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Development and implementation of a loosely coupled, multi-site, networked and replicated electronic medical record in Haiti

Authors:

William B. Lober,

Stephen Wagner,

Christina QuilesAuthors Info & Claims

ACM SIGOPS Operating Systems Review, Volume 43, Issue 4

Pages 79 - 83

https://doi.org/10.1145/1713254.1713272

Published: 27 January 2010 Publication History

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Abstract

Since 2005, we have been developing and implementing an electronic medical record (EMR) that supports both individual and population health care for HIV-infected patients in Haiti. The need to support countrywide monitoring and evaluation drove early architectural decisions to support linking systems under conditions of network uncertainty. Despite numerous challenges including frequent power outages and inadequate Internet access and support, the system (iSanté) is currently implemented in 55 clinic sites nationwide, tracks over 41,000 patients, and synchronizes patient data between in-country sites and the central site databases on a daily basis.

References

[1]

Central Intelligence Agency, The World Factbook (https://www.cia.gov/library/publications/the-worldfactbook/geos/ha.html#Econ, accessed 2009-09-29).

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[2]

UNAIDS 2007 Epi Update (http://www.unaids.org/en/KnowledgeCentre/HIVData/EpiUpdate/EpiUpdArchive/2007/default.asp, accessed 2009-09-29).

Google Scholar

[3]

UNAIDS 2006 reference-consider 2007 Epi Update instead.

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[4]

Erik George, Francine Noël, Gyrlande Bois, Rachelle Cassagnol, Louise Estavien, Patricia De Matteis Rouzier, Rose I. Verdier, Warren D. Johnson, Jean W. Pape, Daniel W. Fitzgerald, Peter F. Wright., Antiretroviral Therapy for HIV-1--Infected Children in Haiti. The Journal of Infectious Diseases 2007 195:10, 1411--1418.

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Kitahata MM, et al., Electronic HIV clinical reminder system improves adherence to practice guidelines among the University of Washington HIV Study Cohort. Clinical Infectious Diseases 2003;36(6):803--811.

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Cited By

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Kim SAllen TBhatt DChandwani RSingh PKumar NVeeraraghavan R(2019)Creating an EMR system to support mobile clinics in HaitiProceedings of the Tenth International Conference on Information and Communication Technologies and Development10.1145/3287098.3289282(1-5)Online publication date: 4-Jan-2019
https://dl.acm.org/doi/10.1145/3287098.3289282
Duggan DMuh JNdongo LYao JYu L(2016)Mobile Device Administration for Secure and Manageable Health Data Collection in Under-Resourced AreasProceedings of the 7th Annual Symposium on Computing for Development10.1145/3001913.3001927(1-10)Online publication date: 18-Nov-2016
https://dl.acm.org/doi/10.1145/3001913.3001927
Sudar SAnderson RSathiaseelan AZennaro MBelding EChen J(2015)DUCESProceedings of the 2015 Annual Symposium on Computing for Development10.1145/2830629.2830653(23-30)Online publication date: 1-Dec-2015
https://dl.acm.org/doi/10.1145/2830629.2830653

Index Terms

Development and implementation of a loosely coupled, multi-site, networked and replicated electronic medical record in Haiti
1. Networks
  1. Network architectures

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Published In

cover image ACM SIGOPS Operating Systems Review

ACM SIGOPS Operating Systems Review Volume 43, Issue 4

January 2010

105 pages

ISSN:0163-5980

DOI:10.1145/1713254

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Association for Computing Machinery

New York, NY, United States

Publication History

Published: 27 January 2010

Published in SIGOPS Volume 43, Issue 4

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Cited By

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Kim SAllen TBhatt DChandwani RSingh PKumar NVeeraraghavan R(2019)Creating an EMR system to support mobile clinics in HaitiProceedings of the Tenth International Conference on Information and Communication Technologies and Development10.1145/3287098.3289282(1-5)Online publication date: 4-Jan-2019
https://dl.acm.org/doi/10.1145/3287098.3289282
Duggan DMuh JNdongo LYao JYu L(2016)Mobile Device Administration for Secure and Manageable Health Data Collection in Under-Resourced AreasProceedings of the 7th Annual Symposium on Computing for Development10.1145/3001913.3001927(1-10)Online publication date: 18-Nov-2016
https://dl.acm.org/doi/10.1145/3001913.3001927
Sudar SAnderson RSathiaseelan AZennaro MBelding EChen J(2015)DUCESProceedings of the 2015 Annual Symposium on Computing for Development10.1145/2830629.2830653(23-30)Online publication date: 1-Dec-2015
https://dl.acm.org/doi/10.1145/2830629.2830653

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Recommendations

Design and Development of EMR Supporting Medical Process Management

Building a National Electronic Medical Record Exchange System - Experiences in Taiwan

Medical Record Innovations That Can Improve Physician Productivity