Research Article | Open Access
Ilias Maglogiannis, "Towards the Adoption of Open Source and Open Access Electronic Health Record Systems", Journal of Healthcare Engineering, vol. 3, Article ID 169297, 22 pages, 2012. https://doi.org/10.1260/2040-2222.214.171.124
Towards the Adoption of Open Source and Open Access Electronic Health Record Systems
As the Electronic Health Record (EHR) systems constantly expand to support more clinical activities and their implementations in healthcare organizations become more widespread, several communities have been working intensively for several years to develop open access and open source EHR software, aiming at reducing the costs of EHR deployment and maintenance. In this paper, we describe and evaluate the most popular open source electronic medical records such as openEMR, openMRS and patientOS, providing their technical features and potentials. These systems are considered quite important due to their prevalence. The article presents the key features of each system and outlines the advantages and problems of Open Source Software (OSS) Systems through a review of the literature, in order to demonstrate the possibility of their adoption in modern electronic healthcare systems. Also discussed are the future trends of OS EHRs in the context of the Personal Health Records and mobile computing paradigm.
- N. Menachemi, N. P. R, D. J. van Durme, and R. G. Brooks, “Examining the Adoption of Electronic Health Records and Personal Digital Assistants by Family Physicias in Florida,” Informatics in Primary Care, vol. 14, no. 1: 8, 2006.
- H. Lærum, T. Karlsen, and A. Faxvaag, “Effects of Scanning and Eliminating Paper-based Medical Records on Hospital Physicians Clinical Work Practice,” Journal of the American Medical Informatics Association, vol. 10, pp. 588–595, 2003.
- S. Wang, B. Middleton, L. A. Prosser et al., “A cost-benefit analysis of electronic medical records in primary care,” Am J Med, vol. 114, no. 5, pp. 397–403, 2003.
- I. Maglogiannis, K. Delakouridis, and L. Kazatzopoulos, “Enabling collaborative medical diagnosis over the Internet via peer to peer distribution of electronic health records,” Journal of Medical Systems Springer, vol. 30, no. 2, pp. 107–116, 2006.
- Institute of Medicine, The computer-based patient record: an essential technology for health care, 1997.
- E. H. Shortliffe and J. J. Cimino, Biomedical Informatics: Computer Application in Health Care and Biomedicine, 2006.
- National Institutes of Health/National Center for Research Resources, “Electronic Health Records Overview,” 2006, http://www.ncrr.nih.gov/publications/informatics/EHR.pdf.
- J. J. Cimino, “Review paper: coding systems in health care,” Methods Inf Med, vol. 35, no. 4-5, pp. 273–84, 1996 Dec.
- Office of the National Coordinator for Health Information Technology, Department of Health and Human Services, “Health information technology: initial set of standards, implementation specifications, and certification criteria for electronic health record technology,” Interim final rule. Fed Regist, vol. 75, no. 8, pp. 2013–47, 2010 Jan 13.
- C. J. McDonald, G. Schadow, M. Barnes et al., “Open Source software in medical informatics—why, how and what,” Int J Med Inform, vol. 69, no. 2-3, pp. 175–84, 2003 Mar.
- M. A. Hogarth and S. Turner, “A study of clinically related open source software projects,” in AMIA Annu Symp Proc, pp. 330–4, 2005.
- B. Janamanchi, E. Katsamakas, W. Raghupathi, and W. Gao, “The state and profile of open source software projects in health and medical informatics,” Int J Med Inform, vol. 78, no. 7, pp. 457–72, 2009 Jul.
- P. M. Yellowlees, S. L. Marks, M. Hogarth, and S. Turner, “Standards-based, open-source electronic health record systems: a desirable future for the U. S. health industry,” Telemed J E Health, vol. 14, no. 3, pp. 284–8, 2008 Apr.
- I. Valdes, “Free and open source software in healthcare 1. 0. AMIA Open Source Working Group White Paper,” 2008, http://www.amia.org/files/Final-OS-WG%20White%20Paper_11_19_08_0.pdf.
