openemr/openemr

The most popular open source electronic health records and medical practice management solution.

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 and requirements for contributing to OpenEMR by resolving a bug or adding an awesome feature 😊.

Support

Community and Professional support can be found here.

Extensive documentation and forums can be found on the OpenEMR website that can help you to become more familiar about the project 📖.

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 to discuss about the issue 🪲.

Reporting Security Vulnerabilities

Check out SECURITY.md

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 20.* 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].

Sponsors

Thanks to our 2015 Edition Major Sponsors!

License

GNU GPL

openemr's Issues

Calendar Time width

Here is the fix:

ophthal/openemr_2@57afa04

Emergency login email not sent when emergency access user is activated

Context

Emergency login email not sent when emergency access user is activated. An email should be sent.

Expected Behaviour

When you activate the user that has been assigned 'Emergency Login' ACL. It should send an email to the nominated address in the globals.

Actual Behaviour

Nothing, no email is received.

Possible Fix

Steps to Reproduce

Context

Trying to fix an outdated PR O_o

Your Environment

• Version used: Master
• Browser Name and version: Chrome
• Operating System and version (desktop or mobile): Desktop, MacOS and Windows 7
• Link to your project:

Normalize directory structure

This is a huge but important task. Perhaps we can decompose the major system parts into Zend modules.

Create new encounter & New Validation

If the Global->Security->New form validation is not checked, a new encounter can not be created via the New Encounter Form.

Multi-column main menu nav

tab layout - not all menu items are represented

Not all menu items are represented in the tab layout(for example, missing the offsite and CMS portal menu items). Need to go through and ensure all the menu items are represented.

dialog.js cache clearing support

To prevent issues for upgraders (whom don't clear their web browser cache) would be helpful to use the current cache busting scheme for dialog.js throughout the codebase (since there are changes in it for the tab layout).

tab layout - support keyboard shortcuts

Support keyboard shortcuts in the tab layout.

tab layout - ability to drag and drop the tabs

Add ability to be able to drag and drop the tabs (ie. reorganize them) in the tabs layout.

Font size in tab layout text is too big in the legacy themes

Legacy themes are all the themes except for Light and Radiant.

Fix the translations of title elements in the Zend modules

The title elements of the Zend modules are not correctly using the translations engine (only in about 5 places). Can fix by mimicking what was done in the PatientValidation Zend module to support translation of the title element.

New menu layout - Inventory entries missing

Tab Layout Compact theme issues with menu hovering with the legacy themes

This appears to be secondary to the fonts being used (and the size is thus smaller making a gap between the menu and the sub-menus). This will be an easy fix and will involve likely standardizing the fonts among all the legacy themes(or perhaps using em rather than px for the font size will also fix this).

tab layout - missing the background service logic

Need to add the background service logic to the tab layout (this is a mechanism to auto-run background services when users are logged into OpenEMR):
https://github.com/openemr/openemr/blob/master/interface/main/left_nav.php#L393-L411

Add New Issue / Edit Issue window list box bug

In the Add New Issue / Edit Issue window the Title list box is populated with list IDs instead of list Titles (which are not translated).

Here is the fix.

When closing a tab, should automatically open next one

If I close a tab, I'm stuck with a blank screen, upon closing a tab, the next tab in the list should be opened automatically. If you closed the last tab, the new last tab should be opened.

Billing Manager Links broken in tabs version

When Using Fees->Billing, The Billing Manager is displayed in a tab.
After filtering, the results are displayed. Linking out to an encounter or demographics does not work in the tabbed/menu environment.

Appointment persists after editing for recurrtype 3

If a recurrtype 3 (Days of Week) appointment is edited by unchecking a week day that corresponds to an individual appointment with date equal to pc_eventDate, an individual appointment corresponding to that weekday will persist (with date equal to pc_eventDate)

The fix is here

EDIT - added detail to description.

