OpenEMR is a Free and Open Source electronic health records and medical practice management application

Last update: May 18, 2022

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OpenEMR

OpenEMR is a Free and Open Source electronic health records and medical practice management application. It features fully integrated electronic health records, practice management, scheduling, electronic billing, internationalization, free support, a vibrant community, and a whole lot more. It runs on Windows, Linux, Mac OS X, and many other platforms.

Contributing

OpenEMR is a leader in healthcare open source software and comprises a large and diverse community of software developers, medical providers and educators with a very healthy mix of both volunteers and professionals. Join us and learn how to start contributing today!

Already comfortable with git? Check out CONTRIBUTING.md for quick setup instructions

Support

Community and Professional support can be found here.

Extensive documentation and forums can be found on the OpenEMR website.

Reporting Issues and Bugs

Report these on the Issue Tracker. If you are unsure if it is an issue/bug, then always feel free to use the Forum and Chat.

Reporting Security Vulnerabilities

Send an email to [email protected] . If possible, please encrypt your email via PGP with this public key.

API

Check out API_README.md

Docker

Check out DOCKER_README.md

FHIR

Check out FHIR_README.md

For Developers

If using OpenEMR directly from the code repository, then the following commands will build OpenEMR (Node.js version 12.* or 14.* is required) :

composer install --no-dev
npm install
npm run build
composer dump-autoload -o

Contributors

This project exists thanks to all the people who have contributed. [Contribute].

Backers

Thank you to all our backers! πŸ™ [Become a backer]

Sponsors

Support this project by becoming a sponsor. Your logo will show up here with a link to your website. [Become a sponsor]

License

GNU GPL

GitHub

https://github.com/openemr/openemr
Comments
  • 1. Bootstrap project (all encompassing)

    Continued from prior PR (see there for details): https://github.com/openemr/openemr/pull/2809

    Related Issue discussion here: https://github.com/openemr/openemr/issues/2807

    To test out the new features coming from this pull request, a demo is available on the OpenEMR website: https://www.open-emr.org/wiki/index.php/Development_Demo#Gamma_-_Up_For_Grabs_Demo

    @bradymiller will keep this PR branch updated intermittently via merges from upstream/master

    Primary work by @tywrenn (will get primary credit/authorship when go into codebase)

    Reviewed by bradymiller at 2019-12-05 01:42
  • 2. Update to newest Bootstrap 4

    This has been pushed back for 4 years (as the latest revision we are on is from 2015) and it has now come to the time to address it - we should now begin updating to Bootstrap 4. This will take awhile as some frameworks may break during this transition to Bootstrap 4.

    New things expected with Bootstrap 4:

    • Bootstrap 4 uses flexboxes instead, making content spacing act different than Bootstrap 3
    • Glyphicons are no longer implemented in Bootstrap and should be replaced with the FontAwesome framework as recommended by Bootstrap (FontAwesome can be installed here)
    • Navbars are now using flexbox as well and may behave differently
    • Tons of new components were added to Bootstrap 4, including some great utility CSS classes like w-50 to turn the width to 50%
    • Bootstrap 4 no longer supports IE8 or IE9 with this transition (yet it's best to transition away from Internet Explorer anyways)
    • Offsetting columns were renamed. e.g. Bootstrap 3 says col-md-offset-4 while Bootstrap 4 says offset-md-4 For some more differences between the two frameworks, check out this article. If anyone is having any issues with any Bootstrap code contact me.

    This issue is being actively sponsored by PEER Technologies PLLC.

    To Do List:

    • [x] Replace Old Code: Replaced pull-left and pull-right with new float-* class
    • [x] Replace Old Code: Removed outdated col-xs-* and replaced with new col-* class
    • [x] Replace Old Code: Removed outdated col-*-offset-* class format with new offset-*-* class format
    • [x] Replace Old Code: Replaced table-condensed class with table-sm
    • [x] Replace Old Code: Replacedbtn-xs class with btn-sm
    • [x] Replaced the well class with the jumbotron class as wells aren't supported anymore (This can also be fluid with jumbotron-fluid)
    • [x] Signer API fixed from migrating to Bootstrap 4
    • [x] Redesigned OpenEMR themes to work around Bootstrap 4 (using docs on themes)
    • [x] Replaced most theme colors with Bootstrap colors
    • [x] RTL works fine
    • [x] Reformatted CSS and JS files from /interface/modules/zend_modules/public

    Things I will need help from the OpenEMR community in:

    • [ ] Replace outdated inline CSS styling with new Bootstrap variables
    • [ ] Help with fixing nav-pills as most of these navigations are using very outdated code that might break if changed
    • [ ] Help with replacing visible-* classes as they aren't supported anymore
    • [ ] Help sorting out CSS and SCSS conflicts while merging things into the core CSS
    • [ ] Angular dependency BS4 update. (Not gonna do, must update angular first using upgrading guidelines.
    • [ ] Other code fixes.

