[prev in list] [next in list] [prev in thread] [next in thread]
List: openmrs-implementers
Subject: Re: OpenMRS Oncology Platforms
From: Andrew Miller <alexisandrew () gmail ! com>
Date: 2014-10-27 12:12:31
Message-ID: CABOurCUTDT3wKShVNXz+GQJMy4txJSf9X_QEVjfppenQB1ctKA () mail ! gmail ! com
[Download RAW message or body]
I am not surprised by the description. IT projects need a champion and a
leader, and commitment. The building phase is difficult even when
understanding levels are high.
I found problems with the Concept Dictionary that I saw as the
classification method was cumbersome to read, looked a nightmare to
maintain and was multiple. I couldn't see how connections between concepts
were maintained as there was no knowledge structure. I am concerned how we
will ever develop these systems if we don't have a model from which we
build the system. To this end I have been looking at Fact-Based Modelling
which can be used to specify SQL tables from the model.
The notions of Forms as the leading paradigm sells modern medicine short
and is a cop out by IT people. We just don't live by the form mentality or
by the business process, though both have some role to play. We live more
by a spider web mentality of logical interconnections between reasons,
events and thoughts. Unfortunately, you have to be a doctor to see these!
In my travels next year I will try to build in a visit to Kolkata to see
what happens if it gets going again.
A
On 27 October 2014 21:51, Hannan, Terry J (DHHS) <
Terry.Hannan@dhhs.tas.gov.au> wrote:
> As I read this posting several times I could not but think that this
> documentation has soem very important lessons for the OpenMRS project(s)
> that possibly should be stored / formalised within the development
> documentation.
> -dictionary formulation and enhancement
> -adaptability/interoperability
> -personnel involvement-locally/developers and implementer groups
> -sponsorship
> -etc.
>
> I am not sure what others think.
> Terry Hannan
>
> Sent from my iPad
>
> On 27 Oct 2014, at 8:21 pm, "'Rajib Sengupta' via OpenMRS Implementers" <
> implementers@openmrs.org> wrote:
>
> Sean and Andrew,
>
> Sorry,, I somehow missed this email ...Thanks Saptarshi to bring it to
> my notice...
>
> We (www.missionarogya.org) have tried to implement OpenMRS in RG Kar
> Medical College Oncology Department . We had a successful implementation
> and a short pilot run , it soon become defunct for various reasons. Instead
> of passing any judgement or opinion, I will try to explain the chronology
> of events :
>
> We started the project in 2012.The biggest roadblock was almost NO
> cancer/oncology specific concept was existing in any of the Concept
> Dictionaries. So, first we did the data modeling as much as possible and
> added the concepts for oncology in the MVP dictionary with help from Andy.
> From UI perspective, We have used couple of modules (one for file loading
> and one for drawing anatomy pictures), but otherwise we mostly used
> HTMLformentry module for the different forms (primarily for each part of
> the body and/or system - Dental and Oral, Neck, Thorax, Abdomen and GI,
> Gynaecological Exam, Urogenital and Male ext. genitalia, Breast,
> Lymphovascular, CNS & PNS, Vision, Endocrine, Skeletal , Skin, Soft Tissues
> and Limb etc). We also built forms for the radiation based treatments such
> as for EBRT and Brachy. But all of these forms were built from grounds up
> and somewhat constrained with the HTMLFormentry limitations (e.g: cannot
> dynamically add a new entry). As a result, the UI was not suitable for
> point-of-care entry - So we need to assign data entry resources - Means,
> the doctors were entering it in paper form and then the data entry operator
> was entering it as post data entry activity.
>
> With all these issues, still we have been able to complete RG Kar
> implementation and started the pilot project. We have more than 150
> patients data recorded within a months. But the biggest blow was the
> primary sponsor of this project got transferred to another Government
> Hospital in 2013 - North Bengal Medical College (NBMC) in Siliguri which is
> quite far from Kolkata. We continued for few more months, but without his
> presence the impetus disappeared and finally stopped - They specifically
> pointed out two things - 1. RG Kar doctots were uncovering new concepts
> which are common for cancer and 2. Data entry is not easy and resource
> intensive
>
> Our project sponsor, when he moved to NBMC, tried to do the same in
> NBMC, but insisted that we need a system which should have cancer specific
> concepts already built in along with some cancer specific intelligence (UI,
> some Clinical Decision Support etc.) - basically opensource is fine, but it
> needs to be built for cancer. So,early 2014, we chose CAISIS and provided a
> demo to the higher authority -infact, it got installed also. But again with
> the whimsical nature of the government postings, he is again got
> transferred back to RG Kar Medical College (with a promotion obviously :-))
>
> I just spoken with him and he is interested to revive the RG Kar
> Oncology project (the old OpenMRS implementation or may be a new CAISIS
> implementation) - But, at this point we have decided that we will only
> proceed if we have complete backing not only from the department, but from
> the Head of the Institution (The Principal and Medical Superitendent) as
> well as from the State Health Department (as this is a Govt Hospital).