Facilities does not show at the Facility dropdown list

I just install a fresh openemr from git. After I add my facilty on Administration -> Facilities and them I add a office visit the Clinic Name does not show in Facility dropdown list

Improve drug-drug interaction checking

Sherwin recently contributed code that is a nice starting point for drug-drug interaction which was brought into the codebase:
43694fd

The option for turning it on and quick instructions for use can be found here:
http://www.open-emr.org/wiki/index.php/Administration_Globals#Rx_NLM_Drug-Drug

The algorithm for collecting the rxcui list of the patient is here:

openemr/interface/weno/drug-drug.php

Lines 36 to 42 in 43694fd

	$medList = sqlStatement("SELECT drug FROM prescriptions WHERE active = 1 AND patient_id = ?", array($pid));
	$nameList = array();
	while($name = sqlFetchArray($medList)){
	$drug = explode(" ", $name['drug']);
	$rXn = sqlQuery("SELECT `rxcui` FROM `" . mitigateSqlTableUpperCase('RXNCONSO') . "` WHERE `str` LIKE ?", array("%" . $drug[0] . "%"));
	$nameList[] = $rXn['rxcui'];
	}

It basically converts drugs to rxcui numbers and then checks the interactions via online call to nih service. At this point, it basically does the following:

1. Uses drug title names in prescriptions, which are then converted to rxcui via the RXNORM database included within OpenEMR(note only searches for the first word of the prescription drug title if there are more than 1 words).

Recommend also adding the following to improve the capturing of the patient meds/drugs:

1. Check the medication drug titles (ie. following as is done above).
2. Use the rxnorm_drugcode sql column in the prescription table (this should be a rxcui code) if it exists.
3. Use the rxcui code that are included in the diagnosis column of the lists table for the medication items.

Method to auto find_code_popup: enhancement

When find_code_popup.php is called, if a search_term passed in, the search is now run on first load, allowing the end user to simply click the desired result. If no search_term is provided, or the term needs refinement, the original functionality remains.

https://github.com/ophthal/openEMR_2/tree/find_code_popup

Commit to cherry-pick:
ophthal/openemr_2@26b9be5

Calendar bug - parameter 'duration' not working in event 'In office'

Scenario:
In calendar :
adding an event at 8:00 for the 30 minutes as “In office” -> but all day long is marked with the “in office” color.

Is this a bug or an expected behaivior?

Tabs overflow

On testing the new tab approach, new targets for a lot of windows, I am able to open more tabs than there is room to display.

There may need to be a maximum number of tabs or a maximum width, which whenever this width is reached, maybe auto shorten the large titles to something like 8 characters.

Maybe this makes sense:
Since this is knockout.js, the fix needs to be located here. There should be a way in the Model to discern width of each opened tab, based on the length of the Tab’s Title + icons perhaps, add this tab width as an observable item or attribute of a current tabs observable, and whenever a new tab is added, a computed observable which adds up all the open/current tabs widths. If the totals tabs width is > window.width, then shorten the non-active titles as coded (maybe > 10 shorten to 8) is performed for each tab in the View.
Now how to write that is a different thing entirely.
Or something else... Maybe limit the view to a max of 5 tabs?

Ray

database.sql failed at line 6392

Hi.
When I ran this database.sql file from command line (in xampp on windows) I got it -

mysql -uroot -p openemr_p2 < sql/database.sql
Enter password:
ERROR 1064 (42000) at line 6392: You have an error in your SQL syntax; check the manual that corresponds to your MySQL server version for the right syntax to use near '----------------------------------------------------------

DROP TABLE IF EXIS' at line 1

mysql -uroot -p openemr_p2 < sql/database.sql
Enter password:
ERROR 1064 (42000) at line 8317: You have an error in your SQL syntax; check the manual that corresponds to your MySQL server version for the right syntax to use near '--------------------------------------------------------

CREATE TABLE `immuniz' at line 1

and the script failed.

tab layout - Zend module feature not working

1. The Modules->Manage Modules is buggy
2. After add the modules, then able to see all of them in Modules as menu items which is a bug. Should only see the Care Coordination module menu item.

