The AMPATH medical record system

creating, implementing, and sustaining an electronic medical record system to support Hiv/AIDS care in Western Kenya

William M. Tierney*, Joseph K. Rotich, Terry J. Hannan, Abraham M. Siika, Paul G. Biondich, Burke W. Mamlin, Winstone M. Nyandiko, Sylvester Kimaiyo, Kara Wools-Kaloustian, John E. Sidle, Chrispinus Simiyu, Erika Kigotho, Beverly Musick, Joseph J. Mamlin, Robert M. Einterz

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingConference proceeding contribution

74 Citations (Scopus)


Providing high-quality HIV/AIDS care requires high-quality, accessible data on individual patients and visits. These data can also drive strategic decision-making by health systems, national programs, and funding agencies. One major obstacle to HIV/AIDS care in developing countries is lack of electronic medical record systems (EMRs) to collect, manage, and report clinical data. In 2001, we implemented a simple primary care EMR at a rural health centre in western Kenya. This EMR evolved into a comprehensive, scalable system serving 19 urban and rural health centres. To date, the AMPATH Medical Record System contains 10 million observations from 400,000 visit records on 45,000 patients. Critical components include paper encounter forms for adults and children, technicians entering/managing data, and modules for patient registration, scheduling, encounters, clinical observations, setting user privileges, and a concept dictionary. Key outputs include patient summaries, care reminders, and reports for program management, operating ancillary services (e.g., tracing patients who fail to return for appointments), strategic planning (e.g., hiring health care providers and staff), reports to national AIDS programs and funding agencies, and research.

Original languageEnglish
Title of host publicationMEDINFO 2007 - Proceedings of the 12th World Congress on Health (Medical) Informatics: Building Sustainable Health Systems
EditorsKlaus A. Kuhn, James R. Warren, Tze-Yun Leong
Place of PublicationBrisbane, QLD, Australia
PublisherIOS Press
Number of pages5
ISBN (Electronic)9781586037741
Publication statusPublished - 2007
Event12th World Congress on Medical Informatics, MEDINFO 2007 - Brisbane, QLD, Australia
Duration: 20 Aug 200724 Aug 2007

Publication series

Name Studies in Health Technology and Informatics
PublisherIOS Press
ISSN (Print)0926-9630


Other12th World Congress on Medical Informatics, MEDINFO 2007
CityBrisbane, QLD

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