Neil D. McAliece wrote:
I've also pointed out that MSDE is not as limited as the FUD that seems to 
float around about suggests to quite a few people. It's a hard message to get 
through.

With a document manager storing attachments, scans etc in the filesystem, no 
one should have 4gb of data in the database.

If you are a 10-15 machine practice moving from flat file to MSDE, you are 
going to be ahead (so long as there are no show stopping bugs in the client 
software and you're not using a pentium II as a server)

I'm not sure about the file size warning with such a small amount of data. HCN 
told me recently that they had done successful conversions of 7GB MDW2 
databases.

Neil,

I think the FUD is inevitable as its taking us so long to get to see it and gain some experience of the data conversion processes and the pitfalls.

I know from other experience that the lousy data integrity that MD2 permits is a major factor, and cleaning up databases will be a huge issue for some practices, and is inevitably one they'd encounter moving to most other software.

My other concern is the implications of MS SQL for the current crop of 'data extraction' tools being proposed as part of the answer to Divisions' need to get practice level outcomes data to retain their funding. This will apply to both MD3 and Practix.

I suspect that 3rd paty tools won't cut it and someone will have to go to HCN and IBA and pay for them to implement these things. The price for doing this may be 'right', unfortunately. The paranoia from many GPs here in Sydney, and possibly elsewhere, about Primary Health's role with MD may have a big impact on the acceptability of all of this for GPs.

Greg
--
Greg Twyford
Information Management & Technology Program Officer
Canterbury Division of General Practice
E-mail: [EMAIL PROTECTED]
Ph.: 02 9787 9033
Fax: 02 9787 9200

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