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Context
The computer-based patient record (CPR) has been defined as essential technology for healthcare. CPR use in primary care remains varied even among economically affluent countries. A common EMR (architecture and implementation) that will fit all environments in developing countries is hard to achieve because of the paucity of experience in similar CPR systems, huge variations in requirements, priorities and local constraints.
In developing countries information systems are mainly used to report aggregate statistics about morbidity, mortality and notifiable diseases for national agencies. A few medium developing countries may use clinical systems that support direct patient care.
Objectives
We propose an EMR:
Quick opening of a new patient record, with essential socio-demographic data.
Capture a minimum dataset (using the SOAP - subjective, objective, assessment and plan) during a consultation.
Structured data entry (using ICPC with ICD-10 thesaurus) and well as free text.
Computerised prescribing module using a generic drug list (ATC).
Problem, medication and allergy lists.
Technical
Installed on a Windows OS.
A standalone /LAN CPR, using a thick-client architecture with open source relational database system is proposed. Uploading to a central server to obtain aggregate data from a number of cites.
Key messages
It is possible to offer (almost) turn-key EMR system for primary care settings with clinical components that will satisfy clinicians and keep the administrators happy with coded aggregate data for planning.
Conclusion
EMR is a sociotechnical system and understanding how people and technologies react will be crucial to the success of the EMR implementation.
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Informatics 
