We are a non-profit Healthcare organization for public health domain in West Bengal, India and realized that we will require a healthinformatics platform for efficiency. We also realized that we will like to have a opensource platform for two reasons- a) Financial reason to keep the cost minimal and b) Customize it for Indian public health domain.
We have been introduced to openEMR through a volunteer. We have a very specific fundamental question about OpenEMR, regarding sharing data across multiple clinics (facilities)
We will be implementing OpenEMR in multiple clinics which are in different part of the state. All these clinics are seperate entities and though for medical reason they may refer a patient to another clinic but they are essentially seperate clinics. Due to resource constrains (manpower, server, security), we cannot install multiple openemr for each of the clinic spererately. We have to install openemr in one central server at one of the central clinic (located centrally in Kolkata and thus having IT resource availability). From the other facilities the users will connect to this central OpenEMR server using browser from their computer. We will be using the SWAN (state wide area network), which is put in place by the state govt. for e-governance for connection. This is still under discussion.
To do a trial, we installed openemr , then we had setup two such clinics as facilities .We had setup some patients also. Then we realized that , though we can have different types of users (Clinician, Nurse, Physician, receptionist, clerk) using the ACL feature, but the users in both these locations can see all the patient data.
In reality, these hospitals are totally different facilities and they should not see each other’s patient , doctors etc from an ethical, legality perspective. The admin user (which will be the IT admin in the central location) may be allowed to see all patient data, but the hospital users and the doctors should not see each others patient data and/or doctor’s data, schedule etc.
So here are some specific questions:
Can the admin assign doctor and patients to a specific Facility, so only doctors in that facility can see the data of the patients in that facility?
Can the admin assign a patient to a specific doctor/hospital so that only this doctor can view and edit this patients data?
Can the admin assign other users (such as receptionist, clerk) to a specific facility , so that they can see/create schedule appointment for doctor and patients associatied with that facility only?