Digital Health in Sri Lanka ‘Sustainable Implementation of Digital Health Solutions through Local Capacity Building’ 1998-2017 Digital Health in Sri Lanka The development of Digital Health in Sri Lanka is a joint effort of the Ministry of Health (MoH); Information and Communication Technology Agency (ICTA) of Sri Lanka; the Specialty Board in Biomedical Informatics, Postgraduate Institute of Medicine, University of Colombo (PGIM); and the Health Informatics Society of Sri Lanka (HISSL). This booklet was compiled and published by the HISSL to showcases some of the key Digital Health initiatives in Sri Lanka. Sri Lanka would be happy to share its experience and expertise in implementing these systems with other countries. This Booklet was compiled by the Health Informatics Society of Sri Lanka http://www.hissl.lk [email protected] Table of Contents The Health Informatics Society of Sri Lanka ............................................... 1 Human Resources for eHealth in Sri Lanka ................................................. 3 Strategic Planning for eHealth in Sri Lanka................................................. 7 PHN and MPI Personal Health Number & Master Patient Index ........ 9 eIMMR Electronic Indoor Morbidity and Mortality Register ............ 10 HHIMS Hospital Health Information Management System................ 13 HIMS Hospital Information Management System ................................. 15 DNMS District Nutrition Management System ....................................... 19 Electronic Patient Information Management System of the National Programme for Tuberculosis and Respiratory Disorders .................. 21 eRHIMS electronic Reproductive Health Information Management System ..................................................................................................................... 22 eNCD electronic Non Communicable Diseases System ....................... 24 Registering and Verification of the Electronic Health Information Systems in Sri Lanka .......................................................................................... 25 "Suwasariya" Telehealth Programme ......................................................... 27 Sri Lanka Stroke Clinical Registry ................................................................ 30 Essential Drug Stock Alert Tracker .............................................................. 32 SLJBMI Sri Lanka Journal of Bio-medical Informatics .......................... 39 A Short History of Health Informatics in Sri Lanka and the Health Informatics Society of Sri Lanka (HISSL) .................................................. 40 The Health Informatics Society of Sri Lanka The Health Informatics Society Medical Association with Dr. of Sri Lanka (HISSL) Shyam Fernando in the Chair [http://www.hissl.lk] is the and Prof. Tissa Vitharana, professional association of all Advisor to the Minister of those in the field of eHealth in Science and Technology, as the Sri Lanka. The inaugural Chief Guest. The meeting was meeting was held on 15th attended by 75 people. The November 1998 at 0900 hrs at constitution of the Society was the Lionel Memorial adopted. Auditorium of the Sri Lanka The picture shows from left to right Dr. Vajira H. W. Dissanayake (Founder Secretary), Prof. Tissa Vitharana, the late Prof. MTM Jiffry and Prof. Shyam Fernando (Founder President) lighting the oil lamp at the start of the inaugural meeting. The primary objectives of 1. To promote the use of HISSL are: computers and 1 information technology in 4. To improve and facilitate teaching, learning, continuing professional research and delivery of development of members. care in the field of health. 5. To improve and facilitate 2. To improve computer and research and development information technology in health informatics. literacy of health care 6. To foster collaboration professionals. with national, regional and 3. To improve the access by international medical, health care professionals informatics and to computer hardware, professional associations. software and information 7. To foster fellowship technology services. among members. The picture shows a section of the audience at the inaugural meeting held at the Lionel Memorial Auditorium of the Sri Lanka Medical Association on 15 November 1998. In the front row from right to left are three Presidents of HISSL – Prof. Vajira H. W. Dissanayake (Current President), Prof. Resvi Sheriff (Immediate Past President) and the late Prof. MTM Jiffry. 