Thou shall build a computer system that can evolve in a graceful fashion
As in my previous post, NOSH ChartingSystem is completely based on open source components. It is built on a language that many software and web programmers are familiar with. It is built to evolve over time as features are added as the field of medicine will also evolve. The open nature of the system allows others to look at the system without violating licensing and user agreements. Furthermore, if you install NOSH ChartingSystem on an open-source platform like Ubuntu, you are also supporting this ever improving operating system (they just released their new version today!). This is in stark contrast to EHRs that are secretive in how it is built and is restricted in what type of operating system or hardware it can be installed on (some EHRs still will not work or not suggested to be installed on Windows 7 – we’re almost onto Windows 8!!!). You can install NOSH ChartingSystem on a home-built desktop computer or on the cloud (like an Amazon EC2 instance). It is extremely scalable and amazingly versatile.