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OpenEMR v5.0.1

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Re: OpenEMR v5.0.1

#21

Earlier quoted context omitted.

MySQL/MariaDB and CouchDB

Are those options or do you use CouchDB for your primary DB and MySQL for your report writing with an ETL process taking data out of CouchDB every night?

MySQL for tabular data, CouchDB for documents.

Users control the backup routine. Our AWS packages make it seamless, however.

Re: OpenEMR v5.0.1

#22

Earlier quoted context omitted.

The other issue with Epic is that it's designed for hospitals. The parent comment sounds like a doc in a smaller practice. There are certainly EMRs out there better suited to that environment (disclaimer: I work for one that I think does an especially good job at that)

Yes, I primarily work in a small clinic setting, though I've also used Epic in a hospital setting and have been similarly unimpressed! ;) In general, I think that EMRs try to cram as much information onto the screen as possible, without enough thought toward what pieces of information are useful at particular times. It's like the opposite of the experience that I have on a well-designed website. Most of my complaints…

I am working in this area and would love to pick your brain. (My brother and I run a clinic in SC, which I've made the software for) We've made some cool stuff and are close to releasing it to the general public. My email is in my profile if you want to reach out.

Re: OpenEMR v5.0.1

#23

Earlier quoted context omitted.

The other issue with Epic is that it's designed for hospitals. The parent comment sounds like a doc in a smaller practice. There are certainly EMRs out there better suited to that environment (disclaimer: I work for one that I think does an especially good job at that)

Yes, I primarily work in a small clinic setting, though I've also used Epic in a hospital setting and have been similarly unimpressed! ;) In general, I think that EMRs try to cram as much information onto the screen as possible, without enough thought toward what pieces of information are useful at particular times. It's like the opposite of the experience that I have on a well-designed website. Most of my complaints…

Hank, I'm the one who's been handling OpenEMR's cloud deployment packages -- I've been working on a range of targets from a single-instance low-resource non-HIPAA (education or international) target (OpenEMR Express), to a HIPAA-eligible solution that meets encryption and auditing requirements (OpenEMR Standard), and at the lavish end, I built an enterprise-grade deployment (OpenEMR Full Stack) that leverages AWS Availability Zones to keep the whole application running even if Amazon loses a data center.

I'd love for you to take a look at what we've got going on -- the day might come when we're a good fit for somebody's clinic.

Re: OpenEMR v5.0.1

#25

Earlier quoted context omitted.

The other issue with Epic is that it's designed for hospitals. The parent comment sounds like a doc in a smaller practice. There are certainly EMRs out there better suited to that environment (disclaimer: I work for one that I think does an especially good job at that)

Yes, I primarily work in a small clinic setting, though I've also used Epic in a hospital setting and have been similarly unimpressed! ;) In general, I think that EMRs try to cram as much information onto the screen as possible, without enough thought toward what pieces of information are useful at particular times. It's like the opposite of the experience that I have on a well-designed website. Most of my complaints…

It's kind of a shame about VistA, the VA system. It's the most widely used well liked hospital system

>The VistA system is highly rated by physicians, receiving the highest overall score in Medscape surveys of over 15,000 physicians in 2014 and again in 2016, receiving particularly high marks for connectivity and utility as a clinical tool. https://en.wikipedia.org/wiki/VistA

and available free open source http://worldvista.org/AboutVistA/copy2_of_index_html

but hospitals instead spend hundreds of millions on Epic and Cerner who I presume have fancy sales teams to push those to hospital managers.

Re: OpenEMR v5.0.1

#26
OpenEMR 5.0.1 is truly a game changing release for OpenEMR users. The features like Image viewer, Docker integration are really cool and handy. Also looking forward for more exciting features like cTAKES integration.

Re: OpenEMR v5.0.1

#27
post #25

Earlier quoted context omitted.

Yes, I primarily work in a small clinic setting, though I've also used Epic in a hospital setting and have been similarly unimpressed! ;) In general, I think that EMRs try to cram as much information onto the screen as possible, without enough thought toward what pieces of information are useful at particular times. It's like the opposite of the experience that I have on a well-designed website. Most of my complaints…

It's kind of a shame about VistA, the VA system. It's the most widely used well liked hospital system >The VistA system is highly rated by physicians, receiving the highest overall score in Medscape surveys of over 15,000 physicians in 2014 and again in 2016, receiving particularly high marks for connectivity and utility as a clinical tool. https://en.wikipedia.org/wiki/VistA and available free open source http://wor…

It's also written in an obsolete, obscure programming language https://en.wikipedia.org/wiki/MUMPS .

Re: OpenEMR v5.0.1

#28
post #25

Earlier quoted context omitted.

Yes, I primarily work in a small clinic setting, though I've also used Epic in a hospital setting and have been similarly unimpressed! ;) In general, I think that EMRs try to cram as much information onto the screen as possible, without enough thought toward what pieces of information are useful at particular times. It's like the opposite of the experience that I have on a well-designed website. Most of my complaints…

It's kind of a shame about VistA, the VA system. It's the most widely used well liked hospital system >The VistA system is highly rated by physicians, receiving the highest overall score in Medscape surveys of over 15,000 physicians in 2014 and again in 2016, receiving particularly high marks for connectivity and utility as a clinical tool. https://en.wikipedia.org/wiki/VistA and available free open source http://wor…

OpenMRS-based systems are widely used in the developing world in hospitals, not sure what the barriers are to first-world adoption.

Re: OpenEMR v5.0.1

#29
I started contributing to OpenEMR 1-2 years ago. Great community! If this is your first foray into open-source I'd highly recommend getting in touch with the admin and getting involved in the many exciting projects happening. We are currently working on integrating OpenEMR with PACS so if you are interested feel free to reach out to me or OP!

Re: OpenEMR v5.0.1

#30
post #25

Earlier quoted context omitted.

It's kind of a shame about VistA, the VA system. It's the most widely used well liked hospital system >The VistA system is highly rated by physicians, receiving the highest overall score in Medscape surveys of over 15,000 physicians in 2014 and again in 2016, receiving particularly high marks for connectivity and utility as a clinical tool. https://en.wikipedia.org/wiki/VistA and available free open source http://wor…

It's also written in an obsolete, obscure programming language https://en.wikipedia.org/wiki/MUMPS .

Mumps is also used by Epic, the market leader and various banks. It or a variant is being developed by InterSystems who claim their system is the world’s fastest object database. So it struggles on. It actually sounds quite interesting tech.
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