Care2x Integrated Healthcare Open Source Environment

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The Care2x System was first developed by Elpidio Latorilla in Germany since 2002. The idea was to develop an open source framework for hospital information systems based on open source code. The objective was to make an Hospital Information System, a Practice management module, a Central Data Server and Health Xchange Protocol for sharing information.


The public project started with the first release of the beta version 1.0.0. in the internet on May 2002. After 3 months there was a several number of people involved in the project. In the following years about a 100 developers have added to the project (comming for 20 different countries), making some parts of the code, giving new ideas and traslating the software to many languages. In recent years there are more than 300 developers working on the system. Fisrt release was developed by PHP and MySQL database engine. In followin years, Elpidio and the developers team, have made the API of the software and the support for Postgress SQL database engine too. The system architecture was developed upon stable and proven applications. More information of history here

System Overview

The system is modular and the most important modules developed are:

  • Appointments
  • Person registration module
  • ADT
  • Patient chart
  • Medocs
  • DRG and ICD module
  • Prescriptions
  • Nursing management
  • Laboratories
  • Pathology
  • Doctors Schedule and duties
  • Ward management

The development is under open source standards by PHP, AJAX, runing for MySQL or Postgress databases engines. Get more information about technical and non technical documentation here.In the latest 5 years the system was translated to more than 20 languages, inlcuded portuguees and spanish.


The project is still under development and the system was installed in some institutions like some malaysian hospitals in 2004 as a pilot implementation, the italian hospital Policlinico Umberto I di Roma Dipartimento Malattie infettive (department of infectious diseases)in 2004, the UNIBE, a university hospital in Costa Rica in 2006 and Maternidade Candida Vargas, Joao Pessoa Hospital in Brazil in 2006.

Private installations of individuals and institutions

Brazil Med Sistem

Germany Rollinetzwek eV

USA Bruce Garlock (needs authorization)

Venezuela Yekuana

Despite Care2x is still under development and needs a more depply revision, the most important issue in this development is that it was the second open source initiative to develop an HIS after the OpenVista project. Get more information in the official web site