OpenEMR

OpenEMR[1] is a medical practice management software which also supports Electronic Medical Records (EMR). It is ONC Complete Ambulatory EHR certified[2][3][4] and it features fully integrated electronic medical records, practice management for a medical practice, scheduling, and electronic billing.

OpenEMR
Screenshot of the Patient Summary Screen
Stable release
5.0.2 / August 4, 2019 (2019-08-04)
Repository
Operating systemLinux, Unix-like, macOS, Windows
TypeMedical practice management software, Electronic Medical Records
LicenseGNU General Public License
Websitewww.open-emr.org

The server side is written in PHP and can be employed in conjunction with a LAMP "stack", though any operating system with PHP support is supported.

OpenEMR is free and open-source software subject to the terms of the GNU General Public License (GPL). OpenEMR is subject to ongoing efforts of internationalization and localization in multiple languages, and there is free support available in various forums over the world. At the time of writing, commercial support is offered by more than 30 vendors in more than 10 countries.[5]

OpenEMR is one of the most popular free electronic medical records in use today with over 7000 downloads per month.[6]

Features

[7]

  • ONC Complete Ambulatory EHR Certified
  • Patient Demographics
  • Patient Scheduling
  • Electronic Medical Records
  • Prescriptions
  • Medical Billing
  • Clinical Decision Rules
  • Patient Portal
  • Reports
  • Advantages and benefits of free and open-source software
  • Security
  • Multilanguage Support

Adoption

The market share of a software can be estimated based on sales numbers, but since most free and open-source software is not sold but installed via the package management system of the Linux distribution of choice, the term "installed base" seems rather popular. It is very difficult to estimate the number of practitioners that are using this software.

In the US, it has been estimated that there are more than 5,000 installations of OpenEMR in physician offices and other small healthcare facilities serving more than 30 million patients.[8] Internationally, it has been estimated that OpenEMR is installed in over 15,000 healthcare facilities, translating into more than 45,000 practitioners using the system which are serving greater than 90 million patients.[8] The Peace Corps plan to incorporate OpenEMR into their EHR system.[9][10][11][12][13] Siaya District Hospital, a 220-bed hospital in rural Kenya, is using OpenEMR.[14][15][16][17][18] HP India is planning to utilize OpenEMR for their Mobile Health Centre Project.[19] There are also articles describing single clinician deployments[20][21][22] and a free clinic deployment.[23] Internationally, it is known that there are practitioners in Pakistan,[24] Puerto Rico, Australia, Sweden, the Netherlands, Israel, India,[19][25] Malaysia, Nepal, Indonesia, Bermuda, Armenia, Kenya,[14][15][16][17][18][26] and Greece that are either testing or actively using OpenEMR for use as a free electronic medical records program in the respective languages.[27]

Awards

OpenEMR has received a Bossie Award in the "Best Open Source Applications" category in both 2012 and 2013.[28][29][30]

Development

The official OpenEMR code repository was migrated from CVS to git on 20 October 2010.[31] The project's main code repository is on GitHub.[32][33] There are also official mirrored code repositories on Sourceforge,[34] Google Code,[35] Gitorious,[36] Bitbucket,[37] Assembla,[38] CodePlex[39] and Repo.or.cz.[40]

OpenEMR has a vibrant open-source development community with over 133 developers having contributed to the project.[41][42] There are 485 developers with personal OpenEMR code repositories on Github.[33] Open Hub (formerly Ohloh) says OpenEMR has "one of the largest open-source teams in the world, and is in the top 2% of all project teams on Open Hub".[42]

OEMR

OEMR[43] is a nonprofit entity that was organized in July, 2010 to support the OpenEMR project.[44] OEMR is the entity that holds the ONC EHR Certifications with ICSA and InfoGard Labs.[3][45][46]

Certification

OpenEMR versions 4.1.0 (released on 9/23/2011), 4.1.1 (released on 8/31/2012) and 4.1.2 (released on 8/17/2013) have 2011 ONC Complete Ambulatory EHR Certification by ICSA Labs.[2][3][4][45][47]

OpenEMR version 4.2.0 (released 12/28/2014), 4.2.1 (released 3/25/2016) and 4.2.2 (released on 5/19/2016) have 2014 ONC Modular Ambulatory EHR Certification by InfoGard Laboratories.[46]

