After reading the article on the VA getting the health records for all 
veterens in New Orleans in 100 hours it got me thinking about the underlying 
infrastructure that allows the VA to deliver the goods in such a short 
period.

http://govhealthit.com/article90691-09-08-05-Web&newsletter=yes

With some smaller clinics looking at Applications Service Providers to provide 
them with more bang for the buck and economy of scale for their EMR, I was 
wondering how VistA hierarchal location database/replication architecture 
compares and functions. 

-- 
Mark Street, RHCE
http://www.oswizards.com
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