On Thursday 21 September 2006 17:55, Peter Machell wrote:
> Unless I am reading the context incorrectly, the current discussion
> is all about the desire for an open EHR, not necessarily a better
> one. For those willing to pay a bit more than the market leader's
> rates, there are already very good products available, that have (I'm
> guessing) 95% of users 95% satisfied.
While for a very few people (like me) openness in itself equals "better",I
have the feeling most are more pragmatic.
What I want:
1.) a ***guarantee*** that I still will be able to use my EHR software when
- the vendor disappears from the market
- the currently supported hardware platform becomes obsolete
- the currently supported software platform becomes obsolete
2.) a ***guarantee*** that if I feel some changes to the software are
necessary to fulfill my needs, they ***can*** be done at a reasonable price
Those two points will only be fulfilled if the EHR does not depend on any 3rd
party tools or modules that don't fulfill 1 + 2
3.) I am used to a particular software platform that allows unparalleled ease
of administration - I want my EHR software to run on that platform. But if
one day I change my mind and prefer another (comparable) platform, I want a
***guarantee*** that this can be done at a reasonable price
4.) I want to be able to reliably back up my EHR while it is in full use
without depending on any third party tools that may or may not become
obsolete or unsupported
4.a) The EHR data storage has to be replication-able without depending on any
third party tools that may or may not become obsolete or unsupported
5.) I want to be able to remotely access my EHR without need for any 3rd party
tools that may or may not become obsolete or unsupported or of dubious
security
6.) I want to be able to freely data mine my EHR as I see fit without any
restrictions by the vendor
7.) I want to be able to export any record or ***batches of records by my
selection criteria*** in a well defined open format any time I want
8.) I refuse to be forced by my EHR to unethical behaviour like watching drug
advertising at prescribing time or similar unacceptable user coercion
9.) I want my software to adapt / be configurable to my preferred workflow on
a *per user* basis, because I know the doctor next room has different
preferences
10.) I want to be able to outrightloy purchase this software without being
locked into any contracts (one-off payment) - if I want support I must be
able to purchase it, but must not be forced to do so. I see no reason to pay
a fixed yearly fee - I want to pay if and when I want more features or
support etc.
See, it is not that much features what I want. I want guarantees that I can
trust my EHR - that it still will be there tomorrow when I need it, that it
works as intended or can be made to work as I need it, and that my data
survive a disaster.
If you can point me out to a single system that fulfills these simple
criteria, I'll be happy and shut up.
Horst
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