Standards-based, open-source electronic health record systems: A desirable future for the U.S. health industry

Peter Mackinlay Yellowlees, Shayna L. Marks, Michael Hogarth, Stuart Turner

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Many healthcare systems are moving toward a fully electronic health record (EHR) in order to better manage patient care. Unfortunately, in the United States, many current EHR systems leave much to be desired. Among well-documented criticisms are that they tend to be inflexible, proprietary, nonintuitive, expensive, difficult to maintain and rarely interoperable across health systems. From the clinician's perspective, these flaws sometimes make having an EHR system seem no better than retaining a paper-based system. Open-source software, a great success in other information-intensive industries, is one possible solution to these problems, and may help integrate a functional EHR system into, and across, more health systems and clinics because of the greater potential for local customization. We believe that the advantages of an open-source EHR system outweigh the costs of a more traditional, proprietary EHR system, and recommend that more work be done to advance an interoperable open-source EHR system in the United States. Open-source EHR systems have the potential to improve healthcare in the United States as they have done in many other areas around the world.

Original languageEnglish (US)
Pages (from-to)284-288
Number of pages5
JournalTelemedicine and e-Health
Volume14
Issue number3
DOIs
StatePublished - Apr 1 2008

Fingerprint

Electronic Health Records
Industry
Health
Delivery of Health Care
Patient Care
Software
Costs and Cost Analysis
Defects

Keywords

  • Electronic health record
  • Open Medical Record System
  • Open-source software
  • Regional Health Information Organization
  • VistA

ASJC Scopus subject areas

  • Medicine(all)
  • Bioengineering
  • Media Technology
  • Nursing(all)

Cite this

Standards-based, open-source electronic health record systems : A desirable future for the U.S. health industry. / Yellowlees, Peter Mackinlay; Marks, Shayna L.; Hogarth, Michael; Turner, Stuart.

In: Telemedicine and e-Health, Vol. 14, No. 3, 01.04.2008, p. 284-288.

Research output: Contribution to journalArticle

@article{e44b859a8fc94089972051e8237bc438,
title = "Standards-based, open-source electronic health record systems: A desirable future for the U.S. health industry",
abstract = "Many healthcare systems are moving toward a fully electronic health record (EHR) in order to better manage patient care. Unfortunately, in the United States, many current EHR systems leave much to be desired. Among well-documented criticisms are that they tend to be inflexible, proprietary, nonintuitive, expensive, difficult to maintain and rarely interoperable across health systems. From the clinician's perspective, these flaws sometimes make having an EHR system seem no better than retaining a paper-based system. Open-source software, a great success in other information-intensive industries, is one possible solution to these problems, and may help integrate a functional EHR system into, and across, more health systems and clinics because of the greater potential for local customization. We believe that the advantages of an open-source EHR system outweigh the costs of a more traditional, proprietary EHR system, and recommend that more work be done to advance an interoperable open-source EHR system in the United States. Open-source EHR systems have the potential to improve healthcare in the United States as they have done in many other areas around the world.",
keywords = "Electronic health record, Open Medical Record System, Open-source software, Regional Health Information Organization, VistA",
author = "Yellowlees, {Peter Mackinlay} and Marks, {Shayna L.} and Michael Hogarth and Stuart Turner",
year = "2008",
month = "4",
day = "1",
doi = "10.1089/tmj.2007.0052",
language = "English (US)",
volume = "14",
pages = "284--288",
journal = "Telemedicine and e-Health",
issn = "1530-5627",
publisher = "Mary Ann Liebert Inc.",
number = "3",

}

TY - JOUR

T1 - Standards-based, open-source electronic health record systems

T2 - A desirable future for the U.S. health industry

AU - Yellowlees, Peter Mackinlay

AU - Marks, Shayna L.

AU - Hogarth, Michael

AU - Turner, Stuart

PY - 2008/4/1

Y1 - 2008/4/1

N2 - Many healthcare systems are moving toward a fully electronic health record (EHR) in order to better manage patient care. Unfortunately, in the United States, many current EHR systems leave much to be desired. Among well-documented criticisms are that they tend to be inflexible, proprietary, nonintuitive, expensive, difficult to maintain and rarely interoperable across health systems. From the clinician's perspective, these flaws sometimes make having an EHR system seem no better than retaining a paper-based system. Open-source software, a great success in other information-intensive industries, is one possible solution to these problems, and may help integrate a functional EHR system into, and across, more health systems and clinics because of the greater potential for local customization. We believe that the advantages of an open-source EHR system outweigh the costs of a more traditional, proprietary EHR system, and recommend that more work be done to advance an interoperable open-source EHR system in the United States. Open-source EHR systems have the potential to improve healthcare in the United States as they have done in many other areas around the world.

AB - Many healthcare systems are moving toward a fully electronic health record (EHR) in order to better manage patient care. Unfortunately, in the United States, many current EHR systems leave much to be desired. Among well-documented criticisms are that they tend to be inflexible, proprietary, nonintuitive, expensive, difficult to maintain and rarely interoperable across health systems. From the clinician's perspective, these flaws sometimes make having an EHR system seem no better than retaining a paper-based system. Open-source software, a great success in other information-intensive industries, is one possible solution to these problems, and may help integrate a functional EHR system into, and across, more health systems and clinics because of the greater potential for local customization. We believe that the advantages of an open-source EHR system outweigh the costs of a more traditional, proprietary EHR system, and recommend that more work be done to advance an interoperable open-source EHR system in the United States. Open-source EHR systems have the potential to improve healthcare in the United States as they have done in many other areas around the world.

KW - Electronic health record

KW - Open Medical Record System

KW - Open-source software

KW - Regional Health Information Organization

KW - VistA

UR - http://www.scopus.com/inward/record.url?scp=42449143953&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=42449143953&partnerID=8YFLogxK

U2 - 10.1089/tmj.2007.0052

DO - 10.1089/tmj.2007.0052

M3 - Article

C2 - 18570554

AN - SCOPUS:42449143953

VL - 14

SP - 284

EP - 288

JO - Telemedicine and e-Health

JF - Telemedicine and e-Health

SN - 1530-5627

IS - 3

ER -