- M. J. Doyle, “Open source will help drive EHR costs down. The use of open source in healthcare will break down many barriers, from high cost and lack of interoperability, to inaccessibility and complexity,” Health Manag Technol, vol. 30, no. 9, pp. 10–1, 2009 Sep.
- IOM. To Err is Human: Building a Safer Health System: Institute of Medicine (IOM), 1999.
- N. Rajani, “Free as in Education. Significance of the Free/Libre and Open Source Software for Developing Countries,” In FLOSS Report, 2003.
- B. W. Mamlin, P. G. Biondich, B. A. Wolfe et al., “Cooking up an open source EMR for developing countries: OpenMRS - a recipe for successful collaboration,” in AMIA Annu Symp Proc, pp. 529–33, 2006.
- N. A. Mohammed-Rajput, D. C. Smith, B. Mamlin, P. Biondich, and B. N. Doebbeling, “Open MRS Collaborative Investigators,” in Proc of AMIA Annual Symposium 2011, pp. 960–8, 2011.
- C. Allen, D. Jazayeri, J. Miranda et al., “Experience in implementing the OpenMRS medical record system to support HIV treatment in Rwanda,” Stud Health Technol Inform, vol. 129(Pt 1), pp. 382–386, 2007.
- C. J. Seebregts, B. W. Mamlin, P. G. Biondich et al., “OpenMRS Implementers Network. The OpenMRS Implementers Network,” Int J Med Inform, vol. 78, no. 11, pp. 711–20, 2009 Nov.
- W. M. Tierney, M. Achieng, E. Baker et al., “Tanzania-Uganda Openmrs Consortium. Experience implementing electronic health records in three East African countries,” Stud Health Technol Inform, vol. 160(Pt 1), pp. 371–375, 2010.
- C. J. Seebregts, B. W. Mamlin, P. G. Biondich et al., “Human Factors for Capacity Building. Lessons learned from the OpenMRS Implementers Network,” Yearb Med Inform, pp. 13–20, 2010.
- Y. Lin, I. Jan, P. Ko, Y. Chen, J. Wong, and G. Jan, “A Wireless PDA-Based Physiological Monitoring System for Patient Transport,” IEEE Trans. Inform. Technol. Biomed., vol. 8, no. 4, pp. 439–447, Dec. 2004.
- S. Fischer, T. E. Stewart, S. Mehta, R. Wax, and S. E. Lapinsky, “Handheld computing in medicine,” J. Amer. Med. Inform. Assoc, vol. 10, no. 2, pp. 139–149, 2003.
- I. Maglogiannis and N. Apostolopoulos, “Tsoukias. Designing and Implementing an Electronic Health Record for Personal Digital Assistants (PDA's),” International Journal For Quality of Life Research, vol. 2, no. 1, pp. 63–67, 2004.
- R. Andrade, A. Wangenheim, and M. Kessler Bortoluzzi, “Wireless and PDA: a novel strategy to access DICOM compliant medical data on mobile devices,” International Journal of Medical Informatics, vol. 71, pp. 157–163, 2003.
- Jimena Rodríguez, Alfredo Goñi, and Arantza Illarramendi, “Real-Time Classification of ECGs on a PDA,” IEEE Transactions on information Technology in Biomedicine, vol. 9, no. 1, pp. 23–34, 2005.
- M. Bojovic and M. Bojic, “MobilePDR: A Mobile Medical Information System Featuring Update via Internet',” IEEE Transactions on information Technology in Biomedicine, vol. 9, no. 1, pp. 1–3, 2005.
- S. Koch, S. Hägglund, I. Scandurra, and D. Moström, “Towards a virtual health record for mobile home care of elderly citizens,” in MEDINFO 2004, Amsterdam, pp. 960–963, 2004.
- A. Kumar, A. Purandare, J. Chen, A. Meacham, and L. Subramanian, “ELMR: lightweight mobile health records,” in Proceedings of the 35th SIGMOD International Conference on Management of Data. 2009, pp. 1035–1037, 2009.
- Alvin T. S. Chan, “WWW_smart card: towards a mobile health care management system,” International Journal of Medical Informatics, vol. 57, pp. 127–137, 2000.
- Chuan Jun Su, “Mobile multi-agent based, distributed information platform (MADIP) for wide-area ehealth monitoring,” Computers in Industry, vol. 59, pp. 55–68, 2008.
