I would like to create a simple web-based, hosted electronic medical record system for emergency department visit using AJAX/PHP/mySQL/Apache. Users would be able to create templates and pre-load standard documentation based on the presenting problem. Electronic signature would lock the record from additional edits, but addendums could be made. When the records are finalized, an email (or fax) copy can be automatically sent to the patient's primary physician or specialist.
I have sample screen shots sketched out on paper and a simple database structure in mySQL.
Good application documentation is a must and code should be very clean.
Would like to use Bugzilla to track requirements and project progress/completion
Timeframe: 4 weeks from the agreement of the requirements list.