Assignment for MSHI

1. Standards &
Interoperability
HI 201
MS Health Informatics
James Carlo N. Garcia, RN

2. SCENARIO
“Several city and municipal health units in
Zamboanga have a basic EMR called
BasicHealth. DOH wants to get all cases of
Hypertension, Diabetes Mellitus and
Cancer for their national registry. The
DOH registry is an online system using
software called RegistryTech.”
I chose this scenario because it is very familiar to me since I am
working for the Regional Office of the Department of Health.

3. Question: What organizations/entities are
involved in the scenario?
Barangay Health Stations -
the primary health care
facility at the barangay level
wherein health services are
delivered.
Rural Health Units - the
primary government health
care facility at the municipal
level wherein health services
are delivered.

4. Question: What organizations/entities are
involved in the scenario?
City/Municipal Health Office – the office that governs the BHS
and RHUs within the city or municipality. Some MHOs are
housed at the RHUs.
Provincial Health Office- the office that governs the BHS to the
City/Municipal Health Office

5. Question: What organizations/entities are
involved in the scenario?
Department of Health Regional
Office IX – the regional office of
the Department of Health in
Region IX
Department of Health Central
Office – the principal health
agency responsible for ensuring
access to basic public health
services to all Filipinos

6. Question: What organizations/entities are
involved in the scenario?
DOH
Central
Office
DOH RO
IX
PHO
CHO/
MHO
BHS RHU
Though not directly stated, these organizations or units are
usually the ones involved in the exchange of data and
information. We cannot skip those at the middle because they
need to have the same information with those at the
grassroots before the information reaches the central office.

7. BHS (EMR) RHU (EMR)
CHO/MHO
(EMR)
PHO (EMR)
DOH RO IX
(System for
consolidation)
DOH Central
Office
(RegistryTech)
Question: What applications within the
different organizations need to talk to each
other?
RegistryTech
I am not very sure how to answer this question, but here is what I think;
the applications that needs to talk to each other are the EMR (BasicHealth)
used by the BHS, RHUs, MHOs, PHO and the Regional Office’s system for
consolidation of reports (this is an assumption) and the Registry
(RegistryTech) of the DOH Central Office.

8. List 3–5 specific project goals for making the
organizations/applications talk to each other.
• a. Minimize entry of wrong cases
• b. Provide ON time data for
analysis
• c. Provide correct and accurate
data for planning
• d. Identify which disease is most
prominent in the province
• e. Identify which areas has the
most number of each cases to
provide and direct the appropriate
community intervention (e.g.
health education and promotion,
advocacies, relevant trainings)

9. List 5–10 data elements that should be
transferred.
Some data elements are the same for each disease, some are not.
• Facility ID
• Age
• Gender
• Address (Barangay)
• Highest recorded blood
pressure reading
• Date highest recorded blood
pressure reading was taken
• Medications
• Family history

10. List 5–10 data elements that should be
transferred.
Some data elements are the same for each disease, some are not.
• Facility ID
• Age
• Gender
• Address (Barangay)
• Highest recorded blood glucose
level reading
• Date highest recorded blood
glucose level reading was taken
• Medications
• Family history
• Type of diabetes

11. List 5–10 data elements that should be
transferred.
Some data elements are the same for each disease, some are not.
• Facility ID
• Age
• Gender
• Address (Barangay)
• Type of Cancer
• Severity/Stage of Cancer
• Medications
• Family history

12. List 5–10 data elements that should be
transferred.
Standards must be used in some of the data elements:
• Diagnosis (ICD 10)
• Medications (Philippine National Drug Formulary)
• Health Facility codes

13. Question: At what point (activity or event) in
the process should the transfer of information
happen, e.g patient discharge, after clinic visit?
This is called the trigger event.
The transfer of information
should happen during the date
set by the higher organization
for the submission of data,
whether daily, weekly, monthly
or quarterly.

14. Question: At what point in the
application/software process should the
transfer of information happen, e.g. once
patient bill is paid, once lab result is finalized?
The transfer of information
should happen once
data/information has been
consolidated

15. Thank You!