> Based on my experience , I know that, it will be very difficult to get this
> support. Specifically, the current state govt is running a very tight
> budget due to huge deficit and I am sure that they may provide logistical
> and administrative support but no financial support. let me know what do
> you guys think?
>
>
> On Tuesday, June 24, 2014 5:44 AM, Andrew Miller <alexisandrew@gmail.com>
> wrote:
>
>
>
> 1. *Andrew Miller* of University of Wollongong's Graduate School of
> Medicine has previously looked for others interested in using OpenMRS
> for oncology
> <https://www.google.com/url?q=https%3A%2F%2Fwiki.openmrs.org%2Fdisplay%2Fprojects%2F \
> Oncology%2BImplementation%2BIssues&sa=D&sntz=1&usg=AFQjCNGJYOVHBOhsuzHJ4PvYLUJ3Q-H-_g>,
> specifically for radiation oncology, but I don't know if he was able to
> connect with any collaborators.
>
> I have been unable to connect with collaborators. My interest area is in
> Knowledge Structure and I have found this aspect to be inpenetrable.
> I have been unable to see a working implementation, it would be useful if
> one could be put out as a demo. This would make a big difference to see how
> it might be used for RO.
>
> I did some work with a student software group devising a way for the
> receiver of a referral to see the medical information of the patient held
> by the sender of the referral. Seemed to generate equal amounts of
> enthusiasm and suspicion, usually in different people. Made me realise that
> we are dealing with Security, Privacy AND SECRECY!
>
> I have largely withdrawn from any more effort in OpenMRS because of the
> lack of engagement and replies. I hope it is different for you.
>
>
> St. Jude's POND (pediatrics)
>
> never seen this, do you have a link?
>
> MSKCC's CAISIS
>
> This program is not designed for clinical use but rather as a data
> repository for collation of data.
>
> --
> OpenMRS Implementers: http://go.openmrs.org/implementers
> Post: implementers@openmrs.org
> Unsubscribe: implementers+unsubscribe@openmrs.org
> Manage your OpenMRS subscriptions at https://id.openmrs.org/
> To unsubscribe from this group and stop receiving emails from it, send an
> email to implementers+unsubscribe@openmrs.org.
>
>
> --
> OpenMRS Implementers: http://om.rs/implist
> Post: implementers@openmrs.org | Unsubscribe:
> implementers+unsubscribe@openmrs.org
> Manage your OpenMRS subscriptions at http://om.rs/id
>
> Visit OpenMRS Talk for in-depth & casual conversation:
> https://talk.openmrs.org/
>
> To unsubscribe from this group and stop receiving emails from it, send an
> email to implementers+unsubscribe@openmrs.org.
>
>
> ------------------------------
>
> CONFIDENTIALITY NOTICE AND DISCLAIMER
> The information in this transmission may be confidential and/or protected
> by legal professional privilege, and is intended only for the person or
> persons to whom it is addressed. If you are not such a person, you are
> warned that any disclosure, copying or dissemination of the information is
> unauthorised. If you have received the transmission in error, please
> immediately contact this office by telephone, fax or email, to inform us of
> the error and to enable arrangements to be made for the destruction of the
> transmission, or its return at our cost. No liability is accepted for any
> unauthorised use of the information contained in this transmission.