    Things that will be in a separate pull request in the future:

    • Moving MedEx CSS into core themes
    • Removing outdated CSS and JS files from /interface/modules/zend_modules/public
    • Adding more themes
    Reviewed by tywrenn at 2019-11-20 18:33
  • 3. Issues tracking for QRDA CAT III Cypress testing.

    Describe the problem

    Here we'll keep up with Cat3 issues and triumphs. To start us off we have some validation error to get out of the way first!

    CMS125v10 all patients for aggregate. Just a few of the errors to get idea of hurdle though it is only a couple propagated over 66 patients.

    image

    Reviewed by sjpadgett at 2022-04-19 23:29
  • 4. Fax/SMS module version control.(Modules in general)

    Hmm, what to do! Guess i'll have to maintain at least one prior version (v5.0.2) compatibility.(BS4 project) Wonder if I should have NPM point to separate repository for v5.0.2 or do file substitution with installer. Work on installer is needed for such things as uninstall/upgrades etc anyway so thoughts anyone? Maybe maintain compatible dependency tree for the module! I bet @adunsulag might have an insight.

    Oh also, the way we handle dependencies by overwrite current dependency locks, any dependency addition outside OpenEMR proper ie composer install/upgrade will uninstall previously installed modules. Even if install via required, of course. I hope i'm missing something or may be a conditional I can add to package...

    Reviewed by sjpadgett at 2020-02-02 01:11
  • 5. Welcome Observation Resource

    Please Welcome Our one and Only Observation Resource πŸŽ‰

    Fixes #3348

    Short description of what this resolves:

    https://www.hl7.org/fhir/observation.html https://www.hl7.org/fhir/observation-vitalsigns.html

    Changes proposed in this pull request:

    • Added Vital Panel (Profile)
    • Added get() in Base Services
    • Added All Profiles of Vital Signs Observations aka hasMembers
    • Added getAll() Bundles
    • Patient Id Search
    • Category Code Search
    • Date Search
    • LONIC Code Search
    • Added Waist Circumference (Extensible)
    Reviewed by yashrajbothra at 2020-04-12 17:21
  • 6. Added Loading in tabs

    Fixes #3068

    Short description of what this resolves:

    It will add loader while the tab gets loaded

    Up For Grabs demo for this PR is here: https://www.open-emr.org/wiki/index.php/Development_Demo#Alpha_-_Up_For_Grabs_Demo

    Reviewed by yashrajbothra at 2020-03-05 08:48
  • 7. Fix lbf nation note field type having no width in form.

    Added a new date time picker field type to lbf editor.

    (below added by bradymiller) demo is here: http://www.open-emr.org/wiki/index.php/Development_Demo#Mu_-_Up_For_Grabs_Demo

    Reviewed by sjpadgett at 2017-09-30 02:45
  • 8. InnoDB Support - initial version

    1. Added two new commands to SQL upgrade:
    • #IfTableEngine - for tables that can not be converted by ALTER TABLE ... ENGINE=INNODB

    • IfInnoDBMigrationNeeded - to process all the other tables.

      Most of the tables can be converted using simple ALTER TABLE

    1. For tables: ar_activity, claims, procedures_order_code and procedure_answers , where PRIMARY KEY is multiple columns index with AUTO_INCREMENT column - refactored the code to emulate INSERT functionality using transactions.
    2. The migration process is LONG and it will be LONGER for large tables.
    Reviewed by olegsv at 2016-05-15 10:47
  • 9. Product Registration

    REMAINING TASKS

    | TASK | ASSIGNEE | | --- | --- | | migrate legimate dev data | @MatthewVita | | point domain to prod and set for https mode only (last step in deploy section) | @sunsetsystems |

    COMPLETED TASKS

    Project Page > Completed Tasks

    Reviewed by MatthewVita at 2016-09-18 02:40
  • 10. Product Registration Issue

    Hi..

    The product registration window opens asking for an email address to register. Whenever I give my email address and press submit, it says Server error:Please try again. Is the registration system not ready yet??

