TY - JOUR
T1 - Implementation of an Open-Source Electronic Health Record for Decision-Support Education in Medical Informatics
AU - Medlock, Stephanie
AU - Schermer, Roland
AU - Cornet, Ronald
N1 - Funding Information: The authors would like to thank the project funder, the Netherlands Initiative Education Research Comenius program, project number 405.18865.274. Publisher Copyright: © 2020 European Federation for Medical Informatics (EFMI) and IOS Press. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/6/16
Y1 - 2020/6/16
N2 - Access to electronic medical record systems is limited in many medical informatics education programs. The objective of this study was to inventory open-source patient record systems with decision support capabilities, implement a system for educational use, and test the effect of the system on students' learning. We sought systems that were under active development, with source code available, having an SQL-queryable database, and having decision support capabilities. We identified 20 candidate electronic health record systems, of which 6 mentioned decision support capabilities in their documentation. Of these, the OpenMRS system appeared to meet all of the requirements for use in our course; however, decision support capabilities needed to be added by use of a custom module implementing Arden2Bytecode, an Arden Syntax interpreter. Students who used this system showed an improvement in their knowledge of decision support systems and their capabilities. We conclude that there are a number of promising open-source electronic patient record systems currently under active development, but decision support capabilities are still immature. We anticipate further developments in this area in the coming years.
AB - Access to electronic medical record systems is limited in many medical informatics education programs. The objective of this study was to inventory open-source patient record systems with decision support capabilities, implement a system for educational use, and test the effect of the system on students' learning. We sought systems that were under active development, with source code available, having an SQL-queryable database, and having decision support capabilities. We identified 20 candidate electronic health record systems, of which 6 mentioned decision support capabilities in their documentation. Of these, the OpenMRS system appeared to meet all of the requirements for use in our course; however, decision support capabilities needed to be added by use of a custom module implementing Arden2Bytecode, an Arden Syntax interpreter. Students who used this system showed an improvement in their knowledge of decision support systems and their capabilities. We conclude that there are a number of promising open-source electronic patient record systems currently under active development, but decision support capabilities are still immature. We anticipate further developments in this area in the coming years.
KW - Clinical
KW - Decision support systems
KW - Electronic health record
KW - Free and Open Source Software
KW - Medical informatics education
UR - http://www.scopus.com/inward/record.url?scp=85086886333&partnerID=8YFLogxK
U2 - https://doi.org/10.3233/SHTI200308
DO - https://doi.org/10.3233/SHTI200308
M3 - Article
C2 - 32570528
SN - 0926-9630
VL - 270
SP - 981
EP - 985
JO - Studies in health technology and informatics
JF - Studies in health technology and informatics
ER -