> Experience from classic email - where orders of magnitude more messages are
> processed - tells us that polling an account as a rule takes much less than a
> second, and that it is indeed absolutely acceptable - even preferable.

Yes, but that's polling one account (or maybe 5 accounts for those
with lots of accounts) using POP.. the actual delivery of the email
to my mailbox is not done with polling but by the sending mail
server pushing it to my account using SMTP.. I think Ross' point was that it
is impractical to poll every medical facility in australia looking
for pertinent results, much the same way I don't poll every
POP server on the internet hunting for my email..

I agree though that we should learn from how email has done
things - in particular, in SMTP the sender always takes
responsibility for the delivery of the email - so it will keep
attempting to send messages until it reaches timeout, all the
while informing back to the originator if it is having problems. Why
couldn't a path lab system keep attempting to initiate a connection
to the GP system "web service" every 10 minutes until it successfully
hands off the result?? Surely that would handle the unreliability of
the australian internet without resorting to hub and spoke models?

Andrew
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