OpenMRS Integrated Hospital Information Systems

Introduction

The Integrated Hospital Information System is built on the open-source OpenMRS platform and is available in two variants. iHOSP, the offline version, provides a cost-effective, scalable, and sustainable solution for efficiently managing hospital and patient information. HISP EMR, the online variant, includes additional features such as online appointment scheduling, provider scheduling, a Master Patient Index (MPI), and a patient portal. It also supports integration with LMIS and PACS using DICOM and HL7 interoperability standards.

Key Features

  • Integrated Modular Design

    Offers 10 built-in modules to manage patient records and hospital services under a unified platform.

  • Interoperable with Global Standards

    Adheres to ICD-10 and SNOMED-CT, enabling data exchange with national and international health systems.

  • Certified and Future-Ready

    ABDM M1 certified and progressing towards M2/M3 with FHIR integration for digital health compliance in India.

  • Powerful Reporting CapabilitiesReports & Dashboards

    Provides clinical, administrative, and managerial reports to support data-driven decision-making.

  • Scalable and Adaptable Deployment

    Supports both digital and paper-based workflows, making it fit for diverse healthcare settings.

  • Proven Impact in Public Health

    Deployed in 22 facilities in Himachal Pradesh, managing over 10 million patient records with high daily usage.

ABFM M1 Certified

HISP-EMR is certified with India’s ABDM M1 and is progressing towards M2 and M3 certifications using FHIR

Impact

  • Established Presence Since 2012

    The system has been in continuous use across Himachal Pradesh’s public health facilities for over a decade.

  • Wide Deployment Across Facility Types

    Implemented in 22 healthcare institutions, including 1 tertiary hospital, 11 district hospitals, 8 civil hospitals, and 2 PHCs.

  • High Patient Volume Handling

    Each facility handles an average of 987 outpatient visits daily, contributing to a cumulative registration of over 10 million patients.

  • Robust Infrastructure Utilization

    Manages approximately 275 beds and supports 35 active users per facility, indicating strong operational capacity.

  • Proven Long-Term Reliability

    A decade of uninterrupted service highlights the system’s resilience, stability, and ongoing relevance.

  • Flexible Hybrid Workflow Support

    Incorporates loosely coupled modules and supports both digital and paper-based processes, allowing for smooth adaptation in diverse environments.

Key Learnings from iHOSP Implementation

Start with a Grounded Assessment

Implementation should follow a phased, evidence-based approach rooted in a thorough situation analysis.

No One-Size-Fits-All Solution

Integrated HIS must be custom-tailored to local needs for better usability and user acceptance.

Enhance Existing Workflows

Build upon what already works, adding incremental improvements rather than replacing entire systems.

Respect Legacy Systems

New systems must account for existing infrastructure, recognizing that starting from scratch is rarely practical.

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Adopt Hybrid Approaches

Combining paper-based and digital processes ensures broader usability and smoother transitions in diverse environments.

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Design for Diverse Contexts

The flexible, open architecture allows adaptation to varied settings—district hospitals, medical colleges, and public health systems across India, Bangladesh, Kenya, Myanmar, and Tibetan communities.

 

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