A free, self-hosted, multilingual Electronic Medical Record (EMR / EHR) system for small hospitals and clinics — especially those just beginning to move from paper to digital records. It's lightweight, runs anywhere with Docker, and works in English / 한국어 / Français.
Free & non-profit. Made freely available so hospitals in Madagascar, across Africa, and anywhere healthcare is becoming computerized can use it — free to use and modify (see License). Note: free and source-available, but not an OSI "open-source" license — redistribution is not permitted.
Bethesda EMR was sponsored by the church 행복한 섬김의 열매 ("Fruit of Joyful Devotion") and built for Bethesda Hospital in Madagascar.
The hospital had been running an older EMR made in Korea, but it was too heavy and tangled — the translation/localization layer and many Korea-specific insurance modules were mixed in, making it impractical for a mission hospital in Madagascar. So this project was started from scratch: a clean, simple EMR that does what a clinic actually needs, in the languages the staff actually use.
It is shared freely so that other hospitals — particularly those just starting to computerize — can use it for their own work.
베데스다 EMR은 '행복한 섬김의 열매' 교회가 후원하여, 마다가스카르의 베데스다 병원을 위해 만든 비영리 전자의무기록(EMR)입니다. 기존에 쓰던 한국산 구형 EMR은 번역 환경과 보험 관련 프로그램들이 너무 섞여 무겁고 쓰기 어려웠기에, 클리닉에 꼭 필요한 기능만 담아 새로 만들었습니다. 이제 막 전산화를 시작하는 다른 병원들도 자유롭게 쓰시길 바라는 마음으로 공개합니다.
This software was developed through "vibe coding" with Claude (Anthropic's Claude / Claude Code) — the application was designed and written in collaboration with the AI assistant.
- Registration — patient records, chart numbers, visit/queue management
- Consultation — SOAP notes, diagnoses, prescriptions, exam/imaging orders, order sets, chart records (operation notes, consents, …), lab results, radiology readings
- Pharmacy — in-house / external dispensing
- Payment — billing, receipts, void/refund/correction, outstanding balances
- Laboratory — clinical pathology entry with reference ranges and auto-flagging
- Statistics — visits, revenue, outstanding, and drug-usage analytics (daily/monthly/yearly)
- Settings — staff & granular permissions, drugs, order codes, lab panels, departments, order sets, clinic letterhead, app title — all editable in the app
- Trilingual — switch between English / 한국어 / Français anywhere
An optional PACS companion (based on the open-source Orthanc) adds DICOM imaging: modality worklist, image viewing inside the EMR, and radiology readings.
The people who use it every day (reception, doctors, pharmacy) install nothing — they just open the clinic server's address in a web browser. Only one server needs to be set up, once.
- Install Docker Desktop (a normal installer — do this once) and start it.
- On this page, click the green
Code ▾button → Download ZIP, then unzip it (right-click → Extract All). - Double-click
start.bat.
It downloads, builds, and starts everything, then opens the app in your browser, where you
create your administrator account. There is no default password. (The first run takes a few
minutes; if Windows shows a security prompt for start.bat, choose More info → Run anyway.)
./setup.sh # Linux / macOS / NAS
.\setup.ps1 # Windows PowerShellEither way, setup generates strong random secrets on first run and starts everything at http://localhost:9080.
See DEPLOYMENT.md for backups, updates, network security, and the optional PACS.
Double-click server-status.bat on the machine that runs the clinic and leave the window
open. It re-checks every 15 seconds and shows one line per part of the system — patient records,
the application server, the EMR screen, disk space, last night's backup, imaging, and the device
worklist — in Français / English / 한국어 (there is a button to switch).
It reads the machine directly rather than asking the EMR, so it keeps answering when the EMR itself is the thing that broke — which is when you most need it. A green banner means everything is working; red names what is not, in words a member of staff can repeat over the phone.
Several failures here are silent by nature: a backup that has not run for a month, a disk quietly filling up, or an imaging worklist that stopped updating while every container still looks like it is running. Those are the ones this window exists for.
For scripting, powershell -File server-status.ps1 -Console prints the same check once and exits
0 when everything is fine, 1 if something needs attention, 2 if something is broken.
- PostgreSQL 16 + Express (Node 20) API + React front-end (served by nginx)
- One exposed port: 9080
- Database migrations apply automatically on startup
- Optional PACS runs as a separate stack (Orthanc) on port 9090
Have a question, hit a problem, or want a feature added? Please open an Issue on this repository — it's the best place, and the answer is visible to others who may wonder the same.
문의, 버그 신고, 추가했으면 하는 기능이 있으시면 이 저장소에 Issue를 남겨주세요. (질문/답변이 공개돼서 다른 분들에게도 도움이 됩니다.)
This is a non-profit, source-available project, not a standard open-source release.
- ✅ You may use it freely, including in your own hospital or clinic.
- ✅ You may modify it freely for your own use.
- ❌ Please do not redistribute it (do not republish, repackage, sell, or hand it out as your own or under another name).
See LICENSE for the full terms. If you'd like to use it in a way the license doesn't cover, please reach out first.