Hacker News Board Hacker News, browsed like a classic message board
Live data from Hacker News

OpenEMR: Electronic Medical Records and Medical Practice Management Software

open-emr.org

Post reply on HN
Print view View original

21–30 of 214 posts

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#21

Post by exception_e »

qrbLPHiKpiux wrote: post #6

I use open dental. Tell me how open it is. An open EMR in healthcare does not mean much. Take a look at the necessary support needed to have the proper compliance.

Not sure what you mean... can you please be more specific?

OpenEMR is 100% open source. It's GPL'ed :).

As far as compliance, we are happy to inform you that OpenEMR is now 2014 ONC Ambulatory EHR Certification complete.

EDIT: If you're asking about support, there are over 30 professional vendors. Community support​ is also available.

If you have further questions, feel free to reach out to my email (in my profile).

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#22

Post by mtourne »

criley2 wrote: post #15
jdhe wrote: post #13

As other comments mention, this project has been going for a while, the central reason it (or something like it) has not been robustly built out and deployed universally is because of the way congress chose to structure the funding for development of EMRs/EHRs. Rather than trying to find a system that could be universalized, the (idiotic) plan has been to give millions of dollars to multiple corporations to develop s…

As a programmer for an American EHR firm -- all of the market share already belongs to one of those companies you malign. You could not have had the government sponsor some new software which would eliminate a billion dollar software market. It's a non-starter. All the hospitals already are signed on multi-year contracts with those large providers. Some of the EHR providers began writing medical software for hospital…

Not entirely related, but the pain of the "paper cycle" as a "customer" of health-care is real.

It seems as if to avoid dealing with hipaa regulation it's all paper, fax machine, and come pick up your x-rays burnt on a cd during your work hours (cd that you have to buy).

Having not grown in the states, this type of practices seems very primitive to me. Amongst many other aspects of the American healthcare, but that's another debate.

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#23

Post by exception_e »

oomkiller wrote: post #19
exception_e wrote: post #16

Earlier quoted context omitted.

It's an issue with Source forge. We're working on this.

After sourceforge bundled malware with downloads, it's hard to trust a project that stuck with them, especially with health data, especially when there are numerous alternatives that are better.

It's just for our website and wiki. We've moved to Github for the most part.

There is talk between myself and a couple of other contributors to move the site and wiki to AWS :).

Feel free to volunteer to speed this up, of course.

EDIT: Misread your comment. We are hosting downloads on the SF site. Really need to move to AWS...

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#25

Post by vanattab »

mtourne wrote: post #22
criley2 wrote: post #15

Earlier quoted context omitted.

As a programmer for an American EHR firm -- all of the market share already belongs to one of those companies you malign. You could not have had the government sponsor some new software which would eliminate a billion dollar software market. It's a non-starter. All the hospitals already are signed on multi-year contracts with those large providers. Some of the EHR providers began writing medical software for hospital…

Not entirely related, but the pain of the "paper cycle" as a "customer" of health-care is real. It seems as if to avoid dealing with hipaa regulation it's all paper, fax machine, and come pick up your x-rays burnt on a cd during your work hours (cd that you have to buy). Having not grown in the states, this type of practices seems very primitive to me. Amongst many other aspects of the American healthcare, but that's…

I am actually not opposed to the "CD you have to buy" policy. If I was hospital network admin I would not want people just plugging in random usb sticks into my network.

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#26

Post by [deleted] »

mtourne wrote: post #22
criley2 wrote: post #15

Earlier quoted context omitted.

As a programmer for an American EHR firm -- all of the market share already belongs to one of those companies you malign. You could not have had the government sponsor some new software which would eliminate a billion dollar software market. It's a non-starter. All the hospitals already are signed on multi-year contracts with those large providers. Some of the EHR providers began writing medical software for hospital…

Not entirely related, but the pain of the "paper cycle" as a "customer" of health-care is real. It seems as if to avoid dealing with hipaa regulation it's all paper, fax machine, and come pick up your x-rays burnt on a cd during your work hours (cd that you have to buy). Having not grown in the states, this type of practices seems very primitive to me. Amongst many other aspects of the American healthcare, but that's…

[deleted]

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#27

Post by mcphilip »

jdhe wrote: post #13

As other comments mention, this project has been going for a while, the central reason it (or something like it) has not been robustly built out and deployed universally is because of the way congress chose to structure the funding for development of EMRs/EHRs. Rather than trying to find a system that could be universalized, the (idiotic) plan has been to give millions of dollars to multiple corporations to develop s…

>Rather than trying to find a system that could be universalized, the (idiotic) plan has been to give millions of dollars to multiple corporations to develop systems, then subsidize the purchase cost to providers to encourage adoption. Then, only once everyone has invested in their own proprietary system will they begin trying to universalize the system by developing cross compatibility.

This is misinformation. Interoperability via HL7 messages has roots in the 80s. The subsidies encouraging provider adoption of EMRs during Obama's administration set constraints on qualifying EMRs including a certain level of support for interoperability. The government sensibly leveraged existing standards produced by those free market forces you decry.

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#28

Post by Brybry »

criley2 wrote: post #15
jdhe wrote: post #13

As other comments mention, this project has been going for a while, the central reason it (or something like it) has not been robustly built out and deployed universally is because of the way congress chose to structure the funding for development of EMRs/EHRs. Rather than trying to find a system that could be universalized, the (idiotic) plan has been to give millions of dollars to multiple corporations to develop s…

As a programmer for an American EHR firm -- all of the market share already belongs to one of those companies you malign. You could not have had the government sponsor some new software which would eliminate a billion dollar software market. It's a non-starter. All the hospitals already are signed on multi-year contracts with those large providers. Some of the EHR providers began writing medical software for hospital…

But most physicians don't work for hospitals. They work at small practices with 10 physicians or fewer (according to the AMA).

There was a completely open market, made of the majority of physicians, regardless of existing provider contracts with hospitals.

I know I talked to a few physicians (and other healthcare professionals) in the mid-2000s who lamented the paperwork they had to do every day and the lack of available computer automation.

Re: OpenEMR: Electronic Medical Records and Medical Practice Management Software

#30

Post by megiddo »

mcphilip wrote: post #27
jdhe wrote: post #13

As other comments mention, this project has been going for a while, the central reason it (or something like it) has not been robustly built out and deployed universally is because of the way congress chose to structure the funding for development of EMRs/EHRs. Rather than trying to find a system that could be universalized, the (idiotic) plan has been to give millions of dollars to multiple corporations to develop s…

>Rather than trying to find a system that could be universalized, the (idiotic) plan has been to give millions of dollars to multiple corporations to develop systems, then subsidize the purchase cost to providers to encourage adoption. Then, only once everyone has invested in their own proprietary system will they begin trying to universalize the system by developing cross compatibility. This is misinformation. Inter…

HL7 interop is a joke.
Post reply on HN