Installation of OpenEMR in a medium size clinic in Southern Argentina.

We have installed OpenEMR in a medium size clinic, in the province of Chubut, Argentina, in September 2016. So far, 7 months later, there are 100 registered users and almost 10,000 patients. There were no problems so far.

The administration asked us for some reports, beyond those programmed in the OpenEMER system. For example, a list of patients without health insurance. We solved it with a customized MySQL query.

A Gynecology form was implemented with some standard questions.

Continue reading “Installation of OpenEMR in a medium size clinic in Southern Argentina.”

Legal issues concerning digital medical records in Argentina

I see on Facebook Alejandro Abraham’s initiative for the country to adopt the Digital Clinical History, and I have already adhered. Law 26.529 that regulates the rights of the patient, in terms of the autonomy of the will, the information and the clinical documentation, specifies certain guidelines that a clinical history must meet. Among these guidelines, there is the confidentiality of information between the doctor and the patient, and any health professional who may have access to it. Article 14 specifies that the patient is the owner of the clinical history and that at its simple request a copy of it must be provided. But in turn, article 17, indicates the uniqueness of the clinical records by establishment. That is, each health facility must have a particular clinical history, completely isolated from any other institution.

Relevant in Law 26,529, articles 2 (sections C and D), article 13, article 14, article 17 and article 18 are relevant. I believe that all health professionals waste a lot of time and effort trying to understand the handwriting of colleagues in all types of clinical documents, which causes delays and sometimes serious errors.

The forums of biochemists and pharmacists are full of queries about what the doctor meant in this or that a doodle. And as it remains mandatory that prescriptions be MANUSCRIPTS, the responsible is the same State and its adherence to archaic legislation. Added Nov.2018 : the new legislation on electronic signature says that this modality can replace previous methods of signature, which authorizes to sign recipes digitally. But the body of the recipe is still subject to the letter of the law, which requires it to be handwritten. By not repealing or changing the Law of Exercise of Medicine, the issue remains confused and subject to controversy.

New features in version 4.2.2

This new release of OpenEMR has several interesting new features. Check them out in our demo site at medical-records.net

  • 2014 ONC Certified as a Modular EHR
  • Compatible with PHP7
  • Compatible with most recent versions of MySQL and MariaDB
  • Added a modern user interface
  • Added full support for right to left languages
  • Added an About link/page
  • Numerous Bug Fixes
  • Supported in 30 languages
  • Numerous Security Fixes and Security Improvements

Contact us for any inquiry.

Ask us

Some FAQs for advanced features

I want it to be easy to find providers by Specialty, so that the patient who looks for a Pediatrician finds it right away.

A.: It is not foreseen. You can put the specialty after the surname, in the function of Administrator – Users. For example, Dr. Blanca Pérez Pediatra.

Q.:  I want to see an example of Provider schedule (doctors)

A.: In the Medical-records.net system I created Dr. Blanca Pérez Pediatra, who works on Thursday, all day (light blue). See the Calendar. Continue reading “Some FAQs for advanced features”

Health Insurance FAQ

How are the health insurance providers already admitted published?

First of all, each country has a different health system and denomination, but the most common is Health Insurance. In Argentina there are Obras Sociales (obligatory for all workers) or Prepaid Insurance o Prepagas (of voluntary affiliation). In Administration – Practice – Health insurance companies there is an editable list. Continue reading “Health Insurance FAQ”

How EMRs improve medical attention by health personnel

There is growing enthusiasm in the United States about the use of electronic medical records (EMR) in patients. Important sums of money have been allocated to subsidize the adoption of this technology by physicians. The magazine Family Medicine highlights in an article both the promises and the disadvantages of this technology. Continue reading “How EMRs improve medical attention by health personnel”

History of OpenEMR, unique, full featured EHR system

OpenEMR[1] is a medical data administration program which for Electronic Medical Records (EMR). It is ONC Entire Ambulatory EHR certified and it functions altogether with integrated electronic medical records, administration, scheduling and electronic billing.

The code  is written in PHP and works under a LAMP, albeit any operating classification with PHP is supported.

OpenEMR is clear and open code program business GNU (GPL). OpenEMR is subject to ongoing efforts of internationalization and localization in multiple languages around the globe. Support is offered by more than 30 vendors in  10 countries.

OpenEMR is one of the most accepted free of charge electronic medical records today with 7000 downloads per month.

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Online Electronic Medical Records (EMR) and Electronic Health Records (EHR)

The Electronic Medical Records issue is quite complex, because there is no standard yet, and thousands of competing applications try to conquer the big clients. Some are Open Source, some are free, many are sold. A few countries and states have decided to implement a single EMR application, to lower costs and focus all the development effort in a single product. However, not even Socialist countries have reached that goal. Continue reading “Online Electronic Medical Records (EMR) and Electronic Health Records (EHR)”

Psychological Testing and Treatment

To this proposal, the 3 medical businesses described above apply: Online EMR, Telemedicine, Marketing and Marketplaces.

Psychology is a discipline that can greatly benefit from the Internet, because there is no strict need for physical contact between patient and doctor. Of course, something is lost when human proximity is replaced by a webcam. There are a number of clues from the environment, body language and details that help the psychologist to make a diagnosis. But psychological tests are objective and can be easily implemented and carried out online. The advantage of offering Web Psycho Testing is to centralize the tests, to assure uniformity, and to be able to chain the tests according to the results and following a predetermined algorithm, thus automating most of the diagnostic process.
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Opportunities for Pharmaceutical Companies

The 5 previous proposals have many advertising and sponsorship places for drug companies. Doctors who are active online are likely to be more influential and see more patients that those who are hiding in their offices, and pharm sales reps need to identify them and see them, virtually or physically.

When a product is being discussed in a forum, the “virtual reps” can intervene defending the drug from attacks. Although it is not correct, they can do so anonymously or without identifying themselves as company members.
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