OpenEMR version 5.0.0 (released 2/15/2017), 5.0.1 (released 4/23/2018), 5.0.2 (released 8/4/2019) has 2014 ONC Complete Ambulatory EHR Certification by InfoGard Laboratories.[46][48][49]

The OEMR[43] organization is a non-profit entity that manages/provides the ONC certifications.[3]

History

OpenEMR was originally developed by Synitech and version 1.0 was released in June 2001 as MP Pro (MedicalPractice Professional).[50] Much of the code was then reworked to comply with the Health Insurance Portability and Accountability Act (HIPAA) and to improve security, and the product was reintroduced as OpenEMR version 1.3 a year later, in July 2002.[51] On 13 August 2002 OpenEMR was released to the public under the GNU General Public License (GPL), i.e. it became a free and open-source project and was registered on SourceForge.[52] The project evolved through version 2.0 and the Pennington Firm (Pennfirm) took over as its primary maintainer in 2003.[50] Walt Pennington transferred the OpenEMR software repository to SourceForge in March 2005.[53] Mr. Pennington also established Rod Roark, Andres Paglayan and James Perry, Jr. as administrators of the project.[50] Walt Pennington, Andres Paglayan and James Perry eventually took other directions and were replaced by Brady Miller in August 2009.[54] Robert Down became an administrator of the project in March 2017.[54] Matthew Vita was an administrator of the project from July 2017 until February 2020.[54] Jerry Padgett became an administrator of the project in June 2019.[54] Stephen Waite became an administrator of the project in February 2020.[54] So at this time Rod Roark, Brady Miller, Robert Down, Jerry Padgett, and Stephen Waite are the project's co-administrators.[54]

In 2018 Project Insecurity found almost 30 security flaws in the system, which were all responsibly addressed.[55]

gollark: Basically, you need to save important persistent data to files.
gollark: Global variables and whatnot are *not* saved.
gollark: Since your computer just shuts down when unloaded and later starts up data is only persisted in files.
gollark: Yep, 754.
gollark: That sounds right.

