FreeB2 Standalone Released

Uversa has just released the standalone version of FreeB. To download go to the FreeB page and click snapshot. FreeB is the worlds first GPL Medical Billing engine. FreeB supports X12 837p and CMS(HCFA) 1500 formats. FreeB is a standalone engine, it can interface with any practice management system or EMR to provide medical billing capabilities to that system. FreeB is the sister project of ClearHealth. Commercial support is available through Uversa

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Open Source NHIN RFP Set-Aside

The Health and Human Services Department plans an open-source set-aside for one of the six contracts it wants to award for prototypes of a Nationwide Health Information Network (NHIN). Details here.
Update: Note that Dr. Pico’s statements are misleading. The actual amendment PDF text can be found here.

The Health and Human Services Department plans an open-source set-aside for one of the six contracts it wants to award for prototypes of a Nationwide Health Information Network (NHIN).

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Brailer: Prototype Architectures to be Public Domain

An anonymous reader sent in: Dr. David Brailer testified before the Senate Commerce Committee yesterday on his health IT activities. Dr. Brailer’s testimony interesting, especially the last sentence: ‘…NHIN Architecture We have issued an RFP to develop models and prototypes for a NHIN for widespread health information exchange that can be used to test specialized network functions, security protections and monitoring, and demonstrate feasibility of scalable models across market settings. The NHIN architecture will be coordinated with the work of the Federal Health Architecture and other interrelated RFPs. The goal is to develop real solutions for nationwide health information exchange and ultimately develop a market � particularly the supply side � for health information exchange, which does not exist today. This RFP will fund 6 architectures and operational prototypes that will maximize the use of existing resources such as the Internet, and will be tested simultaneously in three markets with a diversity of providers in each market. HHS intends to make these prototype architectures available in the public domain to prevent control of ideas and design. Through the RFP process, we encourage the development of a complete open source solution…’

Logical Absurdities of Proprietary Medical Record Software

Here is a list of what I see as logical absurdities to proprietary software in medical records that Free/Open Source Software in medicine may have an answer for:

  • Sunsetting, corporate buy-outs, bankruptcy, patient outliving their software.
  • Mobile workforce: 1 doctor 5 practice settings 5 different EMR GUI’s in 1 week. Training, re-training, re-re-training.
  • Disaster preparedness (see item 2 above).
  • Vendor lock-in.
  • Duplication of engineering costs.
  • Meta-applications built on substrate without asking permission: simulators, bio-surveillance, yet-to-be-conceived apps.
  • Ensuring confidentiality.
  • Software forensics in the case of malfeasance.
  • Error reduction studies and engineering in a proprietary software mosaic.
  • No one vendor with enough engineering resources.
  • Corporate agenda not in harmony with customer needs.Please feel free to add to this list or refute it.