NOSH ChartingSystem

A new open source health charting system for doctors.

NOSH 2.0

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Today, NOSH 2.0 is now pushed out to NOSH-in-a-Box and is ready for launch.  This is the easiest way to install your own NOSH without having to know how to install a Linux operating system, install all the dependencies, and managing databases.  Instructions are here.  If you already have Vagrant installed, here’s the download to the NOSH-in-a-Box Vagrant files.

For those that are technically savvy you can install NOSH on a Linux machine and in the command line,

sudo bash

If you are updating from a previous installation of NOSH,

sudo bash

With the update, you can still use NOSH 1.84 running on nosh-old instead of nosh in your browser’s address bar.

Today I’ll be talking about the most obvious change to NOSH 2 when you look at the demo.

NOSH 2 is now mobile-friendly, meaning that the user interface is optimized for both desktops AND smartphones AND tablets.  No more squinting or zooming to see it.  And since it’s not a dedicated app, it works across most modern browsers irregardless of the device you use.

You’ll also see that some workflows have been re-arranged but simplified and the template engine has been re-engineered with YAML, so a physician can edit the templates through NOSH or on your own with any text editor without causing inadvertent thermonuclear war.  Since each user has their own template, they can share their templates with others through a simple YAML text file (which I hope can be shared through a GitHub-like repository).  I call it NOSH on YAMl (or yams are tasty).


A lot of design emphasis for NOSH 2 was on being able to quickly get to the tasks that physicians and patients use regularly.  Less clicks to get work done.  A patient timeline is the first thing a user sees when they go to a patient’s chart.  This new version of the timeline fits in with the new user interface.  Everything is seamless and integrated.  Nothing looks out of place with clean lines and consistent and clear buttons.  No need for a user manual.  No hidden tricks, which is just the way I like it as a practicing physician. For patient’s the patient portal has been completely reworked with more power to the patients with medication/problem list/medical history editing and reconciliation with your physician.  Next week, I’ll get to indulge a little of how NOSH 2 was built as well as my companion project, HIE of One.  Have a great weekend!


Author: shihjay

I am a family physician and previous medical director for a child abuse assessment center. I am now promoting my new electronic health record system (NOSH ChartingSystem) that I have developed and used for myself in my private practice since 2010 and now I want to share it to the rest of the doctoring world.

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