A Cloud Based Patient-Centered Ehealth Record
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Examples of the Electronic Health Record (EHR)
Examples of the Electronic Health Record (EHR) What is Biomedical & Health Informatics? William Hersh Copyright 2020 Oregon Health & Science University Examples of the EHR • Using the Veterans Health Information Systems and Technology Architecture (VistA) • Why VistA? – State-of-the-art EHR that has transformed healthcare in the Veteran’s Health Administration (VHA) (Perlin, 2006; Byrne, 2010) – Not that pretty, but has all of the modern features of the EHR, e.g., clinical decision support (CDS), computerized provider order entry (CPOE), etc. – Distributed under open-source model, unlike most other vendors who do not even allow screen shots to be shown outside their customers’ institutions • Fascinating story (Allen, 2017), but VistA now being phased out in favor of Cerner EHR adopted by Department of Defense (VA, 2017) – https://www.ehrm.va.gov/ WhatIs5 2 1 Some details about VistA • Server written in M (formerly called MUMPS), accessed via command-line interface – Runs in commercial Intersystems Cache (on many platforms) or open-source GT.M (Linux only) • Client (called CPRS) written in Delphi and providers graphical user interface – Only runs on Windows (just about all versions) WhatIs5 3 Logging on to CPRS, the front end to VistA WhatIs5 4 2 Choosing a patient WhatIs5 5 Cover sheet – overview WhatIs5 6 3 Drilling down to details of a problem WhatIs5 7 Details of an allergy WhatIs5 8 4 Viewing vital signs over time WhatIs5 9 More details on problems WhatIs5 10 5 List of active orders WhatIs5 11 Viewing the patient’s notes WhatIs5 12 -
Free and Open Source Software for Electronic Health Information
Washington University Journal of Law & Policy Volume 30 Open Source and Proprietary Models of Innovation 2009 Slouching Toward Open Innovation: Free and Open Source Software for Electronic Health Information Greg R. Vetter University of Houston Law Center Follow this and additional works at: https://openscholarship.wustl.edu/law_journal_law_policy Part of the Computer Law Commons, and the Intellectual Property Law Commons Recommended Citation Greg R. Vetter, Slouching Toward Open Innovation: Free and Open Source Software for Electronic Health Information, 30 WASH. U. J. L. & POL’Y 179 (2009), https://openscholarship.wustl.edu/law_journal_law_policy/vol30/iss1/8 This Essay is brought to you for free and open access by the Law School at Washington University Open Scholarship. It has been accepted for inclusion in Washington University Journal of Law & Policy by an authorized administrator of Washington University Open Scholarship. For more information, please contact [email protected]. Slouching Toward Open Innovation: Free and Open Source Software for Electronic Health Information Greg R. Vetter INTRODUCTION Gartner, one of the most respected market research firms for information technology, recently called open source software the ―biggest disruptor the software industry has ever seen and postulated it will eventually result in cheaper software and new business models.‖1 The degree to which this prediction materializes depends on many influences, one of which is the subject of this Article. I argue that some software markets are more favorable for open source approaches than others. Using a case study of one particular software market, this Article develops a tentative framework of factors characterizing markets likely to disfavor contemporary approaches in free and open source software (―FOSS‖).2 Associate Professor of Law, University of Houston Law Center; Co-Director, Institute for Intellectual Property and Information Law; biography available at: http://www.law.uh.edu/ faculty/gvetter (last visited Mar. -
Software & Services
