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Open Source: 'Of Great Value'?
by AC on Monday June 11, @11:07PM
He doesn't answer his own question: "Is [Open Source] the answer?" I say yes. Open-source software has a philosophy of transparency and open-ness. Even if the documentation isn't top-notch, it's always better than a commercial vendor with secrets to hide. Having good schema documentation is 'as open as you can get'. There is nothing more useful, except maybe a signed agreement from the company saying that they will personally fly to your site and dump the data into your new product for you. Also, you must consider that open-source allows you to run the systems in parallel after the conversion, in case you need to refer back for any reason. Keeping a "legacy system" after conversion is expensive with an ASP or a commercial program, as you will often find yourself paying for maintenance. I am all for an "EMR interchange standard", but I think it's unlikely to ever be perfect. You can bet that open-source will support it. In fact, open-source will probably lead the effort, since commercial companies have no incentives to create the standard. (I don't buy the argument that the market will grow with easier interchange.) -AC P.S. I think he is barking up the wrong tree when it comes to audit trails. There is no product on the market that can secure an EMR from a programmer. For example: Digital signatures are useless without secure key management. Secure key management goes out the window if someone on your network runs Outlook or the like.
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