Archive | Open Source RSS feed for this section

Building a viable FOSS and Vendor Eco System

I have the privilege of speaking this year at a few conferences, including the OSEHRA Open Source Summit in DC and OSBridge in Portland.   It is clear that FOSS communities struggle with incorporating the vendors as full fledged and respected members of the community and, conversely, the vendors (sometimes) just don’t get how to balance making money by using the project and their obligation to contribute back in some substantial fashion.  It’s not an  easy problem to solve but some communities seem to do it better than others.   Attached are my slides and notes for your perusal and amusement.  Please feel free to comment, I’d love some feedback on my thoughts.

FOSS Vendor Ecosystem with Notes

Future of Open Source Survey Results


North Bridge and Black Duck Software just published the Future of Open Source 10th Anniversary Survey Results – an activity that OSEHRA participated in.

Some key insights from this year’s study (Excerpted from the study):

  • Open Source Is The Modern Architecture. Open Source is the foundation now for nearly all applications, operating systems, cloud computing, databases, big data and more. Open Source development has gone from the exception to the rule.
  • Open Source IS the Engine of Innovation. Open Source is driving business because it facilitates faster, more agile development. This translates into quicker builds, accelerate time to market and vastly superior interoperability.
  • There is a new generation of companies and business models emerging. Respondents report that in the next two or three years, the business models that will generate the most revenue for open source vendors are SaaS (46%), Custom Development (42%), and Services/Support (41%).
  • Challenges remain: Open Source security and management practices have not kept pace with rapid adoption. In the wake of high profile breaches, there is likely to be more emphasis on security.
  • Participation and contribution will secure the future of open source. Investing in the open source community spurs innovation, delivers exponential value and most of all, it’s fun.

For more information, see the slide show –

Post from OSEHRA Team

See full post:

Open Source Health Collaborates with OpenEMR on Cloud-based Integrative Health Platform

Open Source Health

Toronto, Ontario, Canada / ACCESSWIRE / December 11, 2014 / Open Source Health Inc. (CSE:OSH), a cloud based integrative healthcare platform that puts control in the hands of women to educate, advocate and collaborate on their own healthcare is pleased to announce it has entered into an agreement with Medical Information Integration LLC, of Portland, Oregon, USA to add Open Source Health’s technology for Integrative and Preventive medicine to their advanced openEMR platform making it the first of its kind globally. This will allow the thousands of clinics and practitioners serving millions of patients in over 200 countries to expand their practice from disease management to Integrative and Preventive Medicine.

More …


OpenEMR 4.2.0 has just been released!!!

7-22-13 OEMR Logo

New feature list in OpenEMR 4.2.0:

2014 ONC Certified as a Modular EHR
CMS Portal (Patient Portal via a WordPress Module)
E-Sign Patient Forms and Encounters
Templates for Patient Documents
Track Anything Form
PDF output printing; Patient Label, Patient Address Label, Barcode Label
Modules Manager (supports both ZEND and native modules)
Patient Form Searching
Numerous Layout Based Visit Form Improvements
0 Option, read only, Layout Based Visit Form
A Option, age in years in Date field, Layout Based Visit Form
B Option, age in weeks in Date field, Layout Based Visit Form
P Option, default to previous value, Layout Based Visit Form
Field Skipping feature in Layout Based Visit Form
Source attribute in Layout Based Visit Form
Lab Module Improvements
Patient Education Module Improvements
Billing Module Improvements
Direct Messaging Module Improvements
Log Module Improvements
Supported in 26 languages
Support for most recent ICD9 and ICD10 code sets
Numerous Security Fixes and Security Improvements
Numerous Bug Fixes

It can be downloaded here:

Installation instructions can be found here:

Upgrading instructions can be found here:


OEMR reaches first fund raising goal for OpenEMR Stage II MU Certification


The OEMR 501c3 and the community of OpenEMR Developers and Users have been working hard to raise contributions to cover the high cost of testing for Meaningful Use Stage 2 certification.  We are pleased to announce that goal number 1 achieved. We have $25,000 in the bank to pay for the certification testing with margin for retesting if needed or modular certification.

Huge thanks go to the community, the users and the supporting vendors.

Our goal is to be certified by June 2014 or sooner.

–Tony McCormick

OEMR President

Peace Corps OpenEMR Project Starts Now!

Medical Information Integration. LLC and Ensoftek, LLC are poised to start long awaited Peace Corps OpenEMR integration and deployment project.  We have an incredible team between the two primary companies and we will keep the community updated on the progress.  This project will, over the next two years, deploy OpenEMR to every Peace Corps post in the world.



Ignite Health – Changing the Health Care IT Model with Open Source


Tony has been invited to speak at Technology Association of Oregon’s Ignite Health!

Open Source solutions for the health care IT industry are leaping into the fore front these days. With several major solutions that are ONC certified, big data analysis tools appearing, and efforts like OSHERA (US government push to make VisTa open, OpenHIE and Peace Corp’s adoption of OpenEMR for world wide deployment it’s time to pay attention. This presentation with touch on the hot projects and topics around this FOSS in HIT.

The Technology Association of Oregon, in partnership with HiMSS Oregon, invite you to attend Portland’s first Ignite Health on Thursday September 19th.

Ignite Health is an assembly of 18 creative thinkers to present, in no more than 5 minutes, an idea that could change the face of health and wellness as we know it. Each presenter has 5 minutes and 20 slides to share their idea to the Portland community.


Crowd Funding Proposal for OpenEMR e-Signing


Proposal to provide a standardized class library and implementation reference for electronically signing and locking medical records in OpenEMR.  Other types of records that could use this functionality as well.

What is needed to flesh it out and provide a sample form implemented using the tool.

  • Forms are free to be modified as currently implemented until “signed”.
  • When Signed, a SHA1 hash code (or similar) of the content and a revision number is incremented. The signature is marked in a signature tracking table and form is locked and can no longer be modified after this.
  • Ability to verify the hash code of a form would be provided as an Admin feature
  • A user can add an addendum(s) to a signed form, which can also be Save/Signed like above.
  • Possibly provide a model that would allow you to sign a form from “outside” by picking the form from a list of unsigned forms, instead of having to add e-signing code to the form itself
  • Possibly include the ability to save an individual form as a PDF and attach it as a static “document” in the document tree of the patient.   That would provide as sort of belt and suspenders approach to “locking” a document when approved/signed.

This project is partially completed already and is sorely needed and frequently requested.   The base class library is flexible enough to allow for future enhancements that would allow any record in the system to be signed, not just ‘forms’ or medical notes.

We are trying out a newly launched crowd funding site, CatInCan, it’s easy to set up and support has been good.

OSCON conference talk on open source architectural components


This is a short (5 minute) video of a project underway by our partner Diamond Development Group that talks about how Blair Korndoffer is ready to release his life work into the open source world.    The slide deck can be viewed at   This is a set of thousands of architectural CAD blocks and lisp programs that can be used to build virtually any kind of building, from residential to medical.

See me Live in front of a couple of thousand people … OSCON Lightening Talk

This seems to me to be a great opportunity for new graduates of the Architectural bent to come out of the chute with a fully functional toolkit.   It’s like a ZEND framework for buildings!   I can tell you, quite frankly, I know nothing about AutoDesk’s CAD software, but I know an interesting Open Source idea when I see it.  This project needs a champion to move it into the world and make it available to everyone.