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OpenEMR support

Enterprise OpenEMR support,
for Canadian healthcare.

We work exclusively with large-scale healthcare institutions that need OpenEMR deployed, customized, and supported at enterprise grade. Our team makes sure OpenEMR is not just installed, but deeply embedded in your clinical and administrative infrastructure.

Certified provider

Certified OpenEMR support

Middlemarch is a certified OpenEMR support company. The certification comes from the OpenEMR project, not from us, and you can check it at the source. If you're evaluating vendors, we'd encourage you to: whoever you hire for OpenEMR work should be on that list.

What we cover

OpenEMR as a foundation for complex environments

OpenEMR gives you a mature clinical and administrative core without licensing that climbs with every hire. The work that matters is everything around it, and that is where we come in.

Deployment & hosting

Enterprise-grade, high-availability deployments sized for your patient volume, with backups, monitoring, and disaster recovery in place from day one.

Custom modules

Specialty workflows, forms, and automations built as maintainable modules, so upgrades don't undo the work that makes the system fit your floor.

Integrations

Labs, diagnostics, billing, finance, and the other clinical systems you already run, connected so data moves without staff retyping it.

Compliance & privacy

Canadian regulatory alignment, provincial privacy requirements, role-based access, and audit trails your compliance team can actually review.

Upgrades & maintenance

Version upgrades, patching, and performance tuning handled on a schedule, with your customizations carried forward and tested.

Ongoing support

A support relationship with the people who built your configuration, covering clinical users, administrators, and your internal IT team.

How an engagement works

From assessment to embedded system

1

Assess

We review your current systems, workflows, data, and compliance obligations, and tell you honestly where OpenEMR fits and where it doesn't.
2

Deploy & configure

We stand up the environment, configure the clinical and administrative core to your organization, and build the modules and integrations your workflows depend on.
3

Migrate & train

We move your existing records in with validation, then train clinical and administrative staff on the flow they'll actually use.
4

Support & evolve

We stay on for upgrades, integrations, and improvements as your organization and its regulatory environment change.

Contact us

Let's talk about your OpenEMR environment.

Tell us what you run today, what it costs, and where it falls short. We'll tell you what an enterprise OpenEMR engagement would look like.