OpenEMR: Electronic Medical Records and Medical Practice Management Software

Post by Spooky23 » Fri, Mar 17, 2017, 1:48 AM UTC

nradov wrote: post #67

angersock wrote: post #49

Earlier quoted context omitted.

> The crux you may not realize is how customized every major hospital system expects their EHR software to be. The crux that you may not realize is that this customization was done mostly to boost profits and promote vendor lock-in. This was aided by the .gov failing to make public and standardized requirements for things like medical records (and no, referring to an AAMI or whatever doc that costs serious coin to vi…

That's simply false. Hospitals and other large provider organizations often do insist on extensive customization and non-standard configuration during EHR implementations. I've seen it happen. They'll spend weeks going around in circles about ridiculous issues like the placement of a logo and the format of a lab result document. You really can't blame the vendors for that.

Post by gnaritas » Fri, Mar 17, 2017, 1:55 AM UTC

walrus01 wrote: post #102

If people had any idea how much antiquated medical software is out there in production running on Windows 98, 2000 or XP and coded in Visual Basic they would run away screaming. It's seriously that bad.

Post by phkahler » Fri, Mar 17, 2017, 1:57 AM UTC

JusticeJuice wrote: post #94

numbsafari wrote: post #80

Earlier quoted context omitted.

Have you considered, in your model, how your system would work if a customer wanted to integrate with, as an example, a machine learning platform that attempts to predict the likelihood of a patient's readmission given their current status?

Yeah, I have. A health record is a collaboration - unlike a medical record, which just shows a slice of your health from the perspective of a single institution, a health record aims to show as many facets as possible. An EHR system should be agnostic about who access the record, and what they use it for - obviously gps, specialists, hosptitals, labs, the patient should all have access - but what about, as your said,…

Post by walrus01 » Fri, Mar 17, 2017, 2:05 AM UTC

wallace_f wrote: post #106

walrus01 wrote: post #102

If people had any idea how much antiquated medical software is out there in production running on Windows 98, 2000 or XP and coded in Visual Basic they would run away screaming. It's seriously that bad.

I did some work for a company that had 100+ banks running accounting software developed in Visual Basic in the early 90s. Unfortunately, this experience, supporting obsolete, spaghetti-code-nightmare, opened my eyes to the world that business is done in a much dirtier way than how I imagined growing up.

Post by clock_tower » Fri, Mar 17, 2017, 2:08 AM UTC

gnaritas wrote: post #103

walrus01 wrote: post #102

If people had any idea how much antiquated medical software is out there in production running on Windows 98, 2000 or XP and coded in Visual Basic they would run away screaming. It's seriously that bad.

Yup, but that sector is so heavily regulated that it scares off startups, and who can blame them.