Tim Churches wrote:
>  
> Personnally I am dubious that a volunteer-only, "traditional" open source 
> project, as GNUmed has been, can succeed in creating a 
> production-readyhigh-quality primary care EHR/EMR in a reasonable timeframe 
> (or any timeframe). All of the extant, in-production open source EHR/EMR 
> systems have been funded projects with a core of full-time developers, aided 
> and abetted by volumteers and supporters.
>   
That's true, but two points:
1/ Currently funded or volunteer-only is really a hypothetical question
as there is no funding.
It would be a fairly major ideological shift for our government to
intervene in the market (such as it exists)
and fund an opensource EHR.
2/ Is an EHR more or less complicated than a Unix kernel?
[Torvalds' advantage was the requirements of the system were fairly well
specified when he started,
we have to do requirements as well. However, you can't professionalise
out the requirements phase anyway.]
> I suppose I am a bit unclear what "our situation", as you put it, actually 
> is. 
I think our situation is a group of clinicians who want to see an
open-source EHR in Australia,
with some idealism, but largely for solid pragmatic reasons, who can
either wait a very, very long time
for Government/Divisions/vendors to 'do something' or take the
initiative ourselves (I agree this
in no way preclude a formal structure coming in later)

Ian
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