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palmdoc
MMR CEO



Blogger


Malaysia
2034 Posts

Posted - 04/08/2005 :  10:26:41  Show Profile  Visit palmdoc's Homepage  Send palmdoc an ICQ Message  Send palmdoc a Yahoo! Message  Reply with Quote
I believe EMR or Electronic Medical Records will be the future. Trouble is there are so many vendors and standards it is not surprisingly confusing.
Spotted this blog On choosing an electronic medical record and was reminded of Vista, which was developed by the VA hospitals, and open source. The demo'd in Ehealth 2004 I believe.
Something worth checking out IMO.

http://www1.va.gov/vista_monograph/
http://www1.va.gov/CPRSdemo/page.cfm?pg=1

drizad
Just lurking


Malaysia
23 Posts

Posted - 26/09/2006 :  09:59:03  Show Profile  Visit drizad's Homepage  Reply with Quote
I know this post is a bit old, but I have a lot of interest on this topics. Most of us doctors do not have a good EMR software to manage our patient's data. In Malaysia, we also do not have a standardize software that can connect all the clinic together and actually compile all our data in one big database. Yes, I agree that major hospitals has been doing it, but what about GPs?

So, what I am suggesting right now is we as a prominent malaysian doctors community, should make an initiative on moving towards this. I am now currently doing some R&D on trying to adapt this EMR into my clinic. What I am experimenting now is OpenEMR, an open source software, browser base portal to try it out on Malaysia settings. This OpenEMR is widely used in US and has a good support community. I really hope that it can be done in malaysia.

Currently, I am still in trial and error phase of experimenting OpenEMR in a local server, using XAMPP. It is still very buggy and a lot of bugs around it (it is expected as it is an open source), but whoever interested to join the experiment, you can just pm or email me.

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palmdoc
MMR CEO



Blogger
Malaysia
2034 Posts

Posted - 27/09/2006 :  06:43:50  Show Profile  Visit palmdoc's Homepage  Send palmdoc an ICQ Message  Send palmdoc a Yahoo! Message  Reply with Quote
This one?
http://www.openemr.net/
You're the first I've heard attempting to adapt this to a local clinic. Do share with us your experiences!
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drizad
Just lurking


Malaysia
23 Posts

Posted - 27/09/2006 :  21:02:47  Show Profile  Visit drizad's Homepage  Reply with Quote
It is not openemr.net. It is openemr.org. The .net website is a commercial website. They provide openemr portal for your clinic for free, but they charge for the service (webhost, bandwith, support, etc). But for openemr.org is for people who would like to work from scratch like me. I downloaded the source, look for a webhost myself, install the package and try to configure it all by myself. It takes time and patience, as it is still a bit buggy. But I am working very closely with their support team from the forum. So far... still not too convincing.

I did try to install it on a local server (localhost) using XAMPP, but it has some problem.
If my experiment successful, I would like to promote it here to our fellow doctors to try it in their respective clinics or maybe hospitals.

Interested?

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palmdoc
MMR CEO



Blogger
Malaysia
2034 Posts

Posted - 28/09/2006 :  06:25:53  Show Profile  Visit palmdoc's Homepage  Send palmdoc an ICQ Message  Send palmdoc a Yahoo! Message  Reply with Quote
openemr.org as a url does not work for me.
Is it this one
http://www.oemr.org/
?
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drizad
Just lurking


Malaysia
23 Posts

Posted - 28/09/2006 :  15:16:44  Show Profile  Visit drizad's Homepage  Reply with Quote
Oops! Sorry, it is not openemr.org. My mistake. The link that you gave is correct. If you register to become a member, you can see I did post some in the forum.

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azzri
Just lurking




Malaysia
1 Posts

Posted - 04/10/2006 :  17:23:24  Show Profile  Reply with Quote
Hi,
im a malaysian research student currently with the centre of Health and Information Modelling Research Group at the University of Portsmouth, UK. My area of research is actually more towards information security especialy privacy. I come from a computing and engineering backgroud so please correct me if i get some of the medical terms wrong.


EMR in UK is still struggling for a foothold especially because there are different EMR systems deployed in different parts of the country. And as drizad mentioned, mostly deployed in hospital trusts as thats where the money is.

