|Title||Free and Open Source Software in Healthcare 1.0|
|Publication Type||Web Article|
|Year of Publication||2008|
|Publisher||American Medical Informatics Association Open Source Working Group|
|Type of Medium||White Paper|
|Keywords||Electronic Health Record, Electronic Medical Record, Free and Open Source|
The possible benefits of widespread adoption of Electronic Health Record/Electronic Medical Record (EHR/EMR) technologies are widely documented, yet progress is slow and few propose a viable mechanism to achieve shared goals. Multiple problems of cost, interoperability, vendor lock-in, standardization and longevity have been identified and have persisted. Even “successes” have problems. While multiple initiatives and much money is spent on finding answers, Free/Open Source Software (FOSS) licensing holds promise for solving these problems or at least making them more tractable. Multiple deployments, novel applications, and multiple companies offering support appear to be occurring. Interoperability and connectivity may be an area of particular proliferation. By vendor and site self-report there are a substantial number of patient records, 3,959,065 in 898 non-Federal government sites and 24,442,000 patient records in 1607 Federal government sites that use FOSS or public domain software EHR/EMR’s. To date, 232 Open Source titled works on various aspects are listed in PubMed. Local and national education is needed to ensure that equal attention be given to FOSS licensed EHR/EMR software.