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Apart from VistA, the US Veterans Health Administration's
comprehensive health care information system (see hardhats.org), are
there any other widely used (in US or elsewhere), fully-functional
computerized clinical information systems that are available as
free-open source software (FOSS)? If so, what are they, in what
settings are they used, and what are the estimated numbers of users or
installations for each? If not, are there any highly-functional FOSS
clinical information systems that should be more widely used? I am
interested only in FOSS systems with a substantial inpatient and/or
outpatient clinical component -- not ancillary or adminstrative
systems such as laboratory or office billing, and not simply the use
of general-purpose FOSS such as databases and word processing programs
in health care settings. Please provide pointers to where one can
learn more about all systems you mention. Thank you.
Beside WorldVistaA there are very few which are actively used.
Here are those which have at least one
substantial user (a hospital)
Project UNIX name: oscarmcmaster
Registered: 2002-11-08 05:12
Activity Percentile (last week): 0%
users: a growing number of large and small offices are using
this new
, innovative software for their office automation and electronic
medical records.
OSCAR home: http://oscarhome.org ~ OSCAR Clinical Resources:
http://oscarresource.org
JEngine
The purpose of the project is to build a world class open source
Enterprise integration engine.
Uses of JEngine include healthcare systems/hospitals
HL7 interface engine, intergration of HL7 with EMR and Practice
Management Systems.
Project UNIX name: jengine
Registered: 2001-09-27 21:34
Activity Percentile (last week): 57.1048%
One user - a hospital
http://jengine.org/
Open Infrastructure for Outcomes
OIO is a Web-based medical/patient, user-extensible forms,
and online analysis system. We use it at Harbor-UCLA for
health/treatment outcomes data. Forms can be exported+imported
as XML and exchanged via the online OIO Library at www.TxOutcome.Org.
Development Status: 4 - Beta, 5 - Production/Stable
Environment: Web Environment
Project UNIX name: open-outcomes
Registered: 2000-08-04 20:35
Activity Percentile (last week): 24.8709%
http://www.txoutcome.org/
1 user - hospital:
http://www.txoutcome.org/scripts/zope/readings/information/OIO_users
OpenEMed
OpenEMed is a distributed healthcare and medical information
system built on open standards including those of the healthcare
taskforce of the Object Management Group. It provides
sample implementations of those standard components in Java.
Development Status: 4 - Beta
Registered: 2000-05-04 06:39
Activity Percentile (last week): 22.6054%
several users:
OpenEMed includes sample implementations of the Person
Identification Service, Clinical Observation Access Service, Resource
Access Decision, and Terminology Query Service which
have been adopted as international standards by the Object Management
Group (http://www.omg.org) through the OMG's Healthcare Taskforce .
The system requires a CORBA 2.3 compliant
ORB to run, and works with the OpenORB ORB , for example.
It includes a complete JSP client implementation of a infectious
disease monitoring system (B-SAFER) for use in an Urgent Care setting.
This includes filters for a variety of data
feeds including HL7, CSV, SQL, flat files, and XML. It is being used
to acquire a variety of data from multiple hospital systems. It is
also being used in a clinical research
project at the City of Hope Medical Research Center in Duarte,
California.
These appear to be in planning stage or just dreams:
======================================================
Open Source Clinical Manager
A web-based clinical management system that handles patient records
(lab results),
scheduling, and insurance claim forms (using ICD-9 codes).
Development Status: 1 - Planning
No users - looks like it died in the planning stage in 2001
GNU-KIS
GNU-KIS is a projekt to establish a clinical information system "KIS"
on the basis of mysql and PHP. It is mainly addressed on the needs of
medical professionals in hospitals to
provide a easy and quick to use interface over the intranet. It will
store
Development Status: 1 - Planning, 2 - Pre-Alpha
started: 2001-07-30 , no users, no current activity
CEHR Net
CEHR Net (pronounced "care net"; collaborative electronic health
record network)
is a set of technologies for patient-controlled dissemination of
clinical documents and
observations to health care providers. It is a virtual EHR.
Development Status: 2 - Pre-Alpha
roject UNIX name: cehrnet
started: 2003-02-04 15:2
2 developers, no users, The CEHR Net project was initiated by
University Health Network http://www.uhn.ca/
,
OSCARMcMaster
Open Source Clinical Application and Resource from McMaster
University is a web-based electronic patient record system developed
for academic primary care clinics. It enables the
delivery of evidence resources at the point of care.