>
> --
> OpenMRS Implementers: http://om.rs/implist
> Post: implementers@openmrs.org | Unsubscribe:
> implementers+unsubscribe@openmrs.org
> Manage your OpenMRS subscriptions at http://om.rs/id
>
> Visit OpenMRS Talk for in-depth & casual conversation:
> https://talk.openmrs.org/
>
--
Prof. Andrew Miller
B.Med, B.Sc, Grad.Dip.Ed, M.Inf.Comm.Tech(Res), FRANZCR, FACHI, PHF
- *Radiation Oncologist <http://radonc.wikidot.com/>*
Illawarra Cancer Care Centre, Wollongong, NSW 2500 Australia
- *Clinical Professor of Medicine*
Graduate School of Medicine, University of Wollongong
<http://www.uow.edu.au/~amiller>
- *Adjunct Professor of Informatics*
School of Informatics, University of Wollongong
- *Director*
Centre for Oncology Informatics, University of Wollongong
<http://dlab.uow.edu.au/coi>
- *Journal Manager*
Journal for Radiation Oncology Informatics
<http://www.jroi.org/index.php/jroi>
---------------------------------------------------
*A committee is a cul-de-sac down which ideas are lured and then quietly
strangled.*
--
OpenMRS Implementers: http://om.rs/implist
Post: implementers@openmrs.org | Unsubscribe: implementers+unsubscribe@openmrs.org
Manage your OpenMRS subscriptions at http://om.rs/id
Visit OpenMRS Talk for in-depth & casual conversation: https://talk.openmrs.org/
To unsubscribe from this group and stop receiving emails from it, send an email to \
implementers+unsubscribe@openmrs.org.
[Attachment #3 (text/html)]
<div dir="ltr"><div class="gmail_default" style="font-family:courier \
new,monospace;font-size:small">I am not surprised by the description. IT projects \
need a champion and a leader, and commitment. The building phase is difficult even \
when understanding levels are high.</div><div class="gmail_default" \
style="font-family:courier new,monospace;font-size:small"><br></div><div \
class="gmail_default" style="font-family:courier new,monospace;font-size:small">I \
found problems with the Concept Dictionary that I saw as the classification method \
was cumbersome to read, looked a nightmare to maintain and was multiple. I \
couldn't see how connections between concepts were maintained as there was no \
knowledge structure. I am concerned how we will ever develop these systems if we \
don't have a model from which we build the system. To this end I have been \
looking at Fact-Based Modelling which can be used to specify SQL tables from the \
model.</div><div class="gmail_default" style="font-family:courier \
new,monospace;font-size:small"><br></div><div class="gmail_default" \
style="font-family:courier new,monospace;font-size:small">The notions of Forms as the \
leading paradigm sells modern medicine short and is a cop out by IT people. We just \
don't live by the form mentality or by the business process, though both have \
some role to play. We live more by a spider web mentality of logical interconnections \
between reasons, events and thoughts. Unfortunately, you have to be a doctor to see \
these!</div><div class="gmail_default" style="font-family:courier \
new,monospace;font-size:small"><br></div><div class="gmail_default" \
style="font-family:courier new,monospace;font-size:small">In my travels next year I \
will try to build in a visit to Kolkata to see what happens if it gets going again. \
</div><div class="gmail_default" style="font-family:courier \
new,monospace;font-size:small"><br></div><div class="gmail_default" \
style="font-family:courier new,monospace;font-size:small">A</div></div><div \
class="gmail_extra"><br><div class="gmail_quote">On 27 October 2014 21:51, Hannan, \
Terry J (DHHS) <span dir="ltr"><<a href="mailto:Terry.Hannan@dhhs.tas.gov.au" \
target="_blank">Terry.Hannan@dhhs.tas.gov.au</a>></span> wrote:<br><blockquote \
class="gmail_quote" style="margin:0 0 0 .8ex;border-left:1px #ccc \
solid;padding-left:1ex">
<div dir="auto">
<div>As I read this posting several times I could not but think that this \
documentation has soem very important lessons for the OpenMRS project(s) that \
possibly should be stored / formalised within the development documentation.</div> \
<div>-dictionary formulation and enhancement</div> \
<div>-adaptability/interoperability</div> <div>-personnel \
involvement-locally/developers and implementer groups</div> <div>-sponsorship</div>
<div>-etc.</div>
<div><br>
</div>
<div>I am not sure what others think.</div>
