I often ask myself the question if it is the time for a new kind of software for healthcare. America and others are investigating if Open Source software is an option for EHR Systems. I think the question should be different.
In the Netherlands hospitals are doubting if they should develop their own software or if they should buy a complete solution like McKesson Horizon, Alert, Epic, iSoft Lorenzo, Microsoft Amalga or Siemens Sorian.
They should not be looking for a complete EHR system in the commercial nor the open source space. They should ask/look for framework software that delivers all the basic functionality that healthcare providers need. They should not be forced in processes that happen to be implemented in the software. The software should support their own processes and way of work. The software should be flexible and help them.
I think you will always be developing your own solutions, so you need more than just a programming language or framework like Java or .Net. You will need a healthcare framework that understands the basis healthcare information concepts like Detailed Clinical Models, Care Pathways, Clinical Research Queries, etc.
It should be a Clinician Desktop.
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