Fast EMR: An Online and Offline Mobile Electronic Medical Record for Disaster Settings

Introduction: The absence of clinical information in the aftermath disasters resource-constrained environments costs lives. fEMR– fast Electronic Medical Records–is a medical records system designed for mobile clinics and has proven useful post-disaster settings. While original version was developed areas without access to Internet, new this 2019 accommodate regions with connectivity. Method: We reviewed design, implementation, usage fEMR from June 2014 October 2022. used logged data number users, patient encounters, circumstances each deployment. compared between fEMR-on-chain. Results: created an iterative process by students Computer Science classes at three different American universities. creates closed intranet signal which clinicians connect their own device software. hardware is transported team carry-on suitcase prior All are stored on laptop that acts as server. online version, On-Chain, under grant, but sustained development through academic partnerships. Both versions so provider can complete encounter few clicks possible little input necessary identify patients.The been deployed worldwide since 2014. about 14,181 patients 16,021 encounters 12 countries. On-Chain refugee migrant settings 2019, containing 18,000 22,000 two Conclusion: Successive have variety conditions settings, accelerating health centers.