Table 3.

Steps of configurations made to the Open Medical Record System (OpenMRS).

Configuration of OpenMRS modules	Features for the study
Creation of a concept dictionary	Every data point to be used for the study was created as a concept and given a short name
Role management	The roles of each user were fixed and were restricted based on the type of activity they were expected to do; for example, the project manager was only given access to user data management and downloading reports
User management	As per our project flow, the different users were allocated to each role, such as ASHAsa, doctors, field staff/data collector, project manager, and administrator
Encounter management	Each entry into the tab for a specific user (ie, ASHA, doctor, data collector) was recorded as an encounter with a unique encounter ID, which helped to differentiate the number of encounters that had taken place for each study participant
Managing encounter types	Based on the different phases of the study, each phase was also considered as a separate encounter, such as the screening, rescreening, ASHA follow-up, and doctor follow-up phases
Manage observations	Each data point was considered as a separate observation
Managing persons	Demographic data for every app user (ASHA, doctor) or participant were stored as person details
Managing patients	In this feature, any additional personal identifiers/demographic details identified could be modified/configured
Cohort management	Specific cohorts were created for every phase of the project, matched to the user. This enabled the users to access data of people who were in their own cohort. This helped them to identify and follow up the individuals easily. This was done both for ASHAs and doctors, with each doctor in a particular PHCb having a defined set of ASHAs, who in turn had a defined set of high-risk individuals
Multilocation data management	This was a custom development made to the system to ensure the data of one location (state) were not merged with data from another location. This was relevant to the SMHc and ARTEMISd trials, which involved two different geographical locations.

^aASHA: Accredited Social Health Activist.

^bPHC: primary health center.

^cSMH: Systematic Medical Appraisal and Referral Treatment Mental Health.

^dARTEMIS: Adolescents’ Resilience and Treatment Needs for Mental Health in Indian Slums.