OpenEMR is a modular, HIPAA compliant, Open Source, cross-platform Electronic Medical Records system (EMRS) developed by Synitech Incorporated. OpenEMR runs under Apache or IIS, PHP and MySQL, and includes advanced authorization and auditing functionality, automatic timeouts, group-based user configuration, extensive logging, and supports patient-requested file changes. It facilitates efficient office management through automated patient record journaling, and has been successfully integrated with third-party technologies including speech recognition, secure wireless access, tablet PCs, and biometric authentication. Interface screens are themable and optimized for consistency, simplicity, speed of access to patient information, and minimum eye strain.