    Thanks and regards Arnab

    Reviewed by arnabnaha at 2017-04-11 06:37
  • 11. 1600 move away from bower direct

    Addressing #1600 (move away from bower)

    Major changes

    • bower.json has been deprecated in favor of package.json - where all the front-end assets are installed (unless otherwise installed in composer or zend_modules)
    • some packages could not be found on npm or have multiple versions - napa is used to install these packages
    • some packages do not have distributable versions for the version openemr requires - these have been added/kept in public/assets/manual-added-packages or, if modified, publc/assets/modified. All other vendor files are gitignored.
    • gulp is what copies all of the installed files from node_modules into the public/assets directory. It has some rules to try to remove unnecessary files. The gulp step runs after npm install via the post install step.
    • The latest version of each library in use by openemr is now canonically named (e.g. jquery-3-1-1 is now just jquery in the public/assets directory). All script and link tags have been changed to point to these generic versions instead of explicit versions.

    Minor changes

    • Added an npm install to the build step. As noted in the TODOs, this would make more sense as postinstall step in composer - since it's vendor related.
    • reordered the config.yaml and added entries for a few of the dependencies. The original intent was to use this function to migrate inline <script> tags into Header::setupHeader() statements. This was not done in this PR because it was taking too long and was difficult to test what broke what. You can see the attempt at these changes in this branch.
    • Some older versions of jquery (1.3.2 and 1.4.3) and the datatable libraries are now using the unminified scripts because that's what came in the distributable package.

    TODOs (maybe after this PR?)

    • integrate with composer. The code is there to use a composer-installed version of NPM but i noticed composer wasn't used in any Dockerfiles. So i've left a few comments and might need some help with this.
    • remove the unnecessary after-build steps in build.xml since we're just not copying these files in the first place.

    "Building" the assets

    • npm install is all it takes to download the versions of the assets from the internet and copy into the public/assets directory. See this commit for an example. I'll need some help making this build step as seamless as possible... but running this example docker-compose, i was able to test my changes :)

    Some fun things that come out of this

    • We no longer commit (most) vendor libraries! And adding new vendor libraries is as easy as npm install (and updating the config.yaml if you want to use it in the Header function)
    • Any package is also available in the root node_modules directory - opening up the ability to use them all in a modern front-end stack (like React or Vue).
      • Webpack is already hanging around as a dependency of storybook (the front-end docs app) but we can make that an explicit dependency, if we want to start building modular front-end components outside of PHP

    below added by bradymiller: Up For Grabs demos for this PR is here:

    Alpine is here: https://www.open-emr.org/wiki/index.php/Development_Demo#Nu_-_Up_For_Grabs_Demo OpenEMR packages produced by this demo are here: http://ten.openemr.io/b/files/

    Ubuntu is here: https://www.open-emr.org/wiki/index.php/Development_Demo#Xi_-_Up_For_Grabs_Demo OpenEMR packages produced by this demo are here: http://seven.openemr.io/d/files/

    Reviewed by d3sandoval at 2018-07-16 02:06
  • 12. Fixes #5386 carecoordination search improvements

    Fixes #5386 Made it so you can search for patients in the care coordination module by provider, billing facility, or patient creation date through the advanced settings in the search tab.

    Reviewed by adunsulag at 2022-05-26 20:15
  • 13. Add carecoordination search by patient creation date, provider id, billing facility id

    To facilitate both Clinical Quality Measure exporting and MIPS reporting we want to be able to be able to search on the care coordination screen by additional fields.

    • The first field is the date a patient was created. We need this so we can grab just the patients we just recently imported, or export patients that were created during a specific time frame.
    • The next is the provider id. For MIPS reporting we often need to group patient QRDA documents (Category 1 and Category 3 aggregate counts) by the provider they are connected to if the provider has not assigned billing to another TIN.
    • Finally we need the billing facility id. Again for MIPS reporting we want to be able to group the patient QRDA documents by the billing facility in the case where providers have all assigned their medicare/medicaid billing payments to their employer, or another group with a Tax ID Number (TIN).
    Reviewed by adunsulag at 2022-05-26 19:39
  • 14. Bump smarty/smarty from 2.6.33 to 3.1.45

    Bumps smarty/smarty from 2.6.33 to 3.1.45.

