Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria

Purkayastha, Saptarshi; Allam, Roshini; Maity, Pallavi; Gichoya, Judy Wawira

doi:10.4258/hir.2019.25.2.89

Cited by 31 publications

(18 citation statements)

References 15 publications

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“…• Many opt for OSS EMRs/EHRs: The global rankings of OSS EMRs/EHRs [2] is evidence that the rise in the adoption of EMRs/EHRs worldwide also means an increase in the adoption OSS EMRs/EHRs. • Report on EMR/EHR disrupting workflow.…”

Section: Motivation and Contributionmentioning

confidence: 99%

“…The healthcare industry's adoption and use of EMRs/EHRs are the latest evolution of healthcare informatics. Many open source EMRs/EHRs are available and used by many today [2]. However, free acquisition of OSS EMRs/EHRs does not entirely make their use easy.…”

Section: Introductionmentioning

confidence: 99%

“…In this paper, we use existing techniques to check conformance of workflow in Open-Source EMRs (workflow discovered from OpenEMR event logs) with the actual the workflow of hospitals (workflow from domain knowledge) based on the four metrics of process discovery and conformance checking; fitness, precision, simplicity, and generalization in terms of both log and model perspective. We extracted the event log from an OSS EMR, i.e., OpenEMR, it is among the top 5 open-source EMRs and the most popular and most promising open-source EMR [2] [6]. We organized the remainder of the paper as follows: sections 2 and 3 discuss related work and research motivation.…”

Section: Introductionmentioning

confidence: 99%

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Conformance Checking: Workflow of Hospitals and Workflow of Open-Source EMRs

2020

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Open Source Electronic Medical Records (EMR) and Electronic Health Records (EHR) are widely used in healthcare institutions because it is mostly free and customizable. Generally, EMRs and EHRs are used in healthcare institutions because their adoption reduces costs and improves patient outcomes through increased efficiency. During the adoption of EMRs/EHRs, whether open-source or closed-source, the number one concern of healthcare institutions is their workflow. When adopting any open-source software, there is a lot to consider, "Free does not mean you have to compromise on utility." Process mining helps to discover and analyze the actual process executions of an information system (IS). In this paper, we use process mining to check the conformance of the workflow of Open-Source EMRs (workflow from event logs of an EMR) and the workflow of hospitals (workflow of hospitals based on domain knowledge). We modeled the workflow of hospital processes using business process modeling notation (BPMN) and converted it into a Petri net. Event log extracted from an Open-Source EMR (OpenEMR) was preprocessed for process conformance checking in ProM Framework. We check the conformance of log and model using alignment and replay. We display the results based on four metrics (fitness, precision, simplicity, and generalization). Then, we filter logs to check the conformance of Role-based access controls. Our conformance checking results showed that processes in Open-Source EMR align with the processes executed by hospitals.

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Section: Motivation and Contributionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Conformance Checking: Workflow of Hospitals and Workflow of Open-Source EMRs

2020

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“…Many of the systems in these countries are not compliant with the International Organization for Standardization (ISO) standards and do not meet the requirements for federated electronic health records (FEHRs). A lack of sustainability due to poor economics and resources has also impacted implementation in some countries [2], and despite good intentions, many clinics are using incomplete or incompatible solutions [3].…”

Section: Introductionmentioning

confidence: 99%

Towards a New Paradigm of Federated Electronic Health Records in Palestine

2020

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While efforts are underway to create a sound system of electronic health records in Palestinian health institutions, there remain obstacles and challenges. Given modern day demands on health systems, we propose a federated electronic health system based on the clinical document architecture (CDA) that is compliant within the Palestine context. This architecture also brings a normalized electronic health record and a structure of blockchain to enhance interoperability with scalability, fault tolerance, privacy, and security. The new architecture and technologies will enhance services by allowing health care players, patients, and others to have the opportunity to obtain improved access and control of their health services. This may also serve as a useful model for other low-middle income countries.

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“…OpenMRS is also a software platform and reference application which enables the design of customized medical records, which several researchers have used to prototype upcoming health IT standards [5]. OpenMRS is also among the most simplest EHRs in terms of user-performance [6]. The system is built on a conceptual database structure with no dependence on the medical information's actual types.…”

Section: Introductionmentioning

confidence: 99%

Development and Implementation of a Dashboard for Diabetes Care Management in OpenMRS

Yandrapalli¹,

Jones²,

Purkayastha³

2019

Preprint

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A clinical dashboard for a patient's diabetes condition helps physicians to make better decisions based on readily available information. OpenMRS is a widely used open-source electronic health records system but does not provide a diseasespecific dashboard. This project implemented a dashboard for displaying all diabetes-related lab measures at one place, when a physician accesses a patient record in OpenMRS. It summarizes a list of diabetes-related clinical measures through an intuitive, chart-based, customizable user experience. Gauge charts are used to display the most important lab values for Glucose, Renal Function, and Lipid Profile tests. Data Tables are used to display data of the lab values from the past and current visit in the table, including the ability to search for a specific visit date. Interactive line charts are used to display the trends of lab measures. Diabetes Dashboard may help physicians to make quicker decisions through this snapshot view. We took data for few patients and demonstrated this to clinicians as a proof of concept, without performing a full-fledged user evaluation. Future work involves integrating this dashboard with clinical practice guidelines and alerting when measures are outside the guidelines.

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Comparison of Open-Source Electronic Health Record Systems Based on Functional and User Performance Criteria

Cited by 31 publications

References 15 publications

Conformance Checking: Workflow of Hospitals and Workflow of Open-Source EMRs

Conformance Checking: Workflow of Hospitals and Workflow of Open-Source EMRs

Towards a New Paradigm of Federated Electronic Health Records in Palestine

Development and Implementation of a Dashboard for Diabetes Care Management in OpenMRS

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