This document contains some notes on the suggested OpenMRS implementation. It starts with some considerations about the appropriate OpenMRS Implementation Architecture; but the bigger vision is to have a document more robust and comprehensive with a set of guidelines for the Mozambican Health Facilities.
OpenMRS Implementation Architecture- Centralized VS Distributed
Centralized Implementation
Cons
Implementation sustainability
As the System one day will be over the responsibility of the MOH, the partners need to consider a sustainable implementation solution for the Health Facility.
It’s not certain if the MOH will be capable of paying for Internet services and the respective Internet infrastructure.
Patients confidentiality
The patient information should be available to only one Health Facility. Except in the cases where a patient moves another HF, in this case the other HF takes responsibility of the Patient Information.
Reports
The production of reports considering a database with multiple Health Facilities
Scalability
For scalability reasons it’s better to have distributed systems instead of centralized systems.
As the database grows with the number of patients, it may become very difficult to manage the System.
Legislation
The Mozambican legislation doesn’t allow for a SESP database to be hosted outside the HF.
OpenMRS Implementation Architecture- Centralized VS Distributed
Centralized Implementation