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Thread: Alborg's OpenSource EMR

  1. #31

    Hi Alborg

    Hi Alborg
    I am a Surgeon from India and am not able to download your EMR from your briefcase incase u could send a new link on ankukreja@gmail.com
    Thanks
    Regards
    Dr Kukreja

  2. #32
    Physician alborg's Avatar
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    Quote Originally Posted by ankukreja
    Hi Alborg
    I am a Surgeon from India and am not able to download your EMR from your briefcase incase u could send a new link on EMAIL
    Thanks, Regards Dr Kukreja
    You could try it again (the Briefcase occasionally goes down temporarily). My new website will soon be up and going with content: my site

  3. #33
    MediSoft / MediNotes
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    Free EMR's

    Quote Originally Posted by digitaldoc View Post
    Any doctor who knows something about computers and programming realizes that the cost of the proprietary EMR's is OUTRAGEOUS
    How much is your time worth?

    Are free EMR's HIPPA certified?
    Are your records un-editable for practical purposes?
    Will your EMR hold up in court?
    Does your free EMR's existence depend on the mood of one, dedicated, non-conformist?
    Does your free EMR integrate with your practice management software?
    Does your free EMR download lab from the major lab services providers directly into the patients chart?
    Does your free EMR automatically take care of dozens of essential details like documenting phone calls to and from patients?
    Does your free EMR print prescriptions and automatically document them in the patients chart?

    This is just a partial list.

    If your free EMR does not do these things, who is doing them?
    You? A paid employee? No-one?

    The devil is in the details and that is what you are paying for.

    Not just todays details but tomorrows details as well.

    IMHO

    Hal

  4. #34
    Physician BigDoc's Avatar
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    Quote Originally Posted by Hal333 View Post
    How much is your time worth?

    Are free EMR's HIPPA certified?
    Are your records un-editable for practical purposes?
    Will your EMR hold up in court?
    Does your free EMR's existence depend on the mood of one, dedicated, non-conformist?
    Does your free EMR integrate with your practice management software?
    Does your free EMR download lab from the major lab services providers directly into the patients chart?
    Does your free EMR automatically take care of dozens of essential details like documenting phone calls to and from patients?
    Does your free EMR print prescriptions and automatically document them in the patients chart?

    This is just a partial list.

    If your free EMR does not do these things, who is doing them?
    You? A paid employee? No-one?

    The devil is in the details and that is what you are paying for.

    Not just todays details but tomorrows details as well.

    IMHO

    Hal
    A lot of docs in employed positions need a "cheap" solution they can pay out of pocket which their employer will not reimburse, this is how I got interested in EMRs
    Bigdoc

  5. #35
    MediSoft / MediNotes
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    I see the problem.

    I see the problem.

    That is one of the reasons that I resigned my employed position.

    I was employed as medical school faculty. The state university could have afforded an EMR but it was impossible to get anyone to agree on anything.

    Better than paper is still better.

    Hal

  6. #36
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    Quote Originally Posted by Hal333 View Post
    How much is your time worth?

    Are free EMR's HIPPA certified?
    certified by whom? are there any criteria for setting yourself up as a certifying agency ?

    Are your records un-editable for practical purposes?
    Yep.

    Will your EMR hold up in court?
    Never been there.

    Does your free EMR's existence depend on the mood of one, dedicated, non-conformist?
    Yep! Tend to be euthymic though.

    Does your free EMR integrate with your practice management software?
    Yep!

    Does your free EMR download lab from the major lab services providers directly into the patients chart?
    Got HL7? Yes!

    Does your free EMR automatically take care of dozens of essential details like documenting phone calls to and from patients?
    Yes.

    Does your free EMR print prescriptions and automatically document them in the patients chart?
    Yes.

    This is just a partial list.
    Where's the rest of the list ??

  7. #37
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    Sounds like you have a solution!

    Congrats!

  8. #38
    Physician alborg's Avatar
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    Hal just opened a can of worms!

    Graham and I go back a long way... He's usually up in the wee hours of the night like me. I'm still trying to get him to come back from Linux to Microsoft, though.

    My EMR does all of these except HL7, and that I'm working on with Fairfax Medical Labs and Lab Corp. My EMR also integrates with the Palm via ODBC transfer (MS Access <---> Satellilte Forms). It does electronic prescribing, has its own PMS, and does patient scheduling... the only thing missing is the monthly pricetag that I would have to pay should I go with a high-priced-EMR solution.

    In fact, a simple, effective solution can be found in the MS Word EMR Project, which I put together to show that one can have an effective EMR using even the MS Word platform. It's free and downloadable from http://briefcase.yahoo.com/alborgmd .

    Now, there are occasional neat little ideas that I see in other EMRs- if I am really interested, I just reverse engineer the item and use it in my office system. Visual Basic is a language that once mastered can be used to do anything that is repetitive in the office environment.

    I couldn't be more delighted with my EMR system that I've used since 1990. More docs should get into programming their own EMRs...

  9. #39

    Is it possible for someone who doesn't have a clue what you guys and gals are talking about to check out the EMR. I am thinking of using SOAPWARE.

  10. #40

    "I am thinking of using SOAPWARE"

    I use soapware

  11. #41

    Daffy can you tell me what you like and don't like about it.

  12. #42

    You can check these EMRs out, including Dr. Al Borges free EMR at www.emrupdate.com. There are also some other free or inexpensive EMRs discussed as well. As a Neuroligist, I still have not found one that would meet my needs.

    One very interesting EMR is Medtuity. This one charges only by the new encounter, 75 cents. No software to buy, not updates except to hardware.

  13. #43
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    I've got mention this as it is something I'm quite happy with. I recently implemented automated OCR of any documents uploaded to my EMR.

    Now with the OCR in place, I can now extract digital results from the OCR'd text so that I end up with discrete data .. just what I need for chronic mangement of patients. I do have HL7 for my local patients, but for out of towners, I only get faxed/paper results.

    Because OCR is never perfect, I use various tools to determine the similarity a word has from the test sought. This way I can match Rilirubin with Bilirubin, and Alkali-ne Phosphatase with Alkaline Phosphatase.

    Probably not something you wanted to know ..

  14. #44
    Physician alborg's Avatar
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    The MS Office EMR Project 2008 has been uploaded and is the new upgrade to V4.

    I improved the following:
    • I simplified/improved the installation setup,
    • I got rid of the splashscreen text mentioning purchasing and activation, and
    • I got rid of a last minute bug with text deployment that I added when I improved the main template's interface.

    I now have a full forum to handle all of my free downloads and position papers here: http://msofficeemrproject.com

  15. #45
    Physician alborg's Avatar
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    This whole web presence thing is really cool; I love now having a place to put together all of my politics and programming downloads in one site! It's kind of nostalgic, taking me back to the cool pre-CCHIT days where we talked about "home-grown" EMRs.

    Two days ago I began posting publicly my eBook on programming your own EMR using MS Word (front-end) and MS Access (back-end). It's going well- I already have 4 chapters up (URL: http://msofficeemrproject.com/Page6.htm ):

    Preamble (Introductory Remarks)
    Chapter 1: Introduction
    Chapter 2: Planning Your EMR
    Chapter 3: Designing the Back-End Tables

    In the next 48 hours (I'm off on Wednesdays), I'll probably add the following chapters:

    Chapter 4: Designing MS Word Templates
    Chapter 5: The VB Editor: Modules
    Chapter 8: The VB Editor: Toolbars
    Chapter 11: Complying With Regulations And Standards

    Cheers,
    Al

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