2 Human Resources for eHealth in Sri Lanka The strategy of developing This is done through the MSc Human Resources for eHealth course in Biomedical in Sri Lanka is two-fold. Informatics of the Postgraduate Institute of The first strategy is the Medicine, University of creation of a group of ICT Colombo (PGIM). The curse is competent doctors who can aimed at producing a work as the interface between generation of leaders in the medical and ICT eHealth in Sri Lanka who can profession to spearhead the spearhead the planning, development, implementation of ICT in the implement, monitoring and health sector in Sri Lanka evaluation of ICT projects in working hand in hand with the the Health Sector in Sri Lanka administrators and policy working in close collaboration makers at the highest level. with Medical Administrators. The stakeholders of the MSc and MD courses The course was initiated in between the University of 2007 as a joint project Colombo, Sri Lanka and the 3 University of Oslo, Norway by Informatics, University of Oslo Prof. Vajira H. W. Dissanayake, with the support of Prof. Resvi the current President of HISSL, Sheriff, the Director of the and Prof. Sundeep Sahay, PGIM, who was at that time Professor, Department of also the President of HISSL. The first batch of MSc graduates with the Members of the Director PGIM and the Members of the Specialty Board in Biomedical Informatics The course was supported by a Informatics course in January NOMA grant funded by Norad 2017. This would enable the and managed by the successful graduates to Norwegian Center for become board certified as International Corporation in specialists in Health Higher Education (SIU). How Informatics in Sri Lanka. This the stakeholders partner to would make Sri Lanka one of produce specialists for Sri the few countries in the world Lanka is shown in the figure in to have such specialists. the previous page. The second strategy is the So far 90 graduates have development of ICT awareness graduated from the course. and literacy among the health They are deployed across the workforce. This is done public health sector in Sri through various workshops, Lanka both at central and seminars and conferences regional level. The PGIM organized by the HISSL and commenced the MD in Health the Ministry of Health. The 4 Major eHealth Conferences ones listed below. organized by the HISSL in the past few years include the 2010: eHealth Sri Lanka 2010 Conference [http://www.hissl.lk] 2012: eHealth Symposia were held in Colombo, Galle, Kandy, and Jaffna as part of the 125th Anniversary Celebrations of the Sri Lanka Medical Association 2014: eHealth Sri Lanka 2014 Conference [http://www.hissl.lk] 2015: eHealth Asia 2015 Conference [http://www.ehealthasia.org] with the Minister of Health Honorable Dr Rajitha Senaratne as the Chief Guest. 2016: 24th Triennial Conference of the Commonwealth Medical Association 2016 on Digital Health for Health and Wellbeing [http://www.cma2016.org] with the President of Sri Lanka His Excellency Maithripala Sirisena as the chief guest 5 The following upcoming conferences will be hosted by HISSL in Sri Lanka: 2017: 2nd Commonwealth Digital Health Conference – 10 to 12 October 2018: Asia Pacific Association of Medical Informatics 2018 – 9 to 12 October 6 Strategic Planning for eHealth in Sri Lanka Strategic planning for eHealth Champika Wickramasinghe in Sri Lanka began with the who succeeded him in 2013, establishment of the National the National eHealth Technical eHealth Steering Committee Committee has developed the in the Ministry of Health in following national eHealth June 2010. Working under the Base Documents. directions of this committee - National eHealth Policy and Dr. S.R.U. Wimalaratne, - National eHealth Standards Director (Information), and Guidelines Ministry of Health, and Dr. - National eHealth Strategy The national eHealth Policy Its mission is to facilitate articulates the guiding adoption of ICT solutions principles for eHealth in the appropriately in the healthcare sector of Sri Lanka. healthcare sector of Sri Lanka Its vision is to streamline the to improve the quality, adoption and use of ICT in the efficiency, patient safety, and Healthcare Sector of Sri Lanka. cost effectiveness of health 7 care thus contributing to is the acceptance of a uniform achieve the goals set out in the personal health number National Health Policy. (PHN) to be used across the The Standards and Guidelines health care services to identify and the Strategic Plan are patients. The PHN has now aimed at achieving this vision been officially endorsed. and mission. A parallel process 8 PHN and MPI Personal Health Number & Master Patient Index The Health Ministry is in the Health Number (PHN). This process of implementing the will allow the Ministry to National Healthcare Recipient capture the true disease Identification System to burden of the country as enable it to consolidate all the opposed to the individual interactions of a particular incidences that are being person with the healthcare captured now. system to his/her