The Morgan Logic Project
The Morgan Logic Project exists to support the development of
information
technology for life quality improvement. Serving the professional
community,
the software developed herein
will increase the effectiveness of clinical interventions, reduce
costs, a
roject UNIX name: morganlogic
Registered: 2001-08-27 13:06
Activity Percentile (last week): 0%
- looks dead
ApolloClinical - CDISC
A software development framework and collection of tools to help other
developers
build applications that work with CDISC XML. The toolkit provides
readily usable libraries and
showcases end user tools that leverage the clinical trial data open
standard
Development Status: 1 - Planning
Intended Audience: Developers, Science/Research
Project UNIX name: apolloclinical
Registered: 2003-02-17 09:39
Activity Percentile (last week): 0%
http://www.apolloclinical.org/ 1 developer, no users, call
for colaboration
SEARCH TERMS
Open Source
clinical
health information systems
hedgie EMR-SynergyEMR Software, electronic medical record software, emr expert::
user electronic medical records system that uses the open source RDBMS Firebird. imaging, computerized prescription & Rx writing & Patient Portal solutions.
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hedgie-ga
This is pretty much what I suspected, but I have a couple of questions/comments:
1) Is there anything of significance via newgroups? I recall finding
a project there called GEHR or Eiffel a while back.
2) Would it be useful to post to a health open source list such as the
one at http://www.minoru-development.com/en/healthcare.html to see
if others concur with your assessment?
Thanks,
-eetrimble
There is impossible to prove that all items which
fit the description have been found - in any search.
So, while I am confident I did not miss any significant effort,
additional searching and ongoing monitoring is always useful.
1) groups
However the group you mentioned does not
strike me as significant./ active.
I would ask at the google-group (former usenet groups)
med.sci.informatics
http://groups.google.com/groups?hl=en&lr=lang_cslang_en&ie=UTF-8&group=sci.med.informatics
One can also monitor the following
http://www.LinuxMedNews.org/linuxmednews/954459290/index_html
which shows current activity in this area , as apparent from the
following
Posted by I. Valdes on Monday March 31, 2003 @ 06:45 PM
from the Linux-Medical-News dept.
Linux Medical News is 3 years old now. In its first week, 300
visitors came.
It now averages 7000 per week and has 594 posted articles to date
. Its original mission: '...to
facilitate, amplify and begin the process of fundamentally changing
medica
l eleadson and practice into a more effective, fair and humane
enterprise
using modern technologies..
posted there lleads to:
O'Reilly Life Science Informatics Conference
February 9-12, 2004
San Diego, CA
February the successor conference to our Bioinformatics Technology
Conference.)
http://conferences.oreillynet.com/
which may be place to visit. In february, San Diego is quite
pleasant, Iparticipate
I would also e-mail all those who contributed in the area,
developers of the few systems we have identified and
ask about groups/forums they particiapte in.
Perhaps invite them to one on-line discussion where scattered
projects may benefit from cooperation. Effort looks a bit
scattered.
2) GEHR is a propsed linux standard
The Good Electronic Health Record (GEHR), a major part of the work of
the openEHR Foundation , is an evolving electronic health record
architecture designed to be comprehensive, portable and medico-legally
robust. It has been developed from the Good European Health Record
project requirements statement and object model - the most
comprehensive requirements documents ever developed for the electronic
health record.
http://www.gehr.org/
For review of Linux based activity, I would monitor
http://www.linuxdocs.org/HOWTOs/Medicine-HOWTO-2.html
but it seems to be mostly administrative tasks/record managements.
Eiffel is, Object-oriented general purpose language and development
environment
probably not a good lead.
It seems to me (this is unsolicited opinion, as a freebee) that
basic question is this: is medical/clinical record management task
so specific that a separate, specialised ystem needs to be developed
OR will we, one day, have an open general purpose, flexible, modular,
record management system, which will be adapted to special needs of
clinical record keeping. In other words, I would focus on a finding a
general purpose ystem and identify missing features, for which
specialised
modules need to be written. But thst is a different question.
hedgie 1997_02 | How Plans are Building Electronic Patient Charts::
Computerized clinical records can give a health care plan a competitive edge, will install patient record and clinical support systems in the same
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Open source computerized patient record systems