<div>Terry Hannan<br>
<br>
Sent from my iPad</div><div><div class="h5">
<div><br>
On 27 Oct 2014, at 8:21 pm, "'Rajib Sengupta' via OpenMRS \
Implementers" <<a href="mailto:implementers@openmrs.org" \
target="_blank">implementers@openmrs.org</a>> wrote:<br> <br>
</div>
<blockquote type="cite">
<div>
<div style="color:#000;background-color:#fff;font-family:HelveticaNeue,Helvetica \
Neue,Helvetica,Arial,Lucida Grande,sans-serif;font-size:12px"> <div>Sean and Andrew, \
</div> <div><br>
</div>
<div style="color:rgb(0,0,0);font-size:12px;font-family:HelveticaNeue,'Helvetica \
Neue',Helvetica,Arial,'Lucida \
Grande',sans-serif;font-style:normal;background-color:transparent"> Sorry,, I \
somehow missed this email ...Thanks Saptarshi to bring it to my notice...</div> \
<div><br> </div>
<div>We (<a href="http://www.missionarogya.org" \
target="_blank">www.missionarogya.org</a>) have tried to implement OpenMRS in RG Kar \
Medical College Oncology Department . We had a successful implementation and a short \
pilot run , it soon become defunct for various reasons. Instead of passing any \
judgement or opinion, I will try to explain the chronology of events : </div> \
<div><br> </div>
<div>We started the project in 2012.The biggest roadblock was almost NO \
cancer/oncology specific concept was existing in any of the Concept Dictionaries. So, \
first we did the data modeling as much as possible and added the concepts for \
oncology in the MVP dictionary with help from Andy. From UI perspective, We have \
used couple of modules (one for file loading and one for drawing anatomy pictures), \
but otherwise we mostly used HTMLformentry module for the different forms (primarily \
for each part of the body and/or system - Dental and Oral, Neck, Thorax, Abdomen and \
GI, Gynaecological Exam, Urogenital and Male ext. genitalia, Breast, Lymphovascular, \
CNS & PNS, Vision, Endocrine, Skeletal , Skin, Soft Tissues and Limb etc). We \
also built forms for the radiation based treatments such as for EBRT and Brachy. But \
all of these forms were built from grounds up and somewhat constrained with the \
HTMLFormentry limitations (e.g: cannot dynamically add a new entry). As a result, the \
UI was not suitable for point-of-care entry - So we need to assign data entry \
resources - Means, the doctors were entering it in paper form and then the data entry \
operator was entering it as post data entry activity.</div> <div><br>
</div>
<div>With all these issues, still we have been able to complete RG Kar implementation \
and started the pilot project. We have more than 150 patients data recorded within a \
months. But the biggest blow was the primary sponsor of this project got transferred \
to another Government Hospital in 2013 - North Bengal Medical College (NBMC) in \
Siliguri which is quite far from Kolkata. We continued for few more months, but \
without his presence the impetus disappeared and finally stopped - They specifically \
pointed out two things - 1. RG Kar doctots were uncovering new concepts which are \
common for cancer and 2. Data entry is not easy and resource intensive </div> \
<div><br> </div>
<div style="color:rgb(0,0,0);font-size:12px;font-family:HelveticaNeue,'Helvetica \
Neue',Helvetica,Arial,'Lucida \
Grande',sans-serif;font-style:normal;background-color:transparent"> Our project \
sponsor, when he moved to NBMC, tried to do the same in NBMC, but insisted that we \
need a system which should have cancer specific concepts already built in along with \
some cancer specific intelligence (UI, some Clinical Decision Support etc.) - \
basically opensource is fine, but it needs to be built for cancer. So,early 2014, we \
chose CAISIS and provided a demo to the higher authority -infact, it got installed \
also. But again with the whimsical nature of the government postings, he is again got \
transferred back to RG Kar Medical College (with a promotion obviously :-)) </div>
<div><br>
</div>
<div><span></span></div>
<div>I just spoken with him and he is interested to revive the RG Kar Oncology \
project (the old OpenMRS implementation or may be a new CAISIS implementation) - But, \
at this point we have decided that we will only proceed if we have complete backing \
not only from the department, but from the Head of the Institution (The Principal and \
