ELECTRONIC HEALTH

RECORD (EHR)
Website– Check it out

■ https://ehr.meditech.com/ehr-solutions/meditech-nursing
■ https://www.promedsoftware.com/
■ https://www.capterra.com/electronic-medical-records-software/
■ https://www.capterra.com/p/120360/eClinicalWorks/
■ https://www.micromd.com/emr/clinical-documentation/
■ https://blog.capterra.com/top-7-free-open-source-emr-software-products/
eClinicalWorks

■ It offers innovative, customizable solutions for every setting, including primary care
offices, ambulatory surgical centers, health centers, hospitals, and mobile clinics,
and more than 50 specialties,
■ eClinicalWorks is a privately held leader in healthcare IT, providing comprehensive
Electronic Health Record (EHR) and Practice Management (PM) solutions used by
more than 850,000 providers in more than 20 countries.
1. OpenMRS

■ As an open source EMR platform, OpenMRS has been around for quite some time. It
started in 2004, and counts among its users a number of governmentagencies and
healthcare nonprofits and universities such as the Millennium Villages Project and
the University of Virginia.
■ OpenMRS is an EMR platform, rather than an EMR. This means that youuse
OpenMRS to design your own customized medical records system. And you don’t
need programming knowledge to do it.
■ What you get: Because OpenMRS is a platform, rather than a developed system, it
can be easily customized to meet specific needs. This makes it ideal for creating
EMR systems in developing countries (where, for instance, they don’t need the
insurance information that a U.S.-based practice might). The add-on modules and
easily accessible API allow for even further customization.
■ Potential trade-offs: OpenMRS does require an upfront investment of time and
energy to create a customized EMR. Additionally, while programming knowledge is
not required to create the EMR, in-depth medical and systems analysis knowledge
is.
2. VistA

■ VistA is the most familiar EHR in the U.S., according to Wikipedia. (Yes, it has a
Wikipedia entry.) Developed by the U.S. Department of Veterans Affairs, it handles
over 8 million veterans’ medical records. Because more than 65% of all physicians
trained in the U.S. rotate through the VAon clinical electives, many physicians have
experience using it.
■ Its source code was made public domain under the Freedom of Information Act,and
it’s available for download on the VA’s website. There are also a number of
communities further developing VistA separately from the VA, of which OSEHRAis
one of the most well-known.
■ What you get: VistA is, literally, the largest EMR implementation on the planet. It’s a
battle-hardened, proven solution. And you (likely) don’t have to worry about the
provider going out of business anytime soon.
■ The system is ideal for large organizations and hospitals and has almost daily
updates rolled out to address any issues and to make improvements.
■ Potential trade-offs: The biggest uncertainty around using VistA is that the
VArecently announced they were going to replace it with Cerner. In addition, VistA is
not a young program, so it’s not as user-friendly or easy to maintain as some of the
more modern solutions out there.
3. FreeMED

■ Founded in 1999, FreeMED one of the longest-running open source EMRs out there.
It boasts over 81,000 downloads and implementation in everything from small
private practices to large government hospitals.
■ What you get: FreeMED has a long pedigree, and this, along with an active support
community, contributes to its stability and support.
■ Potential trade-offs: That said, it looks like development has petered off. The last
developer discussions ended in July 2012. If this product is of interest to you,make
sure you have a tech-savvy person or team on hand to develop or modernize the
software going forward.
4. OpenEMR

■ OpenEMR is an open source, web-based EMR that is 2014 ONC Complete

Ambulatory EHR certified, and Stage II certified for meaningful use. It offers e-
prescribing, patient scheduling for multiple facilities, and patient appointment
reminders via email and SMS.
■ What you get: With so many downloads and users, OpenEMR has a very active
support community if you have any issues or questions about installation. In fact,
the community has been referenced by just about every online review as “great” and
“extremely helpful.”
■ Customization, assuming your office has someone with tech skills, is quite doable
and the open source code allows for all sorts of add-ons and tweaks.
■ Potential trade-offs: The UI is a little dated.
5. One Touch EMR

■ One Touch EMR is a cloud-based EMR that includes electronic prescriptions, lab
integration, and a drawing tool for annotations.
■ What you get: One Touch EMR is is ONC 2014 Edition compliant, is certified by
Drummund Group, an ONC-ACB, certified for Meaningful Use I and II, and ICD-10
ready. There’s an iOS app in which you can do everything you can do on a desktop,
and you can also add clinical photos. Dragon Medical dictation helps you document
quickly, and the template library includes multiple specialties.
■ Capterra reviewers enjoy the familiar design of the workflow, which makes it easyto
use.
■ Potential trade-offs: According to reviews, the learning curve can be steep.
6. NOSH

■ NOSH is an open source EMR designed for outpatient clinics.

■ What you get: The interface is intuitive, fast, and modern. Nosh offers a patient
portal, appointment scheduling with appointment reminders, and secure
messaging. It offers lots of templates, electronic forms, electronic order entry,
practice management features, graphing, patient-education document creation,
alerts, and innovate tagging functions.
■ Potential trade-offs: Just like any open source solution, there’s going to be a lot of
grunt work to get it up and running. However, Dr. Michael Chen, the developer, is
also available to hold your hand at a cost (see “How do I start using it?” to learn
more).
7. Solismed

■ Solismed clinic management system is an open source EMR, and they’re currently working on
adding MACRAreporting.
■ What you get: Solismed offers a patient portal with secure messaging, along with a ton of practice
management capabilities including an appointment calendar and InterFAX, which allows you to
send and receive faxes electronically.
■ Solismed stores contact information for patients, volunteers, suppliers, and physicians. It tracks
refill requests, open orders, and lab results, and interfaces with numerous public health agencies
and immunization registries.
■ You can track unpaid invoices and patient payments, and submit and process your insurance
claims through integration with OfficeAlly (and other insurance clearing houses). It also tracks and
helps you manage patient registration, supplies, and worker assignments at multiple workstations.
■ Potential trade-offs: Solismed’s design isn’t mobile responsive, so it doesn’t display consistently on
tablets. However, the patient portal is mobile responsive.