I do believe that the top down methodology does not work very well for an nationwide EMR deployment. I strongly believe that EMR deployment should start at the GPs. After all, they are the majority of the medical society. A centralised network where GPs can refer their patients to other GPs and discuss difficult cases. I've seen the models and software diabetologists use to manage their patients. They can refer their patients to dietitians. Patients can enter their blood sugar readings they take daily and can be monitored by the diabetologist.

For a malaysian EMR to work,it will have to be cross platform and also distributed free to all GPs. Layout of the EMR should be designed by GPs for GPs and not by a software engineer.

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drizad
Just lurking


Malaysia
23 Posts

Posted - 04/10/2006 :  19:22:29  Show Profile  Visit drizad's Homepage  Reply with Quote
Wow. I never imagine a computering and engineering student reply to my thread. I really appreciate it.

As you can see, my trial and error to implement this OpenEMR in GP clinic in Malaysia is really at the early stage. I initially plan to just implement it in my clinic, but as I get few feedback form my colleague, why not expand it to others as well. As I use open source software as the backend, cost is not a major problem. It is the manpower and expertise on maintaining the software in Malaysia is really important.

At this moment, my experiment on implementing OpenEMR with XAMPP is in alpha stage. Still a bit buggy and currently I am still not keen to release my experience to others as it will cost them time to get it going.

quote:
For a malaysian EMR to work,it will have to be cross platform and also distributed free to all GPs. Layout of the EMR should be designed by GPs for GPs and not by a software engineer.


Yes, I totally agree with you. By using a browser base software like OpenEMR to manage patient, it will be a major advantage as it ia platform independent and the database is pretty standard (it use mySQL).

So far, it seems that OpenEMR is designed to tailor to GP and maybe small hospital. The interface and and workflow is smooth, as if it is made by a medical personel. The only thins that concern me is the data collections and variables. It seems to 'foreign' to Malaysian settings, as it is meant to be use in the US base clinic.

If you would like to involve, maybe I can get your hands on the software and modify it to make it more Malaysian. As it is open source, you do not have to worry about software patent and piracy.

Oh, maybe you can also help on hardening the systems as you work on secrity issue


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drizad
Just lurking


Malaysia
23 Posts

Posted - 14/10/2006 :  22:07:25  Show Profile  Visit drizad's Homepage  Reply with Quote
I told you I will be back. As I promise, I will now present you my findings on implementation of OpenEMR in my clinic, using Windows XP as the platform and transforming it to become a local server by installing XAMPP.

It is now on 'beta' stage, still need some feedback and trial and error. So far, the application was smooth, but the parameters and variables was more to US based health systems. If I know how to write code, I definitely change it to 'more Malaysian'.

For those who were wondering what am I talking about, check out the 'how to install OpenEMR in Windows XP with XAMPP' here:

http://openemr.blogspot.com

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palmdoc
MMR CEO



Blogger
Malaysia
2034 Posts

Posted - 15/10/2006 :  06:15:31  Show Profile  Visit palmdoc's Homepage  Send palmdoc an ICQ Message  Send palmdoc a Yahoo! Message  Reply with Quote
Well done! I have installed MySQL and PHP locally in a WinXP Pro machine before when testing out Wordpress and a whole bunch of CMS's - did not require Apache - just used the built in IIS which comes with WinXPPro. SO I wonder if one couldn't just use IIS?
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drizad
Just lurking


Malaysia
23 Posts

Posted - 16/10/2006 :  20:29:10  Show Profile  Visit drizad's Homepage  Reply with Quote
I am not sure if you can. I suppose we can try, but I never tried it before.

My next project would be installing hospital based EMR ( Care2x.org ) with XAMPP. I will, of course inform you about the update. Still in trial and error stage.

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JLB
Just lurking

1 Posts

Posted - 20/12/2006 :  04:25:25  Show Profile  Reply with Quote
quote:
Originally posted by palmdoc

I believe EMR or Electronic Medical Records will be the future. Trouble is there are so many vendors and standards it is not surprisingly confusing.



Hi palmdoc,

I'm new to your forum and I hope I'm not intruding on your post.

