
  • The potential items or topics to discuss in the next meeting will be the following:

Where will the concept dictionary be hosted?

Who will be updating the Concept dictionary?

  • All discussions to be moved to OpenMRS talk and all members to get OpenMRS ID.

The meeting came to an end at around 4.30pm with closing remarks from (MOH- Homabay) and a word of prayer from John Odira (MOH-Migori). The members were free to leave at their own pleasure.