Medical Superitendent) as well as from the State Health Department (as this is a Govt \
Hospital). Based on my experience , I know that, it will be very difficult to get \
this support. Specifically, the current state govt is running a very tight budget due \
to huge deficit and I am sure that they may provide logistical and administrative \
support but no financial support. let me know what do you guys think?</div> <div><br>
<br>
</div>
<div style="display:block">
<div style="font-family:HelveticaNeue,Helvetica Neue,Helvetica,Arial,Lucida \
Grande,sans-serif;font-size:12px"> <div style="font-family:HelveticaNeue,Helvetica \
Neue,Helvetica,Arial,Lucida Grande,sans-serif;font-size:16px"> <div dir="ltr"><font \
face="Arial">On Tuesday, June 24, 2014 5:44 AM, Andrew Miller <<a \
href="mailto:alexisandrew@gmail.com" target="_blank">alexisandrew@gmail.com</a>> \
wrote:<br> </font></div>
<br>
<br>
<div>
<div>
<div>
<div dir="ltr">
<blockquote style="margin:0;margin-left:0.8ex;border-left:1px #ccc \
solid;padding-left:1ex"> <div>
<ol>
<li><span style="font-size:13px;line-height:18px"><u>Andrew Miller</u> of University \
of Wollongong's Graduate School of Medicine has <a rel="nofollow" shape="rect" \
href="https://www.google.com/url?q=https%3A%2F%2Fwiki.openmrs.org%2Fdisplay%2Fprojects \
%2FOncology%2BImplementation%2BIssues&sa=D&sntz=1&usg=AFQjCNGJYOVHBOhsuzHJ4PvYLUJ3Q-H-_g" \
target="_blank"> previously looked for others interested in using OpenMRS for \
oncology</a>, specifically for radiation oncology, but I don't know if he was \
able to connect with any collaborators.</span><br clear="none"> </li></ol>
</div>
</blockquote>
<div>I have been unable to connect with collaborators. My interest area is in \
Knowledge Structure and I have found this aspect to be inpenetrable. <br \
clear="none"> I have been unable to see a working implementation, it would be useful \
if one could be put out as a demo. This would make a big difference to see how it \
might be used for RO.<br clear="none"> <br clear="none">
I did some work with a student software group devising a way for the receiver of a \
referral to see the medical information of the patient held by the sender of the \
referral. Seemed to generate equal amounts of enthusiasm and suspicion, usually in \
different people. Made me realise that we are dealing with Security, Privacy AND \
SECRECY!<br clear="none"> <br clear="none">
I have largely withdrawn from any more effort in OpenMRS because of the lack of \
engagement and replies. I hope it is different for you.<br clear="none"> <br \
clear="none"> </div>
<blockquote style="margin:0;margin-left:0.8ex;border-left:1px #ccc \
solid;padding-left:1ex"> <div dir="ltr">
<div>St. Jude's POND (pediatrics) </div>
</div>
</blockquote>
<div> never seen this, do you have a link?<br clear="none">
<br clear="none">
</div>
<blockquote style="margin:0;margin-left:0.8ex;border-left:1px #ccc \
solid;padding-left:1ex"> <div dir="ltr">
<div>MSKCC's CAISIS</div>
</div>
</blockquote>
<div>This program is not designed for clinical use but rather as a data repository \
for collation of data. <div><br clear="none">
</div>
</div>
</div>
<div>-- <br clear="none">
OpenMRS Implementers: <a rel="nofollow" shape="rect" \
href="http://go.openmrs.org/implementers" target="_blank"> \
http://go.openmrs.org/implementers</a><br clear="none">
Post: <a href="mailto:implementers@openmrs.org" \
target="_blank">implementers@openmrs.org</a><br clear="none">
Unsubscribe: <a href="mailto:implementers+unsubscribe@openmrs.org" \
target="_blank">implementers+unsubscribe@openmrs.org</a><br clear="none"> Manage your \
OpenMRS subscriptions at <a rel="nofollow" shape="rect" \
href="https://id.openmrs.org/" target="_blank"> https://id.openmrs.org/</a><br \
clear="none"> To unsubscribe from this group and stop receiving emails from it, send \
an email to <a rel="nofollow" shape="rect" \
href="mailto:implementers+unsubscribe@openmrs.org" target="_blank"> \
implementers+unsubscribe@openmrs.org</a>.<br clear="none"> </div>
</div>
</div>
<br>
<br>
</div>
</div>
</div>
</div>
</div>
<p></p>
-- <br>
OpenMRS Implementers: <a href="http://om.rs/implist" \
target="_blank">http://om.rs/implist</a><br>
Post: <a href="mailto:implementers@openmrs.org" \
target="_blank">implementers@openmrs.org</a> | Unsubscribe: <a \
