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we design, develop, and operate information systems that improve individual and population health.

What We Do

CIRG designs, develops, builds, and operates information systems that securely manage health information for projects in the Clinical, Public Health, and Global Health Informatics domains.

Our collaborators work at the University of Washington, in national and state governments, and at health care and research organizations across the US and around the world.

Dr. Bill Lober, who leads our team, has a background in both emergency medicine and computer engineering. Our staff consists of software developers, system programmers, experts in interaction design/usability and health data system operations, and both graduate and undergraduate students.


Clinical Informatics

Computerized Patient Reported Outcomes   An open source platform for multi-platform Patient Reported Outcomes, using a wide range of custom surveys and validated instruments, including PROMIS measures. Since 2000, cPRO was developed in collaboration with Donna Berry, Heidi Crane, and the Movember Foundation. Specific applications build on cPRO support research and clincial care for patients treated for cancer, chronic pain, HIV, or those undergoing surgery.

mPOWEr   A mobile application using photos to enhance post-discharge communication between patients and providers. Developed in collaboration with Heather Evans since 2015, patients use mPOWEr as a diary of post-operative healing and a patient-centered communication tool with their care teams. Clinicians use mPOWEr as a longitudinal assessment tool for potential surgical wound infections, and as a platform for team communications.


Global Health Informatics

eSaude   Supporting the eSaude community in Mozambique in developing and implementing a Mozambican specific configuration of the OpenMRS EMR software and its integration into a national eHealth architecture.

Past Projects

OpenELIS Global   Open Source Lab Information System implemented in Haiti, Cote d’Ivoire, and Vietnam. Approximately 30 sites worldwide

iSante – Electronic Medical Record   A web-based, open source, electronic medical record originally developed for HIV care and extended to primary care and maternal and child health, and deployed broadly in over 80 government facilities in Haiti. (last updated 2011)

KenyaEMR   Open Source, module-based implementation of OpenMRS medical record for a widespread Kenya MOH implementation.

Kenya Health Informatics   Wide-spread EMR implementation and extending interoperability using open source tools with other HIS components within the national eHealth Architecture.


Public Health Informatics

Interoperability for Public Health   Since 2006, we have developed public health interoperability software to demonstrate use cases in surveillance and case reporting. We develop using standards based profiles (ihe.net), and test our work with commercial vendor systems. Then, on behalf of CDC and Washington Department of Health, we demonstrate novel data integration examples at conferences such as HIMSS, CDC PHIC, CSTE, and ISDS, showing how informatics supports the essential services of public health .

Past Projects

Gossamer Health   Open Source surveillance system used to implement a “cloud” version of the Distribute surveillance system.

PHENIX   A voluntary data sharing surveillance project based on Gossamer Health software


Selected Publications

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Who We Are

Faculty & Staff