EMR is the decision support tool rather than the technology tools only. OpenMRS is a collaborative open-source project to develop software to support the delivery of health care in developing countries.OpenMRS is founded on the principles of openness and sharing of ideas, software and strategies for deployment and use. The system is designed to be usable in very resource poor environments and can be modified with the addition of new data items, forms and reports without programming. It is intended as a platform that many organizations can adopt and modify avoiding the need to develop a system from scratch.

Clinical, diagnostic and patient management information are all important for effective patient care. The information that Bahmni makes accessible helps health care providers to improve the efficiency and quality of patient care, reduce the margin of error in clinical diagnosis, and advocate for policies related to public health in rural areas. NIC is committed to provided the patient centered health IT implementation. An integrated solution with flexible and Modular design with adaptability capacity which can be used on variety of devices including tablets and laptops. Till date globally 400+ sites, 50 countries, 4K users and 2M patient records has taken the health care services using this technology. NIC initiatives around the digital health is for people with low digital literacy and support the health care cadres around the remote places of Nepal. Some of the significant implementation around Nepal from the team of NIC namely Dhulikhel Hospital, Chitwan aged home care, Trishuli Hospital We provide the implementation support for any of the digital health intervention around mHealth, opensource development, Electronic Health Record training and Health Information Exchange training. To know more about the product please follow www.openmrs.org Trishuli HospitalTrishuli Hospital is the government district Hospital, where in per day 200 plus OPD patients are treated using the digital systems. All the internal operations are carried out using the EHR and other digital systems. NepalEHR is the version of the EHR that has been implemented in the ownership of the hospital. Dhulikhel HospitalDhulikehel hospital is using the OpenMRS based EMR for the covid patient who are isolated in the home. Dhulikhel hospital care provider provide the tele consultation and engage with patients to understand the condition of the covid symptoms. All the indicators are captured during the outbound calls initiated by the hospitals and patient take the advantage of having the conversation without visiting the hospital. Chitwan Aged Home CareDevghat Aged Home has the continous care delivery for the aged people where Monthly health camp is carried out, Huge gap in managing the health care data where in evidence was missing. NIC Digital Health team has supported in implementing the Electronic Medical Recording system for all the data to be managed during the care delivery process. NIC and Devghat are working closely in the research are on the basis of the clinical data captured at the Devgghat Facility.