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so Ill be talking about use of electronic medical records in global oncology and you know in many international sites in many poor countries records medical records are on paper and its really complicated and its hard to track patients and Im my talk is really about an example of implementation of an electronic medical record in two places where I work Im in Haiti and in Rwanda the name of the electronic medical record system is called openmrs and i will show examples of openmrs and examples of how were able to implement them in both sides Ive said many poor countries are quite similar so even poor countries in different places face the same or similar challenges so the reason why I work in Haiti and in Rwanda is because I we collaborate with an organization that is based in Boston called Partners in Health and they have international sites and both places or two of their international sites and so you know the challenge is for caring for ecology patients actually are quite simil