SOFTWARE & SERVICES Recognizing the software and service organizations that excelled in helping providers deliver better patient care PHYSICIAN PRACTICE SOLUTIONS BEST IN KLAS AMBULATORY EMR (1–10 PHYSICIANS) HOW DO VENDOR SOLUTIONS COMPARE? WHO IS KONFIDENCE SCORE TREND LEVEL 1. Cerner PowerChart Ambulatory BEST IN KLAS? 84.3 +13% üü 2. Amazing Charts 83.3 +4% üüü 3. SRSsoft EHR 81.0 -11% üü 4. athenahealth athenaClinicals 80.9 -7% üüü 5. Greenway PrimeSUITE Chart 79.1 -2% üüü HOW DO THEY SCORE? 6. Aprima EHR IN FIVE KEY PERFORMANCE CATEGORIES 78.2 -1% üüü 100 92.4 7. ADP AdvancedMD EHR +3% üüü 90 84.9 78.0 80.6 81.7 81.2 80 8. e-MDs Chart -13% üüü 70 74.0 60 AVG. SEGMENT MKT. 9. GE Healthcare Centricity Practice Solution EMR +1% üü PHYSICIAN PRACTICE PHYSICIAN 50 73.8 40 T10. eClinicalWorks EHR 73.4 -7% üüü 30 20 T10. Henry Schein MicroMD EMR 73.4 +4% üü 10 12. NextGen Healthcare EHR 0 65.1 -3% üüü SALES & FUNCTIONALITY GENERAL CONTRACTING & UPGRADES 13. Allscripts Professional EHR 64.7 -6% üüü SERVICE & IMPLEMENTATION SUPPORT 14. McKesson Practice Partner -14% & TRAINING 48.0 üü 0 10 20 30 40 50 60 70 80 90 100 SEE HOW OTHER VENDOR SOLUTIONS SCORE AT KLASRESEARCH.COM HOW DO THE TOP THREE SOLUTIONS TREND? SOLUTIONS NOT RANKED PRELIMINARY DATA PRODUCTS CompuGroup Medical Enterprise EHR (HEHR)*..................71.0 MIE WebChart EMR* ............................................................75.7 MTBC EMR* .........................................................................82.1 Optum Physician EMR* ........................................................79.6 -
Fidelity® Total Market Index Fund
Quarterly Holdings Report for Fidelity® Total Market Index Fund May 31, 2021 STI-QTLY-0721 1.816022.116 Schedule of Investments May 31, 2021 (Unaudited) Showing Percentage of Net Assets Common Stocks – 99.3% Shares Value Shares Value COMMUNICATION SERVICES – 10.1% World Wrestling Entertainment, Inc. Class A (b) 76,178 $ 4,253,780 Diversified Telecommunication Services – 1.1% Zynga, Inc. (a) 1,573,367 17,055,298 Alaska Communication Systems Group, Inc. 95,774 $ 317,970 1,211,987,366 Anterix, Inc. (a) (b) 16,962 838,941 Interactive Media & Services – 5.6% AT&T, Inc. 11,060,871 325,521,434 Alphabet, Inc.: ATN International, Inc. 17,036 805,292 Class A (a) 466,301 1,099,001,512 Bandwidth, Inc. (a) (b) 34,033 4,025,764 Class C (a) 446,972 1,077,899,796 Cincinnati Bell, Inc. (a) 84,225 1,297,065 ANGI Homeservices, Inc. Class A (a) 120,975 1,715,426 Cogent Communications Group, Inc. (b) 66,520 5,028,912 Autoweb, Inc. (a) (b) 6,653 19,028 Consolidated Communications Holdings, Inc. (a) 110,609 1,035,300 Bumble, Inc. 77,109 3,679,641 Globalstar, Inc. (a) (b) 1,067,098 1,707,357 CarGurus, Inc. Class A (a) 136,717 3,858,154 IDT Corp. Class B (a) (b) 31,682 914,343 Cars.com, Inc. (a) 110,752 1,618,087 Iridium Communications, Inc. (a) 186,035 7,108,397 DHI Group, Inc. (a) (b) 99,689 319,005 Liberty Global PLC: Eventbrite, Inc. (a) 114,588 2,326,136 Class A (a) 196,087 5,355,136 EverQuote, Inc. -
PDF File, 212 KB
Multimedia Appendix 2. List of OS Projects Contacted for Survey Project Name Web Page 3D Slicer http://www.slicer.org/ Apollo http://www.fruitfly.org/annot/apollo/ Biobuilder http://www.biomedcentral.com/1471-2105/5/43 Bioconductor http://www.bioconductor.org Biojava http://www.biojava.org/ Biomail Scientific References Automation http://biomail.sourceforge.net/biomail/index.html Bioperl http://bioperl.org/ Biophp http://biophp.org Biopython http://www.biopython.org/ Bioquery http://www.bioquery.org/ Biowarehouse http://bioinformatics.ai.sri.com/biowarehouse/ Cd-Hit Sequence Clustering Software http://bioinformatics.org/cd-hit/ Chemistry Development Kit http://almost.cubic.uni-koeln.de/cdk/ Coasim http://www.daimi.au.dk/~mailund/CoaSim/ Cytoscape http://www.cytoscape.org Das http://biodas.org/ E-Cell System http://sourceforge.net/projects/ecell/ Emboss http://emboss.sourceforge.net/ http://www.ensembl.org/info/software/versions.htm Ensemble l Eviewbox Dicom Java Project http://sourceforge.net/projects/eviewbox/ Freemed Project http://bioinformatics.org/project/?group_id=298 Ghemical http://www.bioinformatics.org/ghemical/ Gnumed http://www.gnumed.org Medical Dataserver http://www.mii.ucla.edu/dataserver Medical Image Analysis http://sourceforge.net/projects/mia Moby http://biomoby.open-bio.org/ Olduvai http://sourceforge.net/projects/olduvai/ Openclinica http://www.openclinica.org Openemed http://openemed.org/ Openemr http://www.oemr.org/ Oscarmcmaster http://sourceforge.net/projects/oscarmcmaster/ Probemaker http://probemaker.sourceforge.net/ -
Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria
Original Article Healthc Inform Res. 2019 April;25(2):89-98. https://doi.org/10.4258/hir.2019.25.2.89 pISSN 2093-3681 • eISSN 2093-369X Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria Saptarshi Purkayastha1, Roshini Allam1, Pallavi Maity1, Judy W. Gichoya2 1Department of BioHealth Informatics, Indiana University–Purdue University Indianapolis, Indianapolis, IN, USA 2Dotter Institute, Oregon Health and Science University, Portland, OR, USA Objectives: Open-source Electronic Health Record (EHR) systems have gained importance. The main aim of our research is to guide organizational choice by comparing the features, functionality, and user-facing system performance of the five most popular open-source EHR systems. Methods: We performed qualitative content analysis with a directed approach on recently published literature (2012–2017) to develop an integrated set of criteria to compare the EHR systems. The functional criteria are an integration of the literature, meaningful use criteria, and the Institute of Medicine’s functional requirements of EHR, whereas the user-facing system performance is based on the time required to perform basic tasks within the EHR system. Results: Based on the Alexa web ranking and Google Trends, the five most popular EHR systems at the time of our study were OSHERA VistA, GNU Health, the Open Medical Record System (OpenMRS), Open Electronic Medical Record (OpenEMR), and OpenEHR. We also found the trends in popularity of the EHR systems and the locations where they were more popular than others. OpenEMR met all the 32 functional criteria, OSHERA VistA met 28, OpenMRS met 12 fully and 11 partially, OpenEHR-based EHR met 10 fully and 3 partially, and GNU Health met the least with only 10 criteria fully and 2 partially. -
This Is the 19Th Annual Sohn Investment Conference. the First
This is the 19th Annual Sohn Investment Conference. The first time Ispoke here was in 2002. It is amazing how this great event has grown, and I am honored to be here. 1 2 A couple weeks ago, we wrote in our quarterly letter that we believe that a narrow group of cool kid stocks have disconnected from traditional valuations and formed a bubble. This got a lot of criticism. Half the critics thought we were talking our book, even though we didn’t name names. The other half were upset that we didn’t tell them which stocks we were short. Since we can’t seem to please anybody, I’ve decided to validate both criticisms. Today, I’m going to illustrate the bubble basket doing a deep dive into one of the companies, while not disclosing the others. This company is an excellent company with an excellent product, run by a well‐meaning and honest, though occasionally promotional CEO. The world may be a better place if it succeeds, and even though we are short, I am in no way rooting for it to fail. Its main problem is that it isn’t positioned to succeed the way the bulls hope, as the assumptions the bulls are making are not plausible. The stock is simply at the wrong price. It’s caught up in a bubble and could easily fall 80% or more from its recent peak. Let me introduce you to athenahealth. 3 I think athena deserves a smaller capitalization, and I’m not just referring to how it fails to capitalize the first letter of its name. -
Advances in Information Technology 0.Pdf
ADVANCES IN INFORMATION TECHNOLOGY AND COMMUNICATION IN HEALTH Studies in Health Technology and Informatics This book series was started in 1990 to promote research conducted under the auspices of the EC programmes’ Advanced Informatics in Medicine (AIM) and Biomedical and Health Research (BHR) bioengineering branch. A driving aspect of international health informatics is that telecommunication technology, rehabilitative technology, intelligent home technology and many other components are moving together and form one integrated world of information and communication media. The complete series has been accepted in Medline. Volumes from 2005 onwards are available online. Series Editors: Dr. O. Bodenreider, Dr. J.P. Christensen, Prof. G. de Moor, Prof. A. Famili, Dr. U. Fors, Prof. A. Hasman, Prof. E.J.S. Hovenga, Prof. L. Hunter, Dr. I. Iakovidis, Dr. Z. Kolitsi, Mr. O. Le Dour, Dr. A. Lymberis, Prof. J. Mantas, Prof. M.A. Musen, Prof. P.F. Niederer, Prof. A. Pedotti, Prof. O. Rienhoff, Prof. F.H. Roger France, Dr. N. Rossing, Prof. N. Saranummi, Dr. E.R. Siegel and Dr. P. Wilson Volume 143 Recently published in this series Vol. 142. J.D. Westwood, S.W. Westwood, R.S. Haluck, H.M. Hoffman, G.T. Mogel, R. Phillips, R.A. Robb and K.G. Vosburgh (Eds.), Medicine Meets Virtual Reality 17 – NextMed: Design for/the Well Being Vol. 141. E. De Clercq et al. (Eds.), Collaborative Patient Centred eHealth – Proceedings of the HIT@HealthCare 2008 joint event: 25th MIC Congress, 3rd International Congress Sixi, Special ISV-NVKVV Event, 8th Belgian eHealth Symposium Vol. 140. P.H. Dangerfield (Ed.), Research into Spinal Deformities 6 Vol. -
PROPERTY RIGHTS and ELECTRONIC HEALTH RECORDS by Jessica Carges
No. 17-37 Summer 2017 MERCATUS GRADUATE POLICY ESSAY PROPERTY RIGHTS AND ELECTRONIC HEALTH RECORDS by Jessica Carges The opinions expressed in this Graduate Policy Essay are the author’s and do not represent official positions of the Mercatus Center or George Mason University. Abstract This is an analysis of the current assignment of property rights of electronic health records and patient medical data. The paper focuses on the adverse incentives created by the current structure of property rights and hypothesizes that giving patients and provers co-ownership of medical data will best address concerns about interoperability and privacy, and also result in a number of additional positive benefits. Next the paper describes ways to make stronger patient ownership a reality despite the presence of special interest groups incentivized to block access. The paper concludes with state policy level analysis examining New Hampshire – the only state to currently grant patient ownership over medical data and electronic health record. this paper finds that state governments can follow New Hampshire’s lead and extend co-property rights to patients and providers to improve interoperability and privacy outcomes. Author Bio Jessica Carges is a research associate with the State Fiscal Health Team at The Pew Charitable Trusts. She received an MA in economics from George Mason University, and is an alumna of the Mercatus MA Fellowship program. Jessica holds a BS in economics, also from George Mason University. Committee Members Bobbi Herzberg, Distinguished Senior Fellow, F.A. Hayek Program for Advanced Study in Philosophy, Politics, and Economics. Nicole Fisher, President, HHR Strategies, Inc. -
Open Source Et Gestion De L'information Médicale : Aperçu Des Projets Existants
Open source et gestion de l'information médicale : aperçu des projets existants Ateliers CISP Club 2011 – Alexandre BRULET Open Source : bref historique... 1969 : UNIX (Bell Labs°) 1975 : distribué à des universités pour « fins éducatives » avec les codes sources... 1977 : projet BSD 1984 : projet GNU (R. Stallman) (sources partagées) 1985 : Free Software Fondation (cadre légal – licence GPL) 1989 : licence BSD modifiée (open source) 1991 : noyau GNU/Linux ? OS dérivés (NetBSD, FreeBSD, SunOS ...) 1993 : Slackware 1993 : Debian 1994 : Red Hat > 50 OS dérivés > 100 OS dérivés 1998 : MPL (ex : SUSE) > 50 OS dérivés (Knopix, Ubuntu...) (Mandriva, Fedora ...) 1999 : licence Apache UNESCO 2004 : logiciels libres patrimoine de l'humanité (…) > 35 licences libres recensées sur wikipédia (PHP, Cecil, MIT, CPL, W3C, etc.) Open source : un fonctionnement communautaire ● La « pyramide » Linux : développeurs / 'maintainers' / chefs de projet sys USB net (...) L. Torvalds / A. Morton ● Système de «patchs» : publics, signés, discutés, soumis, (approuvés) ● Versions stables régulières et archivées (mirroirs) ● Système de «paquets» permettant la cohérence des OS ● Mode de fonctionnement repris par la plupart des distributions basées sur Linux ainsi que leurs « filles » : Debian → Ubuntu, Slackware → Zenwalk, RedHat → Fedora, etc. ● Idem pour les logiciels (xfce/gnome/kde, OOo, Gimp, Firefox, etc.) Le monde open source : un immense agrégat de communautés... OS OS OS Projets GNU OS OS OS Noyau OS OS OS Noyau OS OS Projets BSD Programme open source Programme propriétaire Système OS d'exploitation Quid des logiciels médicaux ? Petit tour du monde de l'open source médical à partir d'une liste proposée par Wikipédia. 1. Logiciels médicaux francophones : MedinTux ● Petite communauté depuis 2005 (marseille), licence CeCiLL ● DMI cabinet / hôpital - objectif = ergonomie ● Programmes serveurs et clients, consultation web possible. -