href="mailto:implementers+unsubscribe@openmrs.org" \
target="_blank">implementers+unsubscribe@openmrs.org</a><br> Manage your OpenMRS \
subscriptions at <a href="http://om.rs/id" target="_blank">http://om.rs/id</a><br> \
<br> Visit OpenMRS Talk for in-depth & casual conversation: <a \
href="https://talk.openmrs.org/" target="_blank"> https://talk.openmrs.org/</a><br>
<p></p>
To unsubscribe from this group and stop receiving emails from it, send an email to
<a href="mailto:implementers+unsubscribe@openmrs.org" \
target="_blank">implementers+unsubscribe@openmrs.org</a>.<br> </div>
</blockquote>
<br>
</div></div><span class=""><hr>
<font face="Arial" color="Gray" size="1"><br>
CONFIDENTIALITY NOTICE AND DISCLAIMER<br>
The information in this transmission may be confidential and/or protected by legal \
professional privilege, and is intended only for the person or persons to whom it is \
addressed. If you are not such a person, you are warned that any disclosure, copying \
or dissemination of the information is unauthorised. If you have received the \
transmission in error, please immediately contact this office by telephone, fax or \
email, to inform us of the error and to enable arrangements to be made for the \
destruction of the transmission, or its return at our cost. No liability is accepted \
for any unauthorised use of the information contained in this transmission.<br> \
</font> </span></div><div class="HOEnZb"><div class="h5">
<p></p>
-- <br>
OpenMRS Implementers: <a href="http://om.rs/implist" \
target="_blank">http://om.rs/implist</a><br>
Post: <a href="mailto:implementers@openmrs.org" \
target="_blank">implementers@openmrs.org</a> | Unsubscribe: <a \
href="mailto:implementers%2Bunsubscribe@openmrs.org" \
target="_blank">implementers+unsubscribe@openmrs.org</a><br> Manage your OpenMRS \
subscriptions at <a href="http://om.rs/id" target="_blank">http://om.rs/id</a><br> \
<br> Visit OpenMRS Talk for in-depth & casual conversation: <a \
href="https://talk.openmrs.org/" target="_blank">https://talk.openmrs.org/</a><br> \
</div></div></blockquote></div><br><br clear="all"><div><br></div>-- <br><div \
dir="ltr"><font face="courier new, monospace">Prof. Andrew Miller<br><font \
size="1">B.Med, B.Sc, Grad.Dip.Ed, M.Inf.Comm.Tech(Res), FRANZCR, FACHI, \
PHF</font><br></font><ul><li><font face="courier new, monospace"><font size="1"><b><a \
href="http://radonc.wikidot.com/" target="_blank">Radiation \
Oncologist</a></b><br>Illawarra Cancer Care Centre, Wollongong, NSW 2500 Australia \
</font></font></li><li><font face="courier new, monospace"><font size="1"><b>Clinical \
Professor of Medicine</b><a href="http://www.uow.edu.au/~amiller" \
target="_blank"><br>Graduate School of Medicine, University of \
Wollongong</a></font></font></li><li><font face="courier new, monospace"><font \
size="1"><b>Adjunct Professor of Informatics</b><br>School of Informatics, \
University of Wollongong </font></font></li><li><font face="courier new, \
monospace"><font size="1"><b>Director</b><a href="http://dlab.uow.edu.au/coi" \
target="_blank"><br>Centre for Oncology Informatics, University of \
Wollongong</a></font></font></li><li><font face="courier new, monospace"><font \
size="1"><b>Journal Manager</b><a href="http://www.jroi.org/index.php/jroi" \
target="_blank"><br>Journal for Radiation Oncology \
Informatics</a></font></font></li></ul><font face="courier new, \
monospace">---------------------------------------------------<br><i><font size="1">A \
committee is a cul-de-sac down which ideas are lured and then quietly \
strangled.</font></i></font></div> </div>
<p></p>
-- <br />
OpenMRS Implementers: <a href="http://om.rs/implist">http://om.rs/implist</a><br />
Post: implementers@openmrs.org | Unsubscribe: implementers+unsubscribe@openmrs.org<br \
/> Manage your OpenMRS subscriptions at <a \
href="http://om.rs/id">http://om.rs/id</a><br /> <br />
Visit OpenMRS Talk for in-depth & casual conversation: <a \
href="https://talk.openmrs.org/">https://talk.openmrs.org/</a><br />
<p></p>
To unsubscribe from this group and stop receiving emails from it, send an email to <a \
href="mailto:implementers+unsubscribe@openmrs.org">implementers+unsubscribe@openmrs.org</a>.<br \
/>
[prev in list] [next in list] [prev in thread] [next in thread]
Configure |
About |
News |
Add a list |
Sponsored by KoreLogic