Install OpenEMR on Google Cloud - possible?

afrimd wrote on Thursday, September 26, 2013:

Dear all,

New on the forum and to OpenEMR so apologies if my question is lame - but is it possible to use Google’s Cloud services for OpenEMR hosting?

Kind regards

AFRIMD

yehster wrote on Thursday, September 26, 2013:

Doubtful. Google’s cloud platform doesn’t look like it’s a standard Apache/MySQL/PHP stack.

App Engine provides a range of options to store your data. The App Engine Datastore is schemaless and is used to store non-relational data. Google Cloud SQL provides a relational SQL database based on MySQL. Google Cloud Storage provides storage for objects and files up to terabytes in size.

Any reason why you want to use Google in particular?

afrimd wrote on Thursday, September 26, 2013:

Thanks for the clarification, Kevin!

No particular reason for wanting to use Google, I was just thinking it would be a cheap, fast and reliable solution…

What is the “hosting of choice” these days? Reliability and fast access from several regions in the world (especially East Africa) is really important.

yehster wrote on Thursday, September 26, 2013:

Ideally, you want a provider that gives you virtual private server running an operating system you are comfortable with. I know nothing about the implications of running in East Africa, so you are going to have to do your own research.

afrimd wrote on Thursday, September 26, 2013:

Well, hosting on the African continent is not really on the table, due to potential problems with reliability…

Was just wondering if there were people here on the forum who have a solution they know will work and is not too expensive.

I have read the previous threads here, and almost every time the answer is from a commercial company wanting to promote their particular product, which is not exactly what I am looking for.

Best,

afrimd wrote on Thursday, September 26, 2013:

More specifically, we are working to set up a an EHR solution for a large number (50-100) of individual (mostly charitable) health clinics.

We need to be able to have a separate system for each institution with a structure to do clinical guidelines, quality assurance, statistics, and financial management in one central location.

Any hints would be greatly appreciated!

cmvincent wrote on Thursday, September 26, 2013:

Rackspace could be an option. You could have separate databases for each clinic or maybe groups of clinics (you say “individual” but does each clinic have to be separate or can you combine some into a single database?)

Depending on usage, Rackspace might only be about $45/month. And you might want to think about 2 separate VPSs; they have physical locations in Dallas Texas and Chicago Illinois.

openemrdev wrote on Thursday, September 26, 2013:

Hi AfriDoc

Amazon provides free VPS for first one year.After one year you can pay per usage.Please check this link

http://aws.amazon.com/free/

http://aws.amazon.com/free/faqs/

Please let me know

openemrdev@gmail.com

deepakmca05 wrote on Thursday, September 26, 2013:

How about hosting it to Amazon EC2 servers , though Amazon does not have
any regions in Africa where they have DC ?
I can also see lot of hosting service providers in Africa but not sure if
these providers have got DC in and around Africa.

Thanks
Deepak

On Thu, Sep 26, 2013 at 8:56 PM, AfriDoc afrimd@users.sf.net wrote:

Well, hosting on the African continent is not really on the table, due to
potential problems with reliability…

Was just wondering if there were people here on the forum who have a
solution they know will work and is not too expensive.

I have read the previous threads here, and almost every time the answer is
from a commercial company wanting to promote their particular product,
which is not exactly what I am looking for.

Best,

Install OpenEMR on Google Cloud - possible?https://sourceforge.net/p/openemr/discussion/202504/thread/df718754/?limit=25#1e5f

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Deepak Sharma
http://www.linkedin.com/in/rikindia

afrimd wrote on Thursday, September 26, 2013:

Thanks - both Amazon and Rackspace look really good.

Is it correctly understood that with the Amazon solution you have full autonomy of your server and that there are no crafty limitations in number of domains, MySQL installations, etc. - you just pay for your actual usage of data and services…?

deepakmca05 wrote on Thursday, September 26, 2013:

Yes.
Amazon works on Pay as you go.
They will charge you only for the resources that you use for specific time
period.

Thanks
Deepak

On Thu, Sep 26, 2013 at 10:02 PM, AfriDoc afrimd@users.sf.net wrote:

Thanks - both Amazon and Rackspace look really good.

Is it correctly understood that with the Amazon solution you have full
autonomy of your server and that there are no crafty limitations in number
of domains, MySQL installations, etc. - you just pay for your actual usage
of data and services…?

Install OpenEMR on Google Cloud - possible?https://sourceforge.net/p/openemr/discussion/202504/thread/df718754/?limit=25#ed04

Sent from sourceforge.net because you indicated interest in
OpenEMR / Discussion / OpenEMR Users

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Deepak Sharma
http://www.linkedin.com/in/rikindia

yehster wrote on Thursday, September 26, 2013:

It’s not really practical to “start and stop” an OpenEMR server “on demand” though. It’s likely you are going have whatever Amazon instance type you choose running 24/7/365.

afrimd wrote on Thursday, September 26, 2013:

Hi Kevin,

What does that mean in practice, in terms of use of resources/price?

yehster wrote on Thursday, September 26, 2013:

It means if you want to estimate costs on Amazon with their price calculator
http://calculator.s3.amazonaws.com/calc5.html
Put 100% as the utilization/month.

mdsupport wrote on Thursday, September 26, 2013:

Amazon’s model is tuned to maximum use of resources - bandwidth and processor. You may not have much control over bandwidth but carefully look at your permissible usage times. If you want the application to be up 24x7x365 you have maximum cost. But if clinics are using the system 6 days a week between 9am to 7pm, you can reduce cost by ‘shutting down’/letting amazon take your instance offline. Also find the hosting zone with time difference working in your favor.

fsgl wrote on Thursday, September 26, 2013:

You may be interested in the experience of Siaya District Hospital in Kenya or contacting either HealthIT Kenya or Shine Web Technologies Ltd, both vendors based in Mombasa.

cverk wrote on Friday, September 27, 2013:

I use Amazon S3 for backup and it has worked very well. I have not tried yet to run a server there, but you might look up Turnkey Linux LAMP stack which seems like it could meet your needs.

afrimd wrote on Saturday, September 28, 2013:

Thank you all -
The implementation they’ve done at Siaya sounds very interesting. Anybody knows what extensions and modules have been used to tailor OpenEMR to an inpatient setting?

fsgl wrote on Saturday, September 28, 2013:

Yudhvir Singh Sidhu, (408 677 7660 cell) of MediGrail, was in charge of the project from the US side. He would have all the technical information. Since they do pro bono work, perhaps that can enter into your conversation with him. He appears to have an association with United Sikhs.

Dr. Omoto Jackton, (telephone +254-721-761484), is the Hospital Superintendent.

Best of luck with your endeavor.