Live! Clinic Indianapolis, IN, USA Jan 2008 - PatientOS

PatientOS

Electronic Medical Record

http://www.patientos.org

Overview

•
Background

•
PatientOS v0.89 Features

•
Development RoadMap

•
Technical Architecture

•
Live Demo !

Patient
O
S

v0.89

•
O
pen
S
ource healthcare information system

–
GNU Public License v3

•
Features

–
Registration, Scheduling, Reminders, Patient Lists.

–
Lab result viewing, flowsheet (observation) viewing.

–
Clinical and Administrative Forms, Templates.

–
Physician Order Entry, Prescription Writing.

–
Clinical Documentation
–

Inking, Multimedia.

–
HL7 Interfaces
–

ADT, Orders, Results, Observations, Charges.

–
Patient Portal and Email integration.

–
Custom reports, batch jobs, data mining.

Roadmap

•
Release early, release often

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Version 0.12 Nov 2007

Registration & Scheduling

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Version 0.4 Jan 2008

Email/Results Portal

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Live! Clinic Indianapolis, IN, USA Jan 2008

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Version 0.51 Feb 2008

Clinical Forms

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…

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Version 0.89 Jan 2009

Multi
-
facility implementation started NM, USA

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Version 1.0 Feb 2009


Physician Office Billing and Claims

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Summer 2009


Rehab & Long Term Acute Care Hospital go live



Technical Architecture

•
Deployment

•
Logical

•
Differentiation

Distributed System

Database Server

ApplicationServer(s)

Hibernate (JDBC)

Fat Clients

RMI over TCP/IP

Windows Linux

JBoss


PostgreSQL


Thin Clients

X
-
Win NxClient


Patient Portal

Mirth

Oracle (future)

Solaris


Mac


Terminal Services

External Systems



Layered Architecture

Data

DB

Hibernate

JDBC

PatientOS Data Access

Reports

Mirth

PatientOS Business Logic

PatientOS Domain Models
..

Business Logic

PatientOS Service Layer

PatientOS Service Facade

Presentation

PatientOS Dynamic MVC

Service Orientated

Data

Business Logic

Presentation

B I L L I N G

C L I N I C A L

M E D I C A T I O N

O R D E R S

R E G I S T R A T I O N

R E P O R T I N G

S C H E D U L I N G

S E C U R I T Y

S Y S T E M

Key Benefits of Architecture

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Rich User Experience

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UI without web client limitations

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Flexibility

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Admins learn tools not code

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Admins can customize any form, menu, toolbar

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Simpler to translate

•
Manageability

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350,000 lines of code

•
Scalability

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Distributed processing

•
Stability

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Pure Java solution , code generation, key design patterns


Demo

–
Registration, Scheduling, Reminders, Patient Lists.

–
Lab result viewing, flowsheet (observation) viewing.

–
Clinical and Administrative Forms, Templates.

–
Physician Order Entry, Prescription Writing.

–
Clinical Documentation
–

Inking, Multimedia.

–
HL7 Interfaces
–

ADT, Orders, Results, Observations, Charges.

–
Patient Portal and Email integration.

–
Custom reports, batch jobs, data mining.

openEHR Integration

Custom Designed Software

•
Unlimited number of forms can be created using the Form Editor.

•
Unlimited number of orders, appointment types, resources, or any other entity can be created using the
respective Editor.

•
Every menu and toolbar can be customized per user, per role, per group using the Form Editor.

•
Every view, table, form, controls can be customized per user, per role, per group using the Form Editor.

•
Custom controllers available to fulfill elaborate workflow requirements.

Inpatient Example
–

Select Patient

Open Chart
–

Quick Access to Form

Generic Admission Assessment

Arrival

Presenting Complaints

History
-

Current Medications

History
-

Vaccines

Legal

Social

Examination

New Medications