I know that there are many EMR solutions on the market satisfying many physicians around the world in terms of daily practice, but is there anybody using their own development (institutions) and how effective are those systems? Is it common practice to develop your own EMR systems? What about physician or IT friends working in Healthcare?
Why are you intersted in some EMR solution that is indigenously devloped ? If you are actually asking for something that is customizable and/or free, there are a few open source free resources available like freeEMR, OPENMRS, GNUMED and so on! These are free and open source. But they will definitely need a lot of technical expertise to install and work with. Even OSCAR I guess has community edition of the EMR solution. Why develop new when you can modify the existing featured ones ? It is easier to branch off or join from an existing EMR solution than trying to write from the scratch unless it is for a special specific field which is not well represented by the current systems. Developing a small project for EMR is a highly cost -ineffectiv affair as at present, there are numerous security and privacy implications that come up and the software must comply with privacy standards else there can be serious legal and other implications! (Point to note is the issue of information leak as few doctors used their smart phones to update / save patient records and the information got leaked as the phone got stolen or was hacked and such!)
If we know the circumstance and reason for this question, we could discuss this in more relevant perspectives.
With regards,
Dr. Akilesh. R
In the United States, in order for a physician practice to receive federal reimbursement for purchasing an EHR system the system must be certified for meeting multiple functional capabilities. These requirements are called "Meaningful Use" and surpass what an individual developer is likely to accomplish.
We developed our own IT system (based on SQL technology) 7 years ago thanking to our IT friends who donated the whole project (company IT Excellence donated and led the project with Microsoft Serbia and Hewlett-Packard Serbia involved in the project). From the users standpoint this is certainly the best solution. It is customized for your specific needs, and if built by professionals, works perfectly. This is a huge enterprise and building it from scratch costs probably more than using one of the existing systems. It took us about a year to build, modify and implement the system. However, now we have about 15.000. patients in our database with every parameter which we want to study. Security issue should not be the problem if the system is properly designed.
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