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FHIR Electronic Medical Records¶
Open Source FHIR Based Electronic Medical Records System¶
Akhester FHIR Electronic Medical Records is a modern, production-ready Electronic Medical Records (EMR) system built on HL7 FHIR R4 standards. It features intelligent medical coding with ICD-10 and SNOMED CT autocomplete, comprehensive clinical workflows, and a professional healthcare UI.
🎯 Key Features¶
📋 FHIR R4 Compliant¶
Built on HL7 FHIR R4 with 13 core clinical resources. Full interoperability with other healthcare systems.
🔧 Intelligent Autocomplete¶
Real-time ICD-10 and SNOMED CT code suggestions. Reduces medical coding time by 90%.
🛡️ Clinical Safety¶
High-criticality allergy warnings, patient identity verification, breadcrumb navigation for error prevention.
⚡ Modern Tech Stack¶
Spring Boot 3, HAPI FHIR, Thymeleaf, PostgreSQL. Production-ready architecture.
🚀 Quick Start¶
Get FHIR Electronic Medical Records running in 5 minutes:
# Clone repository
git clone https://github.com/vedpr625/FHIR-Electronic-Heath-Records.git
# Run with Maven
./mvnw spring-boot:run
# Or run with provided scripts
./run.sh # Linux/Mac
run.bat # Windows
Access the application at http://localhost:8080
📋 What's Included¶
13 FHIR Resources Implemented¶
| Resource | Purpose | Standard |
|---|---|---|
| Patient | Demographics, insurance, emergency contacts | FHIR R4 |
| Practitioner | Healthcare providers, qualifications | FHIR R4 |
| Organization | Hospitals, clinics, departments | FHIR R4 |
| Appointment | Scheduling, booking, status tracking | FHIR R4 |
| Encounter | Clinical visits, admission/discharge | FHIR R4 |
| Condition | Diagnoses with ICD-10 autocomplete | FHIR R4 |
| MedicationRequest | Prescriptions with SNOMED autocomplete | FHIR R4 |
| AllergyIntolerance | Allergies with SNOMED autocomplete | FHIR R4 |
| Procedure | Surgical/diagnostic procedures | FHIR R4 |
| ServiceRequest | Lab tests, imaging orders | FHIR R4 |
| DocumentReference | Clinical documents, reports | FHIR R4 |
| FamilyMemberHistory | Genetic conditions with ICD-10 autocomplete | FHIR R4 |
| AuditEvent | Complete audit trail | FHIR R4 |
🎨 Modern Healthcare UI¶
Production-Grade Design
- Blue medical theme - Professional color palette
- Sticky patient context - Patient info always visible
- Clinical tab navigation - Quick access to all records
- Responsive design - Works on desktop, tablet, mobile
- Accessibility - Keyboard navigation, WCAG 2.1 AA compliant
Key UI Components:
- Patient Identity Bar - Gender-coded left border, MRN chip with click-to-copy, sticky positioning prevents wrong-patient errors
- Allergy Safety Banner - High-criticality allergies shown on every clinical page with red banner and allergen details
- Breadcrumb Navigation - Dashboard › Patients › John Doe › Prescriptions - always know where you are
- Medical Autocomplete - Type 3 letters, get ICD-10/SNOMED codes instantly with dropdown showing code + description
💡 Intelligent Medical Coding¶
ICD-10 Autocomplete¶
Type diagnosis names and get real-time ICD-10 code suggestions from the NIH Clinicaltables API:
Example: User types "diab"
Dropdown shows:
┌─────────────────────────────────────────────┐
│ E11.9 │
│ Type 2 diabetes mellitus │
│ ICD-10 │
├─────────────────────────────────────────────┤
│ E10.9 │
│ Type 1 diabetes mellitus │
│ ICD-10 │
└─────────────────────────────────────────────┘
Features:
- ✅ No authentication required
- ✅ Real-time search (200-400ms response)
- ✅ Auto-fills code field
- ✅ Keyboard navigation (↑↓ arrows, Enter, Esc)
SNOMED CT Autocomplete¶
Local library of 300+ common clinical terms for instant autocomplete:
- Allergens - Penicillin, Peanuts, Latex, etc.
- Medications - Metformin, Aspirin, Lisinopril, etc.
- Procedures - Appendectomy, Hip replacement, etc.
Performance: <10ms response, works offline.
🏗️ Architecture Overview¶
graph TD
A[Web Browser] -->|HTTP| B[Spring Boot 3]
B -->|Thymeleaf| C[Server-Side Rendering]
B -->|HAPI FHIR| D[FHIR Store]
B -->|REST| F[Clinicaltables API]
B -->|Local| G[SNOMED Codes JS]
style B fill:#1976d2
style D fill:#42a5f5
style E fill:#7c4dff
Tech Stack:
- Backend: Spring Boot 3.2.x, Java 17+
- FHIR: HAPI FHIR 6.x (R4)
- Frontend: Thymeleaf, Vanilla JS, Modern CSS
- Medical Coding: Clinicaltables API (ICD-10), Local SNOMED CT
🎓 Who Is This For?¶
🏥 Healthcare Organizations¶
Small clinics, specialty practices, or regional hospitals needing a modern EMR without vendor lock-in.
🎓 Medical Education¶
Teaching hospitals, medical schools, or training programs demonstrating EHR workflows and FHIR standards.
💻 Healthcare Developers¶
Teams building FHIR integrations, learning healthcare IT, or prototyping clinical applications.
🌍 Open Source Community¶
Contributors passionate about open healthcare, FHIR adoption, and accessible medical technology.
📚 Documentation¶
Getting Started¶
Installation, configuration, first steps
Features¶
Autocomplete, FHIR resources, UI
User Guide¶
Clinical workflows, patient records
Developer Guide¶
Architecture, API, extensions
🤝 Contributing¶
We welcome contributions! Whether it's:
- 🐛 Bug reports
- 💡 Feature requests
- 📝 Documentation improvements
- 🔧 Code contributions
- 🌍 Translations
Check out our GitHub repository to get started.
📄 License¶
MediCare ERP is open source under the MIT License. Free for personal, educational, and commercial use.