OpenEMR: Open-source medical record software

Post by Taikonerd » Sun, Jun 23, 2024, 2:16 PM UTC

shigawire wrote: post #17

jauntywundrkind wrote: post #13

Earlier quoted context omitted.

I haven't seen a single friend who works in a medical profession recommend or feel well supported or feel like their system was well rolled out. I would 100% rather go to a place using open source software, with enthusiasts hope & open improvement iterating forward & leaving the door open to others to improve & build community around. It's a shame that we leave the work of important things locked to a couple far off…

I'm super biased admittedly as I have worked on the implementation side for these big systems but... Try to ask those same friends to agree on the "correct" workflow for some aspect of their clinical work. You won't find agreement in the same state, in the same hospital system, in the same hospital, or even in the same department. I can't claim what is out there is great, but it's like that quote about democracy. It…

Post by Taikonerd » Sun, Jun 23, 2024, 2:29 PM UTC

ijustlovemath wrote: post #9

There's a saying in hospital tech sales: if you've seen one hospital's stack, you've seen one stack. The sheer amount of bespoke deployments and lack of interoperability in these facilities would blow the average HN reader's mind. And through the inertia of these deployments and their (absolutely necessary) adherence to HIPAA and SoC, getting any kind of competitor in, much less one with the lack of support resources…

Post by recursive » Sun, Jun 23, 2024, 2:46 PM UTC

TZubiri wrote: post #55

recursive wrote: post #12

Earlier quoted context omitted.

What does this mean? I've been working in this space for years. All the hospitals want web apps. Some want to deploy them internally.

If they want a web app, PHP is ok. Medical records are not a website, so its logic should not be in PHP. A frontend for medical data? Yes, a HIS? NO

Post by aprilthird2021 » Sun, Jun 23, 2024, 3:41 PM UTC

lostlogin wrote: post #61

aprilthird2021 wrote: post #38

Earlier quoted context omitted.

> Multimodal LLMs will also replace much of medicine and nursing which is good. You should read up on the history of AI in medicine. 30-40 years ago they had rudimentary (by our current era understanding) systems that basically equalled and beat physicians in diagnosing and prescribing medicine to patients when given a list of symptoms (sources at the end). None of these ever had any uptake because physicians didn't…

> Ultimately credentialed professionals like medicine and law will never be replaced by LLMs because LLMs cannot be held responsible for the medical regimes they place patients under (or the legal advice they give). It’s not quite the same as what you are saying, but things are changing quickly. Software is diagnosing pathology in radiology now. Software made up at least 3/4 of the pixels in the MRI scans I acquire.…

Post by duffpkg » Sun, Jun 23, 2024, 5:49 PM UTC

Taikonerd wrote: post #69

duffpkg wrote: post #40

I was the main contributor and maintainer to OpenEMR about ~20 years ago and then decided it was irredeemable and started over with ClearHealth/HealthCloud. Shockingly some of my code code lives on (from PHP 3). I am reluctant to say don't use it but if you do please don't expose it to anything public, which sadly happens most of the time. There are some real problems that exist in that code base from a security and…

On the page, they talk about being ONC certified: [0] Does ONC certification test for that kind of thing? They briefly mention "security"... [0]: https://www.open-emr.org/blog/openemr-achieves-onc-certifica...