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Michael Chen
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I'm a board-certified family physician who also developed an open-source electronic health record system for physicians.
I'm a board-certified family physician who also developed an open-source electronic health record system for physicians.

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Here’s what I wrote in a Doximity feed after reading comment after comment of physicians lamenting the state of EHRs.  I wish I could copy these comments but I think it’s closed to only clinicians so I won’t try to post or link it here.  The short of it…

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Dr. Matthew Hahn writes on his blog page about the current state of today’s EHR’s and rightly points out many of the same reasons that I have identified in my previous posts: The negative impact of Meaningful Use (MU) since 2009 Poor usability of EHR’s In…

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In Dr. Jacob Reider’s blog post, which was posted a The Health Care Blog on April 3, 2017, he posits that: “I disagree with the growing meme that ONC has broadened its certification scope too far.” He argues that the before the time of Meaningful Use and…

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One of the noticeable changes with NOSH 2.0’s encounter layout is the presence of the SOAP note.  For those not in the medical field, SOAP stands for Subjective, Objective, Assessment, and Plan.  It’s a very simple, clear way of noting an encounter, both…

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Mazen Elkurd, DO, a neurology resident at Georgetown University, recent generated a post on KevinMD about how “Medicine is Stuck in the Dark Ages.” He speaks about how technologies are so far behind in the field of medicine and rightly points at some of…

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NOSH 2.0 has been redesigned from the ground up, starting with the use of Laravel 5.3 as the PHP framework.  This is a huge step up from Laravel 4.2 which was the foundation for NOSH 1.84 and has allowed better support for modern extensions including…

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Today, NOSH 2.0 is now pushed out to NOSH-in-a-Box and is ready for launch.  This is the easiest way to install your own NOSH without having to know how to install a Linux operating system, install all the dependencies, and managing databases.…

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Lots of important and exciting changes are coming to NOSH soon.  But before I present more posts about this, I’d like to take a moment to vent based on the recent developments in the ONC/Meaningful Use/MACRA/Primary Care/ACA world.  In my view, these…

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A lot has been discussed about MACRA lately and the potential impact on physicians and the EHR marketplace.  The post-mortem analysis about the Meaningful Use legislation has primarily focused on the critique that there were too many metrics for…

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Great experience buying from Ron Tonkin Mazda for our brand new Dynamic Blue CX-3 GT!
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