An open source Electronic Health Record (EHR) customized for Nepal’s public healthcare system

NepalEHR is designed for use in limited resource settings, and seamlessly integrates registration, clinical diagnosis and investigations, prescriptions, reporting, and supply chain management. It  facilitates care coordination across facility- and community-based points of service, integrating data to map disease, target care & continuously improve healthcare service delivery.

Main Features

Clinical

Capture, maintain and access patient clinical records. Create general and disease specific forms. Prescribe drugs, order lab/radiology investigations.

Diagnostics

Manage patients' lab samples and tests. Send samples for referrals. Receive and fulfill radiology orders.

Supply Chain

Manage, track, reorder medicines and other supplies. Move and monitor stock levels to prevent stock outs.

Informatics

Perform operational, clinical, and public health reporting to government DHIS. Conduct quality improvement projects, monitor performance indicators

Current Implementations

Underlying Platforms

It combines and enhances existing open source products into a single solution.

OpenMRS

Open source medical records system

DCM4CHEE

Open source clinical image and object management

OpenELIS

Open source lab information system

CommCare

Mobile data collection platform

OpenERP

Open source inventory and resources management tool

DHIS2

District health information software

Facility-based sites

Bayalpata Hospital, Achham: NepalEHR was first deployed in early 2015 at this district hospital in rural farwest Nepal.

Charikot Hospital, Dolakha: Less than a year after the devastating earthquake of 2015, NepalEHR was deployed at this public hospital in rural central Nepal.

Charikot Hospital
Public Hospitals
Municipalities
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Facility visits
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Community visits

FAQ

Most frequent questions and answers

NepalEHR builds upon the strengths of Bahmni to integrate additional components (like Commcare and DHIS2) to create a more holistic healthcare system tool adapted to an Nepal’s healthcare system.

NepalEHR’s underlying OpenMRS system uses industry standard protocols, and a role-based access control system. At the current implementations, the EHR is only accessible from the internet via secure VPN, as all implementations are setup in an internal network behind firewalls.

With some training, anyone with basic IT training can handle everyday issues at the remote sites – support for complex issues can be provided remotely by a central support team.

Due to unreliable power supply from the national grid, we ensure adequate power through use of solar panels and inverters.

Depending on multiple factors like size of facility, number of providers and range of services provided, the implementation size and costs can vary. The initial implementation costs at the 30-bed Charikot hospital was about $40K, including all hardware costs. Ongoing costs are much smaller as the bulk of the cost is capital expenditure.

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