OpenEMR is an OSS practice management system and is certified for medical use by ONC in the USA. It has been deployed in the medical context in many jurisdictions in the USA. There are some government agencies / larger organizations that require 'sole-sourcing' which I think is what you are referring to, it varies by jurisdiction, but I've never heard of anything at the federal level and widespread state level that 'requires' this. If this was the case I doubt we'd have made it through the many times we've been certified.
I will mention that the certification process is expensive. It ranges in the 100K-250K range each time we go through it in fundraising and to go through the certification process.
I will mention that the certification process is expensive. It ranges in the 100K-250K range each time we go through it in fundraising and to go through the certification process.