OpenMRS (Open Source Medical Records Systems) applications are an online program that has a web-based integrated database DMS that has no limitations unlike the previous two. It tracks down patient‘s treatments, laboratory data management, reporting and analysis, pharmacy stock management and offers decision support. This is a very adaptive, inexpensive and accommodative and sometimes, a free system. This system allows modification by its users in order for it to fit their requirements and capabilities due to its versatility. It may also be used offline in case there is a problem with the internet or when experiencing low-speed internet connectivity since it has a synchronization feature that allows integration, thus, work done offline gets incorporated with the online database.
Bookkeeping software produced on spreadsheets would normally be a series of spreadsheets with the columns preset and titled and formulae written into the sheet to automatically add up each column. In addition the columns used would normally be restricted to general headings to include a full analysis of all items. Small businesses that might produce their own spreadsheet would often do this on an annual basis. Bookkeeping software is much more likely to provide these bookkeeping spreadsheet templates on a monthly basis to enable a degree of financial control to be exercised by the small business. That is the second real value of bookkeeping spreadsheets, the ability to provide the business with financial information and through that data financial control over the business activities. The first value is of course the simplicity of listing with automated summation of the figures.