RE: Database design.

["Gary Funck" <gary () intrepid com>]

Dr. Solly says:
> I ask, because a project like this is underway in the UK, expected to cost
> some $40 billion, and I've just written to my MP suggesting that a
> *massively* lower figure would be more appropriate (including my
> one-paragraph design), and asking her to raise this as a Parliamentary
> Question.

With a web site name that Microsoft would probably prefer for its next
Office(tm) product offering ...

http://www.vista-office.org/
http://www.worldvista.org/AboutVistA/

About VistADocument Actions
Electronic Health Record systems (EHR) are essential to improving health
quality and managing health care delivery, whether in a large health system,
hospital, or primary care clinic. The U.S. Department of Veterans Affairs
(VA) has developed and continues to maintain a robust EHR known as VistA -
the Veterans Health Information Systems and Technology Architecture. This
system was designed and developed to support a high-quality medical care
environment for the military veterans in the United States. The VistA system
is in production today at hundreds of VA medical centers and outpatient
clinics across the country.

VistA has a proven track record of supporting a large variety of clinical
settings and medical care delivery systems. Facilities range from small
clinics that provide solely outpatient care to large medical centers with
significant inpatient populations and their associated specialties, such as
surgical care or dermatology. These systems focus on clinically relevant
record keeping that improves patient care by improving clinical and
administrative decision-making. Versions of this system are in active use in
the U.S. Department of Defense Military Health System, the U.S. Department
of Health and Human Services Indian Health Service, and internationally as
well, e.g., Berlin Heart Institute of Germany (Deutsches Herzzentrum Berlin,
Deutschland), and National Cancer Institute of Cairo University in Egypt.

The costs associated with the acquisition and support of an EHR can be a
barrier to improving the quality of health care provided by limiting the
availability of timely and accurate access to electronic patient
information. Part of the solution is to lower the cost of acquiring an EHR
by using a software stack consisting of open-source, free software such as
VistA. VistA is public domain and freely available through the US Freedom of
Information Act (FOIA).

---------------------------

For the trivia junkies among us, and the masters of arcane programming
languages
you'll be happy (or unhappy) to know that this system is based on the MUMPS
programmming language (which dates back to the 1960's!) ...
http://en.wikipedia.org/wiki/MUMPS_programming_language

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