  This study investigates the accessibility of open-source electronic health
record (EHR) systems for individuals who are visually impaired or blind.
Ensuring the accessibility of EHRs to visually impaired users is critical for
the diversity, equity, and inclusion of all users. The study used a combination
of automated and manual accessibility testing techniques like screen readers to
evaluate the accessibility of three widely used open-source EHR systems. Our
assessment focused on the performance of three popular screen readers,
including JAWS (Windows), NVDA (Windows), and Apple VoiceOver (OSX). The
evaluation revealed that although each of the three systems was partially
accessible, there is room for improvement, particularly regarding keyboard
navigation and screen reader compatibility. The study concludes with
recommendations for making EHR systems more inclusive for all users and more
accessible.
