OpenEMR, un dossier médical informatisé, OpenSource, multilingue et gratuit à usage international

Résumé

OpenEMR is a state-of-the-art electronic health record that has been fully translated into English (American, Indian), Danish, Dutch, French, Greek, Portuguese (Brazilian, European), Spanish, Swedish and Turkish. The system has been certified for “Meaningful Use” in the United States, has been adopted for international use by the International Planned Parenthood Federation (IPPF) and by the Peace Corp. These “Meaningful Use” criteria include 25 core features that are generally useful for care givers that have appropriate access to the requisite technology. These features are listed in the enclosed table(s). OpenEMR is a web enabled system with integrated scheduling and electronic billing, The MySQL database allows for integration with other open source tools. IPPF has used this architecture to their advantage to integrate Pentaho for business intelligence reporting and to develop a "data warehouse" that can receive monthly de-identified data from OpenEMR in XML format for aggregation and reporting at a national level. OpenEMR is extremely flexible with a wide variety of ways to add medical record formats that meet the varied needs of different cultures as well as specialties. Many of the format changes can be done easily without any programming skills. The open source community is very large and flourishing. OpenEMR has been downloaded in excess of 150,000 copies in 174 countries.

CORE ELEMENTS (table 2 rows)

• Record : preferred language, gender, race, ethnicity, and date of birth
• Record and Chart : height, weight, blood pressure, body mass index (BMI). Plot and graph growth charts for children ages 2-20.
• Computerized order entry
• Problem list of active and current diagnoses
• Maintain active medication list
• Record smoking status
• Maintain active medication allergy list
• Report clinical quality measures
• Drug-Drug and Drug-Allergy interaction alerts
• Implement clinical decision support
• Generate and transmit electronic prescriptions
• Provide electronic copies of health information
• Provide clinical summaries for patients for each visit
• Exchange clinical information problem lists, medication and allergy lists, diagnostic test results
• Protect electronic health information
• Incorporate lab test results as structured data
• Drug formulary checks
• Send patient reminders
• Generate lists of patients with specific diagnoses
• Identify patient-specific education resources
• Provide patients with timely electronic access to health records
• Submit electronic data for syndromic surveillance
• Medication list reconciliation
• Provide summary care record
• Submit electronic data to immunization registries
• Identify patient-specific education resources

Biographie

Samuel T. Bowen, MD Biography

Dr. Samuel Bowen has substantial training and experience in primary care, urgent care, emergency, and occupational care environments. He obtained his Bachelor of Science degree from Rice University in Houston, Texas and his Doctor of Medicine from the University of Texas Medical School in Houston, Texas. He completed his internal medicine residency at the University of Texas Health Science Center at Houston in 1987. Dr. Bowen is a diplomat of the American Board of Internal Medicine. Dr. Bowen established his first medical practice in Cornelius, N.C. in 1987 and served as company physician for many of the local industries. His largest contract was with Ingersoll Rand, serving as the company physician for the Small Compressor Division, Large Compressor Division and International Corporate Office.

Dr. Bowen relocated to Hickory, N.C. in 1992 and served as an emergency room physician at Frye Regional Medical Center until January 1999. He established Bowen Primary & Urgent Care in 1998 and is currently on staff at Catawba Valley Medical Center in Hickory, N.C. Dr. Bowen’s other interests include computer programming, which prompted his involvement in developing free, open source software. He began using OpenEMR in his practice, Bowen Primary & Urgent Care, in January 2004 and has been involved in the development process. He has been an active contributor to forums involving free open source medical software and has helped many physicians and IT professionals learn how to install and operate OpenEMR. He has contributed clinical forms to OpenEMR and released them to the public under the GPL licensing. Dr. Bowen has been involved in the OpenEMR project since 2003. Dr. Bowen organized the voluntary contributions and helped fund the ONC Ambulatory “Meaningful Use” Certification of OpenEMR. He serves as Executive Director of the OEMR non-profit and is the webmaster of the home web page of oemr.org. Dr. Bowen has extensive experience in teaching and public lectures in health and the free open source electronic health record software, OpenEMR.

Samuel T. Bowen, MD Curriculum Vitae 2365 Springs Rd NE, Hickory, NC 2860 Telephone 1-828-325-0950 email : drbowen@oemr.org

Medical Licensure :

1987-05-02 to present : North Carolina, USA #31115

1987-09-016 : Permanent Diplomat American Board of Internal Medicine

Education :

1984-07-01 through 1987-06-30. Integrated Residency in Internal Medicine. University of Texas Affiliated Hospitals, Houston and University of Texas Medical School, Room 1.150, 6431 Fannin Street, Houston, Texas, 77030

1980-09 through 1984-06-02. University of Texas Medical School at Houston, P.O.B. 20708, Houston, Texas, 77025. Doctor of Medicine. Honors in Cardiology, Nephrology, Neurosurgery, Infectious Diseases, Orthopedics, Family Practice, Laboratory Medicine, Clinical Medicine and Behavioral Sciences