Bug - Apostrophe-name

I can't find where Kevin gets the actual patient data for this patient section.
The example used in the picture "Simon O'Grady" is stored correctly in the DB as:
fname | lname = Simon | O'Grady

Whereever this data comes from, it needs htmlspecialcharacter work, I think

Make current encounter on tab layout a link to open(or go to) the encounter tab

On tabs layout:
The current patient is a link to open/refresh the patient tab. Will also do the same for the current encounter.

Certain buttons impossible to read

I noticed this with the latest tab/design code. It affects my product registration buttons so I have a temporary override in place (forces the buttons to have a specific background/foreground color as opposed to using jQueryUI theme styles).

Anyway, on to the bug at hand. Please note the 3 buttons to the left (I highlighted the bottom one):

I wonder if there are other areas are affected as well.

OPENEMR: Version Number: v5.0.0-dev (which I am developing on top of)
SYSTEM: Chromium Version 50.0.2661.102 Built on Ubuntu 14.04, running on LinuxMint 17.3

Address Book error on INSERT

SQL error when inserting a new "lab service" record - here is SQL from error message
INSERT INTO users ( username, password, authorized, info, source, title, fname, lname, mname, suffix, federaltaxid, federaldrugid, upin, facility, see_auth, active, npi, taxonomy, cpoe, specialty, organization, valedictory, assistant, billname, email, email_direct, url, street, streetb, city, state, zip, street2, streetb2, city2, state2, zip2, phone, phonew1, phonew2, phonecell, fax, notes, abook_type ) VALUES ( '', '', 0, '', NULL, 'Mr.', '5', '4', '6', , '29', '', '27', '', 0, 1, '28', '30', '1', '', '1', '7', '13', '', '14', '15', '16', '17', '18', '19', '20', '21', '21', '23', '24', '25', '26', '8', '10', '11', '9', '12', '31', 'ord_lab' )

If suffix field is hidden, the insert value is set to nothing which causes the error. You can add the records when suffix is shown. If the user type is changed, the update fails.

tab layout - Use the 'Main Top Pane Screen' global to populate the first tab when login

Use the Administration->Globals->Appearance->'Main Top Pane Screen' to populate the first tab after a user initially logs in to OpenEMR.

Support more recent SNOMED RF1 packages

OpenEMR import does not support the more recent RF1 packages.
(1/2015 SNOMED RF1 package and later no longer imports correctly)

Determine if there’s anything salvageable in Medmasterpro API

http://www.open-emr.org/wiki/index.php/Medmasterpro_API_Review

SIte ID missing enhancement

Instead of line 90 in globals.php:
if (!$ignoreAuth) die("Site ID is missing from session data!");

redirect the user to the login screen and display the error message,
"Site ID is missing. Please login again."

https://github.com/ophthal/openEMR_2/tree/siteID-relogin

ophthal/openemr_2@35f7021

tab layout - translations

Several strings in interface/main/tabs/js/tabs_view_model.js need translating.

tab layout - menu does not collapse after click

Currently menu item list stays active after clicking (selecting) an item. It collapses only after mouse is exits the area.
Not a show stopper but certainly unusual UI behavior.

Closing a tab not warning of unsaved changes

Using Tabs layout, I tested making a change in a patient's demographics and then closing the tab without saving the change. The tab closed and there was no warning. Also tested the same thing in the layout editor page (Administration -> Layouts) with the same result. Did not test other pages but I suspect it's a general problem with all.

Also regarding closing tabs, I see that the page is left empty and no existing tab is shown in its place. This seems wrong.

Encounter frame not loading up the specific encounter when applicable

If go the patient flow board and do following:

1. Click on a patient and click arrived(this auto creates the encounter).
2. Then check the Open Patient in New Window toggle
3. Then click on the patient.
4. A new instance of OpenEMR opens up and loads the patient summary and populated the title with the correct encounter; however, the generic encounter listing is shown in the encounter frame rather than showing the specified encounter.

Drug strength/size with combinations strengths

When creating new drugs/prescriptions you can't enter combination strengths as the slash is being escaped and not saved to the database. Also the length is too short to allow certain combinations now available.

