The Electronic TB Register (ETR.Net) - South Africa
The Electronic TB Register (ETR.Net) - South Africa
The Electronic TB Register (ETR.Net) - South Africa
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<strong>The</strong> <strong>Electronic</strong> <strong>TB</strong> <strong>Register</strong>(<strong>ETR</strong>.<strong>Net</strong>)Manivasagan NaickerWAMTechnology, <strong>South</strong> <strong>Africa</strong>PEPFAR SA HMIS Workshop, Cape Town14 May 2008
In <strong>South</strong> <strong>Africa</strong>, <strong>ETR</strong> is the designated software tocapture <strong>TB</strong> dataUses SA ID number together with unique <strong>TB</strong> registernumberICD 10 codes for <strong>TB</strong> notificationData is exported to the Notifiable Medical ConditionsSystemData is exported to the District Health InformationSystem
Implementation StatusImplementedPlanned
<strong>ETR</strong>.<strong>Net</strong> Design and ArchitectureDesigned based on best practices and patternsSoftware split into several logical layers, each providing specificservices to the other layers within the softwarePresentation Business DataUser InterfaceWin ControlsBusiness Facades Business Rules Data AccessLocal Database(MS Access)Common
DatabaseSoftware DetailsMicrosoft Access databaseSQL Server/MSDE (National level)Various tables linked with Globally Unique Identifier (GUID)Security features (database password and workgroupadministration)Encryption using 256bit Rijndael encryption algorithmBackup and DispatchCreated in XMLCompressed & encryptedStored on multiple storage mediaData dictionaryPresently being revised as system is evolving
Database Relationship
Application FunctionalityNationalLevelInstallation/updater CDInstallation/updater CDSetup and maintainDistribute applicationUpload dataSummary/detailreportsMiddleLevelsDispatch FileUpload dataSummary/detailreportsDispatch dataBasicManagementunitPatient RecordsDispatch FileData entry/validationSummary/Detailreports (HTML)Dispatch dataExport data (DHIS, txt)Archive data
Automated reportsData checks – validation of dataPatient listings – management of patientsStandardized cohort reports• Displayed in HTML• Case findings, Sputum conversion, Outcome ofTreatment, HIV-<strong>TB</strong> collaborative reports• By any time period (day, quarter, year)• Summaries over time period at all reporting levels• Algorithms based on WHO/NTP guidelines
Current DevelopmentsImprove ‘Graph’ featureAdvance ‘GIS’ mappingDevelopment of ‘Customized’ reportsData Exchange StandardsIntegration with DataCareIntegration with OpenMRSLinkage to Laboratory based information systems(NHLS)WEB based MDR/XDR electronic registerDataCare (Durban Communicable Diseases CentreDurban Communicable Diseases Centre )
Resources and User supportA network of resource/support is accessible via:• Basic user’s s manual• Advanced Administrators manual• Online support (FAQ) via web (www.etrnet.info(www.etrnet.info)• Email (support@etrnet.info(support@etrnet.info)• National Setup Wizard tool - allows customization ofsoftware
Summary<strong>ETR</strong>.<strong>Net</strong> is a valuable tool• to collect and analyze <strong>TB</strong> and <strong>TB</strong>/HIV surveillance data• to monitor and evaluate program performance as well asthe expansion of HIV services for <strong>TB</strong> patients<strong>ETR</strong>.<strong>Net</strong> offer flexibility to enhance analysis as <strong>TB</strong>and <strong>TB</strong>/HIV care evolvesImproved human capacity at BMU is a requisite torealise the benefits of this toolContinuing and ongoing dialogue amonginternational and country partners will be helpful toguide future developments
AcknowledgmentsPaul Maree, , Tom Welch (WAMTechnology)Subroto Banerji (CDC/PEPFAR- <strong>South</strong> <strong>Africa</strong>)Bill Coggin (GAP)Carina Idema (NTP-<strong>South</strong> <strong>Africa</strong>)SA National Department of HealthPEPFAR <strong>South</strong> <strong>Africa</strong>
Thank you
For more information, registeronline atwww.etrnet.infosupport@etrnet.info
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