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Q: Open source computerized patient record systems ( Answered 5 out of 5 stars,   0 Comments )
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Subject: Open source computerized patient record systems
Category: Computers > Software
Asked by: eetrimble-ga
List Price: $50.00
Posted: 15 Jun 2003 10:04 PDT
Expires: 15 Jul 2003 10:04 PDT
Question ID: 217614
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.
Answer  
Subject: Re: Open source computerized patient record systems
Answered By: hedgie-ga on 18 Jun 2003 06:23 PDT
Rated:5 out of 5 stars
 
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

Request for Answer Clarification by eetrimble-ga on 18 Jun 2003 09:45 PDT
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

Clarification of Answer by hedgie-ga on 19 Jun 2003 22:41 PDT
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_cs|lang_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

Clarification of Answer by hedgie-ga on 19 Jun 2003 23:19 PDT
It also may be of interest to look at home page of
Alex V. who developed

 Tk_familypractice 

 Family pracice is a different category, but software developed
 by practiioner in the field often had good ideas and features,
 not found in 'software professional' developed systems.
His page is at 
http://www.psnw.com/~alcald/
eetrimble-ga rated this answer:5 out of 5 stars and gave an additional tip of: $10.00
This answer is VERY helpful.  As the researcher notes, 'proving non-existence'
by searching cannot be done with complete confidence, but this search returned
all of the relevant projects that I was aware of, and a number of projects of
which I was unaware, so I'd suspect little of significance has been missed.

Thanks.

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