Medical record software is built for billing departments and hospitals. I wanted a chart that does the work.

I am an internist in Okeechobee, Florida. I see patients every day, and since March 2024 I have been building the software my practice runs on. This page is the record of that work: what exists, what does not, and what went wrong along the way. It is here so the work can be examined. It is not an advertisement and there is nothing to sign up for.

My practice is one physician and six advanced practice providers caring for more than 10,000 active patients. Like every other practice, we ran on a commercial EHR plus a fax machine, payer portals, sticky notes and a great deal of retyping.

I started with the parts that hurt most: faxes that arrived and sat, orders nobody could track, prior authorizations kept in people's heads, notes written at ten at night. Each piece was built for a real problem in a real week of seeing patients, used the next morning, and fixed when it failed.

No dates are promised here. When something changes, this record changes.