Abstract

In this manuscript, we examine the ways in which the members of the ecosystem surrounding an open source software (OSS) based EHR system impact the quality and success of the resultant implementation. Following a brief theoretical review, we provide narratives of successful OSS-based EHRs at three US hospitals, followed by a brief discussion of the contributions and effects of the open source ecosystem that differ from those expected in proprietary EHR installations.

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Impact of Software Ecosystems on the Implementation of Open Source-Based Electronic Health Record Software

In this manuscript, we examine the ways in which the members of the ecosystem surrounding an open source software (OSS) based EHR system impact the quality and success of the resultant implementation. Following a brief theoretical review, we provide narratives of successful OSS-based EHRs at three US hospitals, followed by a brief discussion of the contributions and effects of the open source ecosystem that differ from those expected in proprietary EHR installations.