References
  1. "OpenEMR Project Website". Retrieved 2011-10-01.
  2. "ONC Complete Ambulatory EHR Certified". Retrieved 2011-09-23.
  3. Maduro, Roger (2011-08-22). "OpenEMR 4.1 Achieves Full 'Meaningful Use' Certification". Retrieved 2011-10-01.
  4. Cahn, Jack (2011-08-20). "OpenEMR achieves full ONC certification". Archived from the original on 2014-04-30. Retrieved 2014-04-29.
  5. "OpenEMR Professional Support". Retrieved 2014-06-08.
  6. "OpenEMR Sourceforge Download Statistics". Retrieved 2016-11-13.
  7. "OpenEMR Features". Retrieved 2012-01-27.
  8. Groen, Peter (2012-12-18). "OpenEMR Continues to grow in Popularity and Use". Retrieved 2012-12-20.
  9. Mosquera, Mary (2012-02-03). "Peace Corps plans EHR system in 2013". Retrieved 2012-02-03.
  10. Cahn, Jack (2012-02-05). "Peace Corps Selects OpenEMR". Archived from the original on 2012-04-15. Retrieved 2012-02-05.
  11. McCormick, Tony (2013-11-08). "Peace Corps OpenEMR Project Starts Now!". Retrieved 2013-11-12.
  12. EnSoftek (2013-11-07). "EnSoftek, Inc. Wins Peace Corps Global Electronic Medical Records (EMR) System Development and Implementation Contract". Retrieved 2013-11-12.
  13. Herr, Crista (2013-11-13). "U.S. Peace Corps Adopts OpenEMR for use in 77 Countries World-wide". Retrieved 2013-11-13.
  14. Sidhu, Yudhvir (2012-02-10). "MediGrail LLC Automates Siaya District Hospital in Rural Kenya with OpenEMR". Archived from the original on 2012-10-03. Retrieved 2012-02-10.
  15. Groen, Peter (2012-04-08). "Siaya District Hospital in Kenya Goes Live With OpenEMR". Retrieved 2014-04-14.
  16. Sidhu, Yudhvir (2012-03-26). "Siaya District Hospital in Kenya Goes Live With OpenEMR in April 2012". Retrieved 2012-06-13.
  17. Sidhu, Yudhvir (2012-06-12). "Siaya District Hospital in Kenya Update 11 Jun 2012". Retrieved 2012-06-13.
  18. Groen, Peter (2012-11-21). "Open Source EMR Alternatives for Kenya". Retrieved 2012-12-20.
  19. "HP India Mobile Health Centre Project To Utilize OpenEMR". 2012-07-16. Retrieved 2012-07-17.
  20. Holzer, Joe (2009-11-25). "OpenEMR Success Story". Retrieved 2009-12-14.
  21. Leeds, Mark (2006-01-29). "Using OpenEMR in Family Practice". Retrieved 2017-10-18.
  22. Peterson, Diane (2012-12-12). "Going From Paper to Electronic: A Road Map". Retrieved 2014-11-21.
  23. Clifford, Kevin (2009-11-15). "Guest Article: Open Source EMRs for free clinics". Retrieved 2009-12-14.
  24. Mushtaq, Hina (2010-01-18). "Jaroka Electronic Health Record System provides opportunities for further Research and Analysis". Archived from the original on 2010-08-18. Retrieved 2010-01-23.
  25. DIMAPUR (2010-04-05). "FPAI conducts training on OpenEMR". Retrieved 2010-04-05.
  26. VoIP4Africa Ltd. (2012-12-17). "OpenEMR presented to the Kenya Medical Association". Retrieved 2012-12-20.
  27. "Open Source Health Announces openEMR Collaboration with more than 50,000 annual downloads to Clinics in 200 Countries". 2014-12-11. Retrieved 2015-02-21.
  28. InfoWorld (2012-09-18). "Bossie Awards 2012: The best open source applications". Retrieved 2012-09-20.
  29. Noyes, Katherine (2012-09-20). "10 award-winning open source apps to try today". Retrieved 2012-09-21.
  30. InfoWorld (2013-09-17). "Bossie Awards 2013: The best open source applications". Retrieved 2013-09-24.
  31. "OpenEMR Migration to git". Retrieved 2012-01-27.
  32. "Developer Links", accessed 2017-02-15
  33. "OpenEMR on Github". Retrieved 2017-02-18.
  34. "OpenEMR on sourceforge". Retrieved 2017-02-15.
  35. "OpenEMR on Google Code". Retrieved 2012-01-27.
  36. "OpenEMR on Gitorious". Archived from the original on 2012-04-19. Retrieved 2012-01-27.
  37. "OpenEMR on Bitbucket". Retrieved 2012-01-27.
  38. "OpenEMR on Assembla". Retrieved 2012-01-27.
  39. "OpenEMR on CodePlex". Retrieved 2012-03-25.
  40. "OpenEMR on repo.or.cz". Retrieved 2012-01-27.
  41. "OpenEMR Developers". Retrieved 2017-02-18.
  42. "OpenEMR: Project Summary: Factoids on Open Hub". Retrieved 2017-02-18.
  43. "OEMR Organization Website". Retrieved 2012-12-20.
  44. "OEMR Organization Meeting Minutes (2012-07-22)" (PDF). 2010-07-22. Archived from the original (PDF) on 2013-04-11. Retrieved 2012-12-20.
  45. "ICSA Labs Website". Retrieved 2012-12-20.
  46. "InfoGard Laboratories Website". Retrieved 2014-12-29.
  47. "OpenEMR 4.1.1 Release Notes". Retrieved 2012-08-31.
  48. "OpenEMR 5.0.0 Release Notes". Retrieved 2017-02-15.
  49. "OpenEMR 5.0.1 Release Notes". Retrieved 2018-04-23.
  50. Donahue,Margaret (2006-02-16). "The OpenEMR Community". Retrieved 2012-02-25.
  51. Stack, Matthew (2002-07-05). "OpenEMR Released". Archived from the original on 2012-04-15. Retrieved 2009-11-26.
  52. "OpenEMR on Sourceforge". Retrieved 2014-04-29.
  53. "OpenEMR First Sourceforge Commit". Retrieved 2012-01-28.
  54. "Sourceforge OpenEMR Project". Retrieved 2017-03-05.
  55. "Health records 'put at risk by security bugs'". www.bbc.com. BBC. 7 August 2018. Retrieved 7 August 2018.
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