Top 20 Ehr Software
TOP 20 EHR SOFTWARE C M CONVERTED MEDIA TOP 20 EHR SOFTWARE 1 AdvancedMD AdvancedEHR 11 Allscripts Allscripts Professional EHR 2 Cerner Cerner Ambulatory EHR 12 CareCloud CareCloud Charts 3 athenahealth athenahealth EHR 13 CureMD All in One EHR 4 Epic Epic EHR 14 Practice Velocity VelociDoc EHR Azalea Health 5 Practice Fusion Practice Fusion EHR 15 Azalea EHR Innovations 6 Kareo Kareo Clinical 16 ReLi Med Solutions ReLiMed EMR 7 Henry Schein MicroMD EMR 17 MedEZ MedEZ 8 drchrono drchrono EHR 18 iSALUS Healthcare OfficeEMR 9 NextGen Healthcare NextGen Healthcare EHR 19 ChartLogic ChartLogic EMR Modernizing 10 EMA 20 ICANotes ICANotes EHR Medicine C M CONVERTED MEDIA EHR IN PRACTICE HOW THESE RANKINGS WERE GENERATED This ranking was determined using a number of factors including industry standing, public opinion of software, social media presence, and available software features relevant to the needs of a small business. This ranking should serve as a rough estimate of software suitability, and more in-depth analysis can be taken below or by using our EHR software comparison. C M CONVERTED MEDIA SHORTLISTING EHR VENDORS CHECKLIST Research EHR employed by similar sized practices in 1 6 Produce an RFI document and send to vendor shortlist the same specialty Identify market leading solutions which offer some 2 7 Narrow shortlist based on RFI responses support in your specialty Leverage professional network for recommendations Compile requirements and business processes in an 3 8 based on their experience RFP document Narrow shortlist based -
Electronic Medical Record Ipad Application
University of Tennessee, Knoxville TRACE: Tennessee Research and Creative Exchange Supervised Undergraduate Student Research Chancellor’s Honors Program Projects and Creative Work 5-2013 Electronic Medical Record iPad Application Mischa Symmone Buckler [email protected] Dwayne Wiliam Flaherty [email protected] John Thomas Cotham [email protected] Mark Bellott [email protected] Follow this and additional works at: https://trace.tennessee.edu/utk_chanhonoproj Part of the Other Computer Engineering Commons Recommended Citation Buckler, Mischa Symmone; Flaherty, Dwayne Wiliam; Cotham, John Thomas; and Bellott, Mark, "Electronic Medical Record iPad Application" (2013). Chancellor’s Honors Program Projects. https://trace.tennessee.edu/utk_chanhonoproj/1627 This Dissertation/Thesis is brought to you for free and open access by the Supervised Undergraduate Student Research and Creative Work at TRACE: Tennessee Research and Creative Exchange. It has been accepted for inclusion in Chancellor’s Honors Program Projects by an authorized administrator of TRACE: Tennessee Research and Creative Exchange. For more information, please contact [email protected]. EECS 400 Final Report Team Ecuador Mark Bellott Mischa Buckler John Cotham Willie Flaherty 4/26/2013 Team Ecuador: TRx iPad Application Introduction TRx is an iPad application developed for Humanitarian Health International to assist them during medical missions to underserved areas. Story [Author: John Cotham] Humanitarian Health International (HHI) is a non-profit group of medical professionals that travels to underserved towns in South America. On these trips, they provide simple but life- changing surgeries (e.g., hernia, cataracts, cleft lip). With the TRx application, HHI is leveraging new technology to help provide better care on these trips. It will be an integral part of their medical operations--helping them process and communicate with patients, keep individual records, and track their trips.