# OpenEMR — Open-Source Electronic Health Records System

> ONC-certified electronic health records and medical practice management solution. Supports patient scheduling, e-prescribing, billing, clinical decision rules, and multilingual interfaces for clinics of any size.

## Install

Save as a script file and run:

# OpenEMR — Open-Source Electronic Health Records System

## Quick Use
```bash
git clone https://github.com/openemr/openemr.git
cd openemr/docker/development-easy
docker-compose up -d
# Open http://localhost:80 — default login: admin / pass
```

## Introduction
OpenEMR is the most widely adopted open-source electronic health records (EHR) and practice management system. It is ONC-certified, HIPAA-compliant-ready, and used by healthcare facilities in over 100 countries, from solo practitioners to multi-site clinics.

## What OpenEMR Does
- Maintains patient demographics, medical history, and problem lists in structured records
- Manages appointment scheduling with provider calendars and patient reminders
- Handles medical billing with CPT/ICD coding and claim generation (CMS-1500, X12 837)
- Supports e-prescribing and medication management with drug interaction checks
- Generates clinical reports, growth charts, and immunization records

## Architecture Overview
OpenEMR is a PHP application running on Apache or Nginx with a MySQL or MariaDB database. The frontend mixes server-rendered PHP pages with modern JavaScript components. FHIR R4 APIs expose patient data to external systems. The codebase is organized into modules: demographics, encounters, billing, scheduling, and reporting, each with its own controllers and templates.

## Self-Hosting & Configuration
- Requires PHP 8.1+, Apache/Nginx, and MySQL 8.0+ or MariaDB 10.6+
- Docker Compose provides a quick development and testing environment
- Run the browser-based setup wizard to configure database and admin credentials
- Configure SSL, SMTP, fax integration, and telehealth settings via the admin interface
- Periodic database backups are essential for HIPAA compliance

## Key Features
- FHIR R4 and SMART on FHIR APIs for interoperability with other health systems
- Clinical Decision Rules engine for preventive care alerts
- Patient portal for appointment requests, messaging, and record access
- Multi-site support to run separate clinics from a single installation
- Over 30 language translations available

## Comparison with Similar Tools
- **Epic** — enterprise proprietary EHR; OpenEMR is free and self-hosted
- **GNU Health** — health and hospital IS focused on public health; OpenEMR targets ambulatory care
- **LibreHealth EHR** — fork of OpenEMR with a smaller community
- **Oscar EMR** — Canadian-focused; OpenEMR has a broader international presence

## FAQ
**Q: Is OpenEMR HIPAA compliant?**
A: OpenEMR provides the technical safeguards; compliance also requires proper administrative and physical policies at the facility level.

**Q: Can it integrate with labs and pharmacies?**
A: Yes. OpenEMR supports HL7 lab interfaces and e-prescribing via Weno or NewCrop.

**Q: Is there commercial support?**
A: Several vendors offer paid hosting, implementation, and support services for OpenEMR.

**Q: Does it support telehealth?**
A: Yes. Built-in telehealth features allow video visits directly from the patient portal.

## Sources
- https://github.com/openemr/openemr
- https://www.open-emr.org/

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Source: https://tokrepo.com/en/workflows/7efedb5b-44d2-11f1-9bc6-00163e2b0d79
Author: Script Depot