- H. K. Huang, PACS and Imaging Informatics: Basic Principles and Applications, John Wiley and Sons, 2010.
- A. Weathermon, J. Tsui, and R. Rohling, “iScout: an intelligent scout for accessing and navigating large image sets in a PACS,” J Digit Imaging, vol. 17, no. 2, pp. 109–19, 2004 Jun.
- A. E. Prusch, T. M. Suess, R. D. Paoletti, S. T. Olin, and S. D. Watts, “Integrating technology to improve medication administration,” Am J Health Syst Pharm, vol. 68, no. 9, pp. 835–42, 2011 May 1.
- M. Saeed, M. Villarroel, A. T. Reisner et al., “Multiparameter Intelligent Monitoring in Intensive Care II: a public-access intensive care unit database,” Crit Care Med, vol. 39, no. 5, pp. 952–960, 2011 May.
- J. G. Klann and P. Szolovits, “An intelligent listening framework for capturing encounter notes from a doctor-patient dialog,” BMC Med Inform Decis Mak, vol. 9 Suppl 1:S3, 2009 Nov 3.
- D. Klimov, Y. Shahar, and M. Taieb-Maimon, “Intelligent visualization and exploration of time-oriented data of multiple patients,” Artif Intell Med, vol. 49, no. 1, pp. 11–31, 2010 May.
- H. J. Lowe, T. A. Ferris, P. M. Hernandez, and S. C. Weber, “STRIDE—An integrated standards-based translational research informatics platform,” in AMIA Annu Symp Proc, vol. 2009, pp. 391–5, 2009 November 14.
- S. N. Murphy, G. Weber, M. Mendis et al., “Serving the enterprise and beyond with informatics for integrating biology and the bedside (i2b2),” J Am Med Inform Assoc, vol. 17, no. 2, pp. 124–30, 2010 Mar-Apr.
- G. Duftschmid, T. Wrba, and C. Rinner, “Extraction of standardized archetyped data from Electronic Health Record systems based on the Entity-Attribute-Value Model,” Int J Med Inform, vol. 79, no. 8, pp. 585–97, 2010 Aug.
- K. Hameed, “The application of mobile computing and technology to health care services,” Telematics and Informatics, vol. 20, pp. 99–106, 2003.
- E. Mendonça, E. Chen, P. Stetson, L. McKnight, and J. Cimino, “Approach to mobile information and communication for health care,” International Journal of Medical Informatics, vol. 73, pp. 631–638, 2004.
- I. Maglogiannis, L. Kazatzopoulos, K. Delakouridis, and S. Hadjiefthymiades, “Enabling Location Privacy and Medical Data Encryption in Patient Telemonitoring Systems,” IEEE Transactions on Information Technology in Biomedicine, vol. 13, no. 6, pp. 946–954, 2009.
- A. E. Flores Zuniga, K. T. Win, and W. Susilo, Int J Technol Assess Health Care, vol. 26, no. 4, pp. 382–9, 2010 Oct.
- I. Maglogiannis, E. Zafiropoulos, A. Platis, and C. Lambrinoudakis, “Risk Analysis of a Patient Monitoring System Using Bayesian Network Modelling,” Journal of Biomedical Informatics, vol. 39, no. 6, pp. 637–647, 2006.
- I. Maglogiannis, Introducing Intelligence in Electronic Healthcare Systems: State of the Art and Future Trends, vol. 5640 of AI an International Perspective Lecture Notes in Artificial Intelligence, 2009.
- M. Rowe, M. Dickel, and M. Mockler, Strategic Management: a methodological approach, Addison-Wesley, Reading Mass, 4th edition, 1994.
- D. Gurkan and F. Merchant, “Interoperable Medical Instrument Networking and Access System with Security Considerations for Critical Care,” Journal of Healthcare Engineering, vol. 1, no. 4, pp. 637–654, 2010.
- Ara A. Salibian and Thomas Scholz, “Smartphones in Surgery,” Journal of Healthcare Engineering, vol. 2, no. 4, pp. 473–486, 2011.
Copyright © 2012 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.