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 are to be picked 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 )
o WHO Staging(specifically HIV)

Non-medical and surgical intervention
o family planning
o 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 (MOHHomabay) and a word of prayer from John Odira (MOH-Migori). The members were free to
leave at their own pleasure.