Testing issue

this is a testing isuue

Cannot add events to calendar

On save Console is logging the following error:

add_edit_event.php line 990 (Or 1785 if viewing raw PHP source)
TypeError: collectvalidation is undefined

Can anyone replicate this error?

tab layout - automatic logout on timeout not working

With current dev code, if I set Idle Session Timeout Seconds to 300, turn on tabs, log out and log in again, and let the browser sit for 5 minutes it fails to auto-logout after 5 minutes. If instead I use the sliding menu it works.

tab layout - Use icons to decrease label width

For devices with limited width, menu in tab layout can overflow. The design should allow icons to limit the menu width. One approach is to let jquery monitor viewport and automatically make the switch by using code which move label text to tile and place applicable icon as label -

`
// Replace menu text by fa
var xl_icons = {
"Calendar": "calendar",
"Flow Board": "calendar-check-o",
"Messages": "envelope",
// "Fees": "money",
// "Administration": "cog",
// "Reports": "file-text-o",
"About": "ellipsis-v",
};

$(".menuLabel").each( function(ix) {
var lbl = $(this).html().trim();
if (xl_icons[lbl]) {
$(this).css ('font-size', '150%');
$(this).attr ('title', lbl);
$(this).html('');
}
});
`

Open Encounter listing at top of tab layout not getting populated

The Open Encounter listing at top of tab layout is not getting populated when save a new encounter

Canvas drawing uploads fails if thumbnail checked

When storing canvas drawings, the drawings are sent to the server as $_POST['imgBase64'] in base64 encoding (at least the Eye Form works this way). The images are processed by the addNewDocument function, called in save.php.
forms/eye_mag/save.php around line 912:
$return = addNewDocument($filename,$type,$_POST["imgBase64"],0,$size,$_SESSION['authUserID'],$pid,$category_id);
If the Global->Document->Generate thumbnail is checked, the addNewDocument fails and throws an error. It works without this checked.

Fee Sheet: modifier

I am unable to add a modifier "57" to a visit code.
To bill it out I have to manually add it into the DB table billing.

Working off 5.0.0-dev

tab layout - flow board popups need optimization

Both the popups that the flow board uses (calendar popup for recurrent appt and the standard flow board popup for regular appt) are likely not being called correctly from the page, so are not placed in the center of the screen like the other popups in the tab layout.

Align use of OSI logo with guidelines.

Hi OpenEMR,

The use of OSI logo on the OpenEMR site (http://www.open-emr.org/) does not comply with the OSI guidelines (https://opensource.org/trademark-guidelines). We are very happy to allow continued use of the logo to highlight that OpenEMR is distributed with an OSI Approved Open Source License, but do ask that your use comply with our guidelines. Can you please:

1. create a link from the logo to the OSI website, "the design logo hyperlinks to the OSI website, http://opensource.org/, or if that is not possible, the site includes a prominent link to the OSI website at http://opensource.org/" (OSI Trademark Guidelines §2.1.)
2. include the text "This site is not affiliated with or endorsed by the Open Source Initiative" prominently on any page that includes the OSI Trademarks," (OSI Trademark Guidelines §2.1.)

Finally should OpenEMR use the logo elsewhere, please provide a copy of its use to the Trademark Supervisor (trademarks(a)opensource.org) within seven (7) days of its initial use, for example by sending a URL or other copy of such use.

Thanks so much,
Patrick

On tab layout Full theme, the tabs vertical size causes some scrolling of the tabs themselves

This is pretty odd and creates a blue border at bottom of tab because of it. Looks like it is only a couple pixels too large vertically. Guessing the fix will be easy.

tab layout - add logic to check and display active number of messages

Need to adapt the logic from here:
https://github.com/openemr/openemr/blob/master/interface/main/left_nav.php#L404-L409

And place it here:

openemr/interface/main/tabs/main.php

Lines 52 to 53 in 334477e

	// TODO: placeholder for checking the messages and displaying them

Determine if using an ORM is appropriate

Looks like Doctrine is available in the codebase. It’s decent looking and compatible with Zend.

If ORM is a go, create issues for all major objects.