ScreenMy: a Lightweight Architecture of Tuberculosis-Diabetes Mellitus Screening System Integrating with EMRs

Background: Early detection of diseases like tuberculosis (TB) and diabetes mellitus (DM) is critical for preventive healthcare. However, integrating effective screening programs within existing workflows can be challenging. Objective: This study explores the feasibility and impact of integrating an electronic screening system (ESS) within electronic medical records (EMRs) in private primary care settings. The pilot study focuses on ScreenMy, an ESS engine designed for bi-directional TB-DM screening. Methods: A pilot study investigated the integration process of ScreenMy into an EMR system. Interviews with developers assessed factors like installation ease, flexibility, and impact on the EMR's functionality. Findings: The findings revealed a smooth integration process due to ScreenMy's external design (requiring only plugin injection) and clear documentation. The integration maintained EMR performance and efficiency, enhanced the developer experience, and offered flexibility for customization. Developers, unfamiliar with prior integrated screening systems, found ScreenMy user-friendly and expressed interest in further system flexibility concerning data privacy. Conclusion: This investigation highlights the potential for seamless integration of screening systems like ScreenMy within EMRs. This paves the way for improved preventive healthcare delivery in primary care settings.