    Release notes

    Sourced from smarty/smarty's releases.

    v3.1.45

    Security

    • Prevent PHP injection through malicious block name or include file name. This addresses CVE-2022-29221

    Fixed

    • Math equation max(x, y) didn't work anymore #721

    v3.1.44

    What's Changed

    • Fixes illegal characters warning in math

    Full Changelog: https://github.com/smarty-php/smarty/compare/v3.1.43...v3.1.44

    v3.1.43

    Prevent evasion of the static_classes security policy. This addresses CVE-2021-21408

    Full Changelog: https://github.com/smarty-php/smarty/compare/v3.1.42...v3.1.43

    v3.1.42

    Prevent arbitrary PHP code execution through maliciously crafted expression for the math function. This addresses CVE-2021-29454

    Full Changelog: https://github.com/smarty-php/smarty/compare/v3.1.41...v3.1.42

    v3.1.41

    Rewrote the mailto function to not use eval when encoding with javascript

    Release 3.1.40

    Improved javascript escaping. And Smarty now logs a warning if an unsupported escape type is used to stop you from accidentally using $var|escape:quote and not actually quoting anything.

    Release 3.1.39

    Security release, handling two sandbox security issues.

    v3.1.38

    No release notes provided.

    Release 3.1.37

    No release notes provided.

    v3.1.36

    No release notes provided.

    Release 3.1.35

    ... (truncated)

    Changelog

    Sourced from smarty/smarty's changelog.

    [3.1.45] - 2022-05-17

    Security

    • Prevent PHP injection through malicious block name or include file name. This addresses CVE-2022-29221

    Fixed

    • Math equation max(x, y) didn't work anymore #721

    [3.1.44] - 2022-01-18

    Fixed

    • Fixed illegal characters bug in math function security check #702

    [3.1.43] - 2022-01-10

    Security

    • Prevent evasion of the static_classes security policy. This addresses CVE-2021-21408

    [3.1.42] - 2022-01-10

    Security

    • Prevent arbitrary PHP code execution through maliciously crafted expression for the math function. This addresses CVE-2021-29454

    [3.1.41] - 2022-01-09

    Security

    • Rewrote the mailto function to not use eval when encoding with javascript

    [3.1.40] - 2021-10-13

    Changed

    • modifier escape now triggers a E_USER_NOTICE when an unsupported escape type is used smarty-php/smarty#649

    Security

    [3.1.39] - 2021-02-17

    Security

    • Prevent access to $smarty.template_object in sandbox mode. This addresses CVE-2021-26119.
    • Fixed code injection vulnerability by using illegal function names in {function name='blah'}{/function}. This addresses CVE-2021-26120.

    [3.1.38] - 2021-01-08

    Fixed

    [3.1.37] - 2021-01-07

    Changed

    ... (truncated)

    Commits
    • a2713ab Merge branch 'release/3.1.45' into support/3.1
    • 28ea4f0 version bump
    • b96c306 Add CVE to changelog
    • 3606c47 Merge branch 'security/blockfunctioninjection_v3' into support/3.1
    • 8a8cf58 Changelog
    • 4eb86a6 Replace '/' in user supplied input in C-style comments with ' /'.
    • 5f59e14 Added change to changelog
    • 9f47b05 math equation return warning: math: illegal character for : {math equation="m...
    • 99085d8 Merge branch 'release/3.1.44' into support/3.1
    • eed1e07 version bump
    • Additional commits viewable in compare view

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    Reviewed by dependabot[bot] at 2022-05-25 23:08
  • 15. Bump guzzlehttp/guzzle from 7.4.1 to 7.4.3

    Bumps guzzlehttp/guzzle from 7.4.1 to 7.4.3.

    Release notes

    Sourced from guzzlehttp/guzzle's releases.

    Release 7.4.3

    See change log for changes.

    Release 7.4.2

    See change log for changes.

    Changelog

    Sourced from guzzlehttp/guzzle's changelog.

    7.4.3 - 2022-05-25

    • Fix cross-domain cookie leakage

    7.4.2 - 2022-03-20

    Fixed

    • Remove curl auth on cross-domain redirects to align with the Authorization HTTP header
    • Reject non-HTTP schemes in StreamHandler
    • Set a default ssl.peer_name context in StreamHandler to allow force_ip_resolve
    Commits

    Dependabot compatibility score

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    Reviewed by dependabot[bot] at 2022-05-25 22:21
  • 16. Add to our documentation a mapping table for USCDI elements

    It would be a really awesome feature if we had a mapping table that shows in OpenEMR where the United States Core Data for Interoperability elements against OpenEMRs implementation of CCDA,FHIR, and QRDA.

    If people could see the various data elements for USCDI and what tables they correspond to in OpenEMR for the various elements, that would be very helpful to both developers and clinicians wanting to use and enter the data in the EMR.

    Reviewed by adunsulag at 2022-05-17 20:12
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