As a midwife, I regularly see people in their own home for prenatals and, of course, births. I am currently experimenting with Open EMR for use in my practice and decided to try to enter a new encounter with a service location of “Client’s home.”
I have three service locations set up: my office, a birthing center, and home.
Whenever I open a new encounter and try to use “Client’s home” as the service location, I get an error message:
My working as a general physician also includes also pregnancy controls and delivery. I would like to discuss this with a personal one- to one base before I try to convince any developer to make something in which we can include the WHO rules for pregnancy controls, like measure the fundal height, fetal heart rate, edema etc.
My computer (Mac OS X 10.5 using Safari) extracts files immediately after download, so the extracted folder was in my Downloads folder. I opened the folder and drug the individual folders to the openemr directory and told it to replace existing files. The only one that had a problem with permissions was the “interface” folder, so I changed the permissions and replaced the folder as I had with the rest.
I went to Safari, typed in the patch url (adjusted for my directory) and hit enter. I think I had to try it a couple of times before I got it to work, but don’t remember exactly what the problem was. I’m guessing it was the url.
I checked to see if I had the tmp-upload (or whatever) folder that should be deleted, but there wasn’t one so I proceeded to try to go to my usual login page: openemr-4.1.1/interface/login/login etc. I actually use the history list in my URL space to avoid typing everything in. I get the error message.
When I go to the “interface” folder, there is no “login” folder anymore. I can’t find anything but a login.php file in the main openemr directory, and that doesn’t work (http://localhost/openemr-4.1.1/login.php).
OpenEMR is installed on my Macintosh computer that I am using to do all this (obviously). It has worked fairly well up to this point and I have only been tinkering with it to see if it might be useful in my practice.
I don’t use a Mac, but my guess is that you may of completely replaced your openemr directories with the patch directories that you moved over(note the patch only contains about 50 or so total files that have been modified). The patch is supposed to be placed into your main openemr directory and then uncompressed. If you have a backup, then should revert to it and install the patch by instead copying it to the openemr-4.1.1 directory and then expanding it there. If you don’t have a backup, but haven’t installed any patient documents, then you could do what you did to install openemr 4.1.1, except don’t run the setup.php script and modify the sites/default/sqlconf.php file with your openemr database credentials and change the flag near the end of the file surrounded by a bunch of stars to 1. Or if there is no data that you are concerned about, you could remove the openemr sql database and re-install.
And when you do the url for the patch from your browser in the future, it should be openemr-4.1.1/sql_patch.php
hope this helps to get you on the right track,
-brady OpenEMR
Ok, well, I have no idea how to prevent a file from extracting during the download. Like I said, I click on the patch link, and it downloads and extracts at the same time so I never even see a .zip file. I’m sure there’s a setting somewhere, but whatever! Lol.
So, I guess I need to just remove the database and reinstall it since I’m not concerned about the data I had entered. I would appreciate help with that, or a link to directions if you have it. I promise I’ll follow them to a “t” this time. ;-)
You know what, Brady, thanks for your help, but I think I’ll just forget about using OpenEMR. I just don’t have the time to do the technical stuff and tinkering that this program requires.
Most EHR programs are way more than what I need for my very limited and specialized practice (no Rx, simple referrals, pregnancy vitals are different than just wt., BP, temp, pulse and resp, etc) and I have other usable options for right now (paper, simple database).
I’m guessing that on my Mac I can simply move the OpenEMR directory to the trash to uninstall it? It’s been fun. I’ve learned a lot, but I really do have other things to do.
As you noted, there is a bit of a learning curve especially if you plan on doing it all yourself. It’s definitely not a point and click application to install locally as you are doing and there are still things like managing backups etc… Some of the vendors (I am just a volunteer on the project) offer hosting and customization (guessing to get what you want would be some very minimal customizations on the vitals form), which is definitely the easier route (albeit, no longer free): http://www.open-emr.org/wiki/index.php/OpenEMR_Professional_Support
If you do decide to try it out again in the future, please always feel free to continue asking questions on the forums.
it is a pity you leave us. You were just supposed to help us find a way for more customisation-options and a new group of users. I am willing to write some kind of WIKI Page to include problems encountered by midwives and extra’s needed to make OpenEMR a program for your profession. Do you know there is a module in Open EMR for IPPF (International Planned Parenthood Federation……. for contraception and more? This is one of the features available since beginning of OpenEMR. It is one click away to get this working.
QUESTION: Did you get OpenEMR working? So I can ask you…. what do you miss and what do you want to make invisible since it is redundant for your practice?
If you go back to a simple database and paperwork, you should give our community some time to get you involved, it really seems a waist of time working on paper when you have a computer and Internet connection…
Please take some time to give us a little more feedback with the problems you encountered. So we can make a better product and have the option to include also the midwives as our MEDICAL professional-users.
I have only found this site today and just read thru the introduction, but it sounds like this doctor has some great ideas about the particular needs of maternity care providers in regards to using computers to eliminate human error and collect necessary data while recognizing the wide-spread benefit of open source IT. He includes midwives (as he is in the UK) in his consideration of this topic.
I would be happy to give you my input on the types of data I now collect and what I would LIKE to collect, and what I don’t need. But these could be different for another midwife. I really think that Dr. Fawdry has laid quite a bit of groundwork in this area, so anything I could offer would be attempting to reinvent the wheel.
