Watching this thread with some trepidation. It could also have serious
consequence for my situation. Certainly, pushing images across a narrow T1
channel can be frustrating. 

I don't have the experience with linux to comment, nor do I have a full
transfer to VistA (45,000 patient) version going yet. However my experience
with CPRS and "remote desktop" sitting across town, 20 miles from my clinic
(or a Salt Lake City, Utah connection) are about as good as sitting in the
same room as my server. There was a time I ran POTS and 56k modem with
excellent performance.

Trying to maintain two databases, without something highly sophisticated
like journaling/mirroring, approaches a non- starter for me. 

Thanks,

thurman  
 

> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of JohnLeo Zimmer
> Sent: Saturday, May 07, 2005 7:56 AM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] I've got the slow CPRS blues.....
> 
> Kevin Toppenberg wrote:
> 
> >How about this.  Each office have its own server, and
> >patient's would have their own IEN's and notes would
> >have their own IEN's.  For patients that are seen in
> >my office 99% of the time, they would go into my
> >server.  For patients that are seen in the other
> >office, they would go into the other server.
> >
> 
> Sounds like a problem that may fit the model of a VA ward with its
> backup server ready to take over if the central machine goes down.
> Or perhaps a couple of IHS sites. This is the sort of problem that must
> be solved in a way that can be readily replicated.
> 
> 
> 
> -------------------------------------------------------
> This SF.Net email is sponsored by: NEC IT Guy Games.
> Get your fingers limbered up and give it your best shot. 4 great events, 4
> opportunities to win big! Highest score wins.NEC IT Guy Games. Play to
> win an NEC 61 plasma display. Visit http://www.necitguy.com/?r=20
> _______________________________________________
> Hardhats-members mailing list
> Hardhats-members@lists.sourceforge.net
> https://lists.sourceforge.net/lists/listinfo/hardhats-members



-------------------------------------------------------
This SF.Net email is sponsored by: NEC IT Guy Games.
Get your fingers limbered up and give it your best shot. 4 great events, 4
opportunities to win big! Highest score wins.NEC IT Guy Games. Play to
win an NEC 61 plasma display. Visit http://www.necitguy.com/?r=20
_______________________________________________
Hardhats-members mailing list
Hardhats-members@lists.sourceforge.net
https://lists.sourceforge.net/lists/listinfo/hardhats-members

Reply via email to