"Daniel L. Johnson, MD" wrote:
> 
> Michael Tiemann, an alert fellow (CTO at Red Hat), sent me this link
> telling of a Malaysian effort to create an open source EMR.

I suspect that it might be more accurate to describe it as an EMR built
using open source software components. To quote the article:

"PNS is currently being offered at no cost under the pilot project;
 PCDOM will decide on its price when it's finally launched. 

 According to Dr Cheah, the price will be based on the number of systems
 sold, the cost of continued development, and the types of support
services 
 doctors want. 

 However, she expects that when PNS goes live officially, each clinic
will 
 pay less than RM1,000 for a PNS package that would include the Red Hat 
 Linux 7.2 operating system, Apache webserver software, PHP-based
scripts,
 applications and a MySQL database running on the clinic's server."

Note that 1000 Malaysian Ringgits is about US$260. So it looks like they
will
be attempting some degree of cost recovery, perhaps with bundled
support, and if
that is the case, end users probably won't be at liberty to modify or at
least 
re-distribute the source code. But it will at the very least be shared
source, 
since it looks like is built with PHP and AFAIK there is no practical
method 
of distributing a PHP application without the source (and a good thing
too!).

None of the above observations and conjectures are by way of criticism,
BTW - it
looks like they are being sensible in trying to establish a sustainable
funding
model for the project. 

Tim C

> 
> It begins, "The Primary Care Doctors Organisation Malaysia (PCDOM) has
> chosen Open Source software for its PrimaCare Network Services (PNS)
> project.  Founded in 1996, PCDOM is the national organisation of general
> practitioners. PNS is a healthcare system that comprises a patient and
> clinical management and support system, and an online electronic
> healthcare community that would contain information accessible and
> pertinent to doctors, patients, their families, healthcare and
> pharmaceutical companies."
> 
> 
>http://star-techcentral.com/tech/story.asp?file=/2002/4/26/technology/26clinic&sec=technology

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