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Re: List of Active FOSS EMR/EHR's
by Alex Caldwell M.D. on Wednesday June 16, @04:59PM
I apologize for my knee-jerk reaction posting. I am sure you are not actually an arrogant person. After all, anyone who has adopted and cared for X-Teddy all this time can't be all bad!

Tkfp needs to be seen for what it is - we are doctors who see patients every day. We are not engineers or trained programmers. Our area of knowlege is is more in what the doctor's work-flow is like in our corner of the world, and what things would be helpful in daily office practice rather than coding efficiency. We are medical doctors who just taught ourselves enough Linux and scripting level programming to try to tap into the power of Linux and it's associated open source utilities and bring them into our daily practices. Tkfp evolved in that setting. It is not surprising some of our solutions might not be the most efficient possible. But given time, we have come up with some things that we find are very helpful to us. We are using it for all our patient records and billing and getting paid by the 3rd party payors in California and Iowa. I consider this a reasonably succesful accomplishment for an open source project, regardless of the spaghetti code.

Tkfp is full of legacy and baggage code that represents this timeline of our struggles. There are things that work, things that didn't work. Our later code is somewhat better than the early stuff. But in cases where the early stuff still works, in many cases we haven't gotten around to removing it yet - I like to think of it as kind of like the human genome which also carries a lot non-functional baggage and has new things built on top of old things - at least that gives us an excuse for our coding style!




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