OpenEMR Admin Meeting Notes - 2026-04-14

FHIR APIs: CDX has a PR (11507) adding a number of FHIR write endpoints. Looking for any possible history as to why this doesn’t already exist. Some of it comes to the audit process, notably patient records going to the right place. Est. $80k+ in dev costs. There’s a lot of complexity that comes out of this in terms of audit trails and such.

Discussion around FHIR expanded to adjusting patient data storage, improving versioning, database/data structure refactoring, document storage, and more.

Ensora: aim to move into a module, along with all other vendor-specific code. There may be some external confusion about what we can and can’t do here as OSS

Required modules for ONC: EMR direct, Care coordination

Next week:

  • Can Milan cover OIDC work?
  • Session Migration updates?
  • Webpack updates to replace gulp
  • Calendar twig migration

Time-permitting, I’d like to discuss encryption and audit logging systems more as well at the next meeting. We’ve got circular dependencies between sessions, SQL/event logging, cryptographic key management, DBAL, and more. Breaking this circle unblocks a lot of improvements we’ve been moving towards.