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OpenEMR: Open-source medical record software

open-emr.org

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Re: OpenEMR: Open-source medical record software

#91

Earlier quoted context omitted.

A master class in enterprise software sales fit into a single comment. Bravo!

Master class in why critical software that's relied on by millions wastes billions of people-hours each year, not to mention all the misery it causes. The part where person making the purchase decision is neither the user nor beholden to the users? That's bad.

It doesn't matter if it's good or bad. It is.

In other words you can choose to play the game, or you can choose to fight the rules. I don't recommend the latter, it doesn't work.

Frankly I recommend the former - if you don't like the game, don't play. There are lots of other markets to play - enterprise software is just one of them. Other markets have different rules and you should find a market that suits your strengths.

While it frankly doesn't matter, I will point out that your comment that "its bad" should have the phrase "from my point of view" tacked on. You might even suggest it's bad from the "users point of view". But the "business point of view" is a different view, and also important. The ability to understand that point of view - and to best address those needs as well, are critical if you want to enter the Enterprise space. The business writes yhe check, not the user. The business is the customer not yhd user.

Or, to reference back to the original article, if you want to play in the Hospital Admin space you need to understand what hospital admin is, and what it needs. Are hospital admins asking for free unsupported, open source software, with funding models based on "hope"?

As software people we are seldom trained to understand business needs. Our career is in writing software for end users. We focus on technical things, complain about bloat or speed, are UI focused and think "user" when someone talks about "customer experience".

Google is the poster child for this. They push the technical boundaries, have really good products, do technical things really well, spend lots of yikes on UI etc. But I wouldn't depend on them for my business, because, frankly they're not dependable. They don't offer me customer (much less user) support. Their pricing is erratic and subject to change. And the service they provide may be gone tomorrow. They serve "me the user" but not "me the business". They're not "bad" - they just don't serve the needs I have.

Re: OpenEMR: Open-source medical record software

#92

Doctor here, I hate EMRs, they are oppressive, in many ways they make things worse for patients. I think the future of EMR is no EMR. An LLM that takes multimodal input (audio, video, images, observations etc etc) and outputs whatever is required (a podcast summary of clinic patients, a checklist relevant to a patient’s condition in preop) is the future. Forcing doctors, nurses and allied health to manually document…

Tangential, will we ever certify current LLMs as "medical grade", for example they reveal suicide steps too easily, pick up Redditor snark as serious content, contatenate parts of random sentences together etc?

Re: OpenEMR: Open-source medical record software

#93
post #57
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…

ClearHealth/HealthCloud is abandoned, right? What would you recommend today as an OpenSource EMR?

I would recommend the open source EMR project that is literally staring at you in the face here, which is OpenEMR :)

There is a reason why there is a healthy community of passionate volunteers and contributors from all walks of life that have spent an inordinate amount of time and resources to support this open source software.

Coming from one of the core volunteer developers that has contributed to this project over the last 18 years all I can say is that a lot has changed over that time. I consider it a robust and secure project regardless of its humble origins. And always happy to answer any questions regarding the project.

Re: OpenEMR: Open-source medical record software

#94
post #62

I think nowadays OpenEHR [0] is the most credible option for a FOSS EMR/EHR solution. In my understanding (not 100% sure) in Sweden OpenEHR is obligatory for hospitals. [0] https://openehr.org/

I was confused before: parent post is talking about OpenEHR with an "H", which is different from OpenEMR. Is OpenEHR actually code, or just a set of standards? Their web page says, "openEHR is a non‑profit organisation that publishes technical standards for an EHR platform along with domain‑developed clinical models to define content."

Ah good comment, I was always under the impression that OpenEHR was a platform but indeed [0] says:

"The openEHR platform is based on a stable Reference Model, defining the data of the EHR, the archetype model, which defines injected data models, REST APIs, and the AQL query language."

There are open source and commercial openEHR platforms available.

[0] https://openehr.org/developers

Re: OpenEMR: Open-source medical record software

#95

Earlier quoted context omitted.

Sounds like you don't have a very good understanding of what nurses actually do nor do you appreciate them.

Ok, I’ve spent the last 18 years working in hospitals, and the stats in my post are accepted in nursing research. Very open to hear where I’m wrong.

tech background here. Feel free to drop me a line if you need a teck parter to revamp what you described above
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