Open source EHR that meets Certification Commission for Healthcare Information Technology (CC HITSM) and NIST ONC ambulatory electronic health record (EHR) and CMS EHR DIRECT PQRS criteria. Office Medicine has completed full certification for 2011-2014 meaningful use and all CMS and Medicaid incentive programs. Office Medicine is certified (100%) in every category and does not require the use of any additional software or registry programs.