Horst Herb wrote:
>
> > > True. The university hospital (Chiang Mai, Thailand) I worked at last
> year
> > > just then installed a full blown EMR system (from Australia I was told).
> >
> > Hey, we don't even have those here, in Australia. <flippancy>Maybe it
> > was donated to Thailand because it was so unreliable?</flippancy>
> > Seriously, I wonder, was it Australian software, or was it Australian
>
> Now really, haven't we? What about Medical Diretor - used by 14.000 medical
> practitioners (http://www.md.com.au/doctors.hcn/), MIMS script
> (http://www.mims.com.au/mds.htm), Locum 3, Genie
> (http://www.geniesolutions.com.au/ - Paul Carr mentioned he would be
> prepared to go open source if it would be commercially viable!)? Some Docs
> in my area are already paperless, and all these software packages have been
> developed in Australia (MDW and Genie even by doctors for doctors).
>
> http://www.medicineau.net.au/computing/software/home.html list s some 30
> Australian medical software packages, most of them capable of maintaining
> EMRs.
>
> All those packages have severe security and integrity flaws, thats why I
> "roll my own" (gnumed), but they give the impression that they work and the
> user interface of all of them is definitely impressive.
>
> We even have a full blown *working* open source EMR here in Oz
> (http://www.accessgp.com/), mainly used by specialists now, but originally
> developed for general practice. Unfortunately, it was developed using M$
> Access - the developer (Geoff Stokeld) has realized the drawbacks and is now
> contributing to gnumed.
>
> Still, as opposed to gnumed, his product is complete and has been used
> successfully for a couple of years, and is entirely free. It is structured
> in a way that you can use it in hospitals, too. Just have a look at the
> screen shots (http://www.accessgp.com/Screen.htm)
>
> Horst
Sure, but all of those systems are for primary care settings, aren't
they? Karsten
described a "full blown EMR system" in a university hospital, and
furthermore, that
system was being used to order fresh frozen plasma from the hospital
blood bank. From
that description, I was assuming the system comprised a shared PMI,
ordering and results reporting as well as EMR functions. Sounds more
like a Cerner installation or similar to me (of which there are examples
in Australia, but not using Australian software, AFAIK which is not that
far). Maybe some of the systems you describe can do all of these things
in a hospital-wide setting? I am only familiar with Medical Director and
MIMS, and I didn't get the impression that they were designed for
hospital-wide use. Or maybe Karsten was describing a system which was
only used in one part of the hsopital (the outpatients dept)?
Tim C
