Hello Brian,

I think that your points are well made.  I have been lurking on the list
since traffic on the freepm list was redirected to the openhealth list.  The
MANY discussions/flames/opinions that have been presented here have been
educational and entertaining, but of a whole not very satisfying.  I am IT
professional by trade, and it is frustrating and discouraging to watch
discussion after discussion with very little movement toward a end goal.  I
will be perfectly honest and state that IMHO, medical software in general is
substandard.  I am looking to help move medical software in general, and at
my hospital in particular; to stable, robust platforms.  Open source
software is one of the best ways to cause that migration.

Brian's ideas of creating a XML repository to serve as a EMR is seemingly a
better proposal then many that have been proposed on the list.  I am NOT
trying to create a flamewar, but I have worked with CORBA implementations
and I have found them to be quite slow.  OTOH, we have several MUMPS
installations and I haven't found them to be any better then any of the
other medical products that we are running.  On one campus, we have a
completely integrated vendor system that has as many problems as the
"best-of-breed" approach used on the other campuses.

I would like to see some more discussion of this concept, since it seems to
be closer to reality in my shop then creating MUMPS bindings or creating
fast CORBA apps.

Todd Smith  <[EMAIL PROTECTED]>

Systems Analyst
Charleston Area Medical Center 

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