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In this case study, we examine an implementation of an externally developed open source EPR within the NHS, at Taunton and Somerset NHS Foundation Trust, a medium-sized provider of acute healthcare services in the south-west of England.


  • Electronic health record (EHR) implementations are the most substantial projects, in terms of costs and benefits, a healthcare provider is likely to undertake. Clinical staff must be involved in selecting and implementing EPR systems.

Features and Benefits

  • Understand the implementation of open source within a healthcare setting.
  • Identify the key areas that need to be addressed to support a successful implementation of open source.

Key questions answered

  • What are the challenges of adopting open source in a healthcare setting?
  • Why is end-user engagement important in successful change programs?

Table of contents


  • Catalyst
  • Ovum view
  • Key messages


  • Recommendations for healthcare organizations

Departing from the norm for a new EPR

  • Taunton and Somerset's adoption of open source EPR
  • Strategy and procurement
  • Implementation
  • Expected impact and results
  • Organizational integration
  • Next steps


  • Methodology
  • Further reading
  • Author

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