1980-05-10 Bachelor of the Arts in Biochemistry Rice University, P.O.B. 2932, Houston, Texas, 77001. Undergraduate research in X-ray crystallography. Research assistant to Florante Quiocho, Ph. D., Howard Hughes Chair of Biochemistry

Employment :

1998-01-05 to present. Physician, General Internal Medicine and Urgent Care, Bowen Primary & Urgent Care, PA, 2365 Springs Rd. NE, Hickory, NC

2003-01-01 to present. Linux Systems Administration, Windows Systems Administration, Network Administrator, Administrator of Electronic Medical Records, Electronic Security Officer, Bowen Primary & Urgent Care, PA. 2365 Springs Rd. NE, Hickory, NC

1991-08-01 through 1999-01-31. Self employed Emergency Room Physician. Main contracts with Sterling Healthcare Group, Coral Gables, Florida

1991-08-01 through 1992-07-31. Charlotte Mecklenburg Hospital Authority. General Internal Medicine at Lake Norman Diagnostic Clinic, Davidson, NC. Supervisor : Peter Anderson

1987-07-03 through 1991-07-31. Solo practice. General Internal Medicine. Lake Norman Diagnostic Clinic, Davidson, NC

1988 through 1991. Medical Director of Meridian Nursing Center, Mooresville, NC

1988 through 1992. Physician Consultant, Medical Review of North Carolina, Charlotte, NC

1979 - 1981, Summer Months. Research assistant to Florante Quiocho, Ph.D., Howard Hughes Chair of Biochemistry, X-Ray Crystallography

Memberships :

1999-09-01 to present. Catawba Valley Medical Center, Fairgrove Church Road, Conover, NC 28601. Active staff, Department of Medicine

1991 - 2000. American Heart Association, Committee on Emergency Cardiac Care. Affiliate Faculty in Advanced Cardiac Life Support and Pediatric Advanced Life Support (1994 – 1999)

Teaching :

2004 to present. Clinical Preceptor – Duke University Family Nurse Practitioner and Adult Nurse Practitioner Programs. Two Outstanding Preceptorship awards : Winston-Salem State School of Nursing, Winston Salem, NC and UNCG School of Nursing, Greensboro, NC

1993-1998. Affiliate faculty member - Catawba Valley Community College. Faculty supervisor : Karen Less, 2550 Highway 70 SE, Hickory, NC, 28602. (Advanced Cardiac Life Support, Pediatric Advanced Life Support, Basic Trauma Life Support)

Public Service :

2010 to present. Founder and Executive Director of OEMR, a tax exempt, non- profit organization that funds and guides the OpenEMR project

2009 to present. Founder and President Board of Directors of Apollo Health Care Cooperative, a non-profit that provides primary care for uninsured patients in Catawba County, NC

2005 to Present. Webmaster, OEMR.ORG, the public web page of OEMR

3-15-2005 to 2010. Founder and President Open Source Medical Software (OSMS) a non-profit organization. Open Source Medical Software is dedicated to the development and promotion of free, open source, medical software (OpenEMR). OSMS has provided guidance and funding to the OpenEMR development community.

1993-98. American Heart Association of North Carolina, Affiliate faculty

Presentations :

2012-02-25 : “OEMR and the OpenEMR Project,” Open Health Tools Board of Directors Conference, Las Vegas, Nevada

2011-09-09 : “Taking OpenEMR to Meaningful Use Certification and Beyond”, Ohio Linuxfest, Columbus, Ohio

2011-08-10 : “ OpenEMR – A Free Open Source Electronic Health Record,” Health Information and Technologies Forum, IT-Ology, Columbia, South Carolina

2011-03-25 : “The Growth and Development of OpenEMR – A Free Open Source Electronic Health Record”, POSSCON, Columbia, South Carolina. Video presentation : http://www.youtube.com/watch?v=XM76...

2010-09-29 : “OpenEMR, An Update on Growth and ONC Meaningful Use”, OSHealthCON, Houston, Texas

2010-07-21 : “Taking OpenEMR, GPL EMR, to ARRA Meaningful Use and Beyond”, OSSCON, Portland, Oregon

2009-08-01 : “OpenEMR Design, Clinical Use and Current Growth,” FOSSHealth, Houston, Texas

Publications :

Bowen, S., et al., Inhibitors of Cholesterol Synthesis. (15-beta-methyl-5-alpha, 14-beta-choles-7-ene-3 beta,15 alpha-diol.) An inhibitor of cholesterol biosynthesis. The Chemisrty and Physics of Lipids. Vol. 46, pages 245-251, 1988

Schroepfer, G., et al.(15-beta-methyl-5-alpha,14-beta-choles-7-ene-3 beta,15 alpha-diol.) The synthesis, structure, and inhibition of sterol synthesis in animal cells. Biochemistry International. Vol. 15, pages 403-408, 1987.