I agree with your statement above. In regards to standards, a fairly new interoperability standard was released earlier this year by the ASTM International (along with a host of medical associations), entitled "Continuity of Care Record" (CCR).

The CCR should help to eliminate some of the confusion with regards to sharing patient information between dissimilar EMR/EHR systems. Here's a link to an FAQ on the CCR:

http://www.ccrexchange.blogspot.com/

I hope this helps.
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drizad
Just lurking


Malaysia
23 Posts

Posted - 11/01/2007 :  10:54:52  Show Profile  Visit drizad's Homepage  Reply with Quote
Now that I managed to install OpenEMR in a remote server, I would like to invite you to try it out.

I am looking for doctors with clinics and maybe clinic administrator from all over Malaysia to get the feeling of running a browser based clinic management software/patient management software in the clinic. It's a free demo.

There are some pros and contras on doing it, but I have decided on going for it.

Check out the dedicated blog on my quest for OpenEMR and give it a try, here:
http://openemr.blogspot.com/

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drziad
Just lurking


Malaysia
1 Posts

Posted - 19/01/2007 :  09:16:02  Show Profile  Reply with Quote
I am new to this forum, so forgive me if I sound naive.I am amazed by the efforts of Dr Izad in installing his OpenEMR, albeit, in beta version.If I may speak for 90% of us pen and paper doctors, OpenEMR is indeed a wonderful liberating idea, software for "the rest of us", to borrow Steve Jobs. However, if it takes a geek to install one in the Clinic "server" , I suppose we have to stick to the present reality. We are still not talking about the reliability of broadband service in this country.And of any internet based application.Or the medico-legal tangles of any patient information sharing between institutions.

I am hoping for somebody from our own silicon valley to produce our own processor running Linux and in a PC not needing any drivers for any accessories...It is a utopia against this presently Intel-Microsoft dominated world..

I am now 50, and perhaps in the evening of my medical career, unable to wait for OpenEMR to become the norm in 10 years time....Then again, as I had already personally witnessed, anything can happen in the fast changing world of IT..

I am now fooling around with Clinisys, a Windows XP software given "free" by my friendly pharmaceutical supplier. It has all the bells and whistles and definitely networkable.It even has a "pen-based" option for old geezers and keyboard phobic doctors like me.
However, it is slow and not very intuitive...

abuihsan
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wilh2low
Just lurking



Clinical Epidemiology
Malaysia
1 Posts

Posted - 05/01/2009 :  14:22:05  Show Profile  Click to see wilh2low's MSN Messenger address  Reply with Quote
Dear all,

I'm currently working on a chronic disease management project for the MOH. One of the requirements is to set up an integrated IT system to facilitate care between primary care GPs, the allied health and the secondary care services. The system should also incorporates electronic data transfer e.g. lab report, target end organ disease screening (retinopathy, ECG...etc.)

Instead of developing the system from scratch, does anyone know of any EMR or IT support system which can do the above? Any recommendations? I know of one called ProfDoc. Thanks.
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d3ga3xx
Just lurking



2 Posts

Posted - 17/01/2009 :  14:59:40  Show Profile  Visit d3ga3xx's Homepage  Reply with Quote
Hello there, I know ProfDoc and met them for a presentation in one of the medical institution in Malaysia. Unfortunately, they are merely on HIS not the EMR that you are looking at.

Currently the EMR software is very customizable to the environment such as the instrumental used and the other machine for streamline the input data. As EMR system is not really mature yet in the market, I would suggest you to partner with local software development company to come out your own.

I am currently doing a proposal on the EMR for several institution.
And we are very much interested to look for a local institution to be a partner who provide the medical knowledge and we support your technically.

If you are interested, I can be reached at dana@wammap.com or 016-3366300




quote:
Originally posted by wilh2low

Dear all,

I'm currently working on a chronic disease management project for the MOH. One of the requirements is to set up an integrated IT system to facilitate care between primary care GPs, the allied health and the secondary care services. The system should also incorporates electronic data transfer e.g. lab report, target end organ disease screening (retinopathy, ECG...etc.)

Instead of developing the system from scratch, does anyone know of any EMR or IT support system which can do the above? Any recommendations? I know of one called ProfDoc. Thanks.

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