Digital Medical History – Background

If you prefer the Spanish version of this site, see OpenEMR.com.ar

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.

The Electronic Medical Record (EMR) is the centre of many new health businesses. Health care is now 95% direct and 5% remote. In the near future, it will be the other way around.

The need for competition in this area is possibly paramount to achieve safety, usability, acceptance and other quality parameters.

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english description openemr website

OpenEMR is a very complete system for Electronic Medical Records (EMR) or even Electronic Health Records (EHR). It is written in PHP code with Javascript and MySQL database. It is very complete open source code, free, that can be downloaded from the official Oemr site.

Anyone can download it, install it and make the modifications to the code that are necessary to adapt the system to the particular needs of a client.

We have developed a system to download printable forms with additional variables to those that come by default. This helps the clinics transition from paper to electronic format. Also we created a score of forms commonly used in external and internal attention.
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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.

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How to see X Ray images in the computer

In order to record X rays  a Pacs – Dicom server is usually needed. A demo for a DICOM reader is located at: http://medical-records.net/dicom3/

This is a tomography (X Ray in multiple layers), and can be enlarged, reduced, brightened, darkened, and moved around.

This is quite a complex issue, the readers usually work together with PACS  servers. PACS mean: picture archiving and communication system. They provide security, compression, backup, instant communication (the radiologist notifies the clinician about the imagen availability), etc. There is also a wide price margin, from free to multimillion dollar figures.

There are many options for advanced users, and they can be installed gradually by end user request.  We always suggest separate servers for systems and data, because images are very demanding in terms of gigabytes.

Ask us about PACS server installation in your site or ours.

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)”

Medical Advice Online – This site

This site has two faces. Originally started as a forum where I provide free medical advice online, for English-speaking patients. It now incorporated this blog where I discuss eHealth issues, mostly from the business viewpoint.
A small advantage of being based in Argentina is that I can do things like this, out of reach for American doctors because of several legal liabilities, privacy concerns and malpractice potential. Of course I could still be liable for damages, in spite of the powerful disclaimer that I attempt to post in every page.
The advantages for me are:
– visibility
– a few dollars on Adsense revenue
– test the free/paid patient conversion rate
– check alternative services, like keeping an online EMR for patients/clients
– collect content for web promotion purposes

The partial results of this ongoing experiment will be published here.