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Tamanu is a free and open-source, patient-level electronic health record (EHR) for desktop and mobile. It allows health workers to track individual patients and provide clinical support. Designed specifically for remote settings and the Asia-Pacific context, Tamanu allows health workers to monitor patients in hospitals, health centers, clinics, and even out in the community, enabling consistent, long-term management of patient conditions. The system is offline-first, with syncing capabilities allowing users to work seamlessly with and without an internet connection. The mobile and desktop versions are fully integrated “out-of-the-box”, meaning there are no third-party integrations required for any core features.

There are five principles behind the development of Tamanu:
1. Sync-enabled – works seamlessly offline, whenever internet is down
2. Free and open-source
3. Desktop and mobile enabled
4. Comprehensive security, with data encryption
5. Interoperability (e.g. ICD-10) and integration with existing systems, such as DHIS2 and mSupply

At the hospital level, Tamanu Desktop allows a full suite of functionality, including scheduling, admissions, medication orders, location (ward and bed), department management, lab integrations (via SENAITE/Tamanu Lab), discharges, and patient management (including treatment notes). The desktop application works offline, syncing with a central server whenever an internet connection becomes available.

At the clinic level, Tamanu Mobile offers functionality to capture diagnoses, treatments, vitals, and the recording of events such as births, ante-natal visits, and deaths. It also contains a comprehensive immunization register that includes clinical decision support.

The platform can host a patient master index (PMI) or pull patient identifiers from an external PMI. It also supports integration with laboratory and radiology information management systems via an HL7 FHIR compliant API.

- Frontline healthcare workers who use Tamanu to record clinical patient information, enabling consistent and long-term management of patients.

- Hospital and clinic administrative staff who use Tamanu to support the management of patient records, personal information, clinical coding, and billing.

- Bilateral partners and donors who use Tamanu for reporting purposes.

Tamanu has specifically been designed for remote settings and the Asia-Pacific context. The adoption of Tamanu within the Asia-Pacific has expanded over the years, with many health clinics and also major hospitals now using our solution. Tamanu Mobile is also being used by various ministries of health around the Asia-Pacific to assist in conducting screenings of non-communicable diseases, mass drug administrations, and other significant vertical health programs.

Software Application

GNU General Public License Version 3

WHO System Classification

A5 | A5 Electronic medical record systems

C11 | C11 Terminology and classification systems
A6 | A6 Laboratory information systems
E2 | E2 Public health and disease surveillance system

Geographic Reach & Impact

Standards & Interoperability

HL7 FHIR, ICD-10, ICD-11, ICD-9, LOINC, Other, SNOMED

Point of service

Resources

Community

Linked Registries & Initiatives