Hi, I must confess I don't have time enough to read every message in the list ; even if they all hare very interesting. That's the reason why I found Calle Hedberg's contribution very lately (and Tim Benson's answer). Calle said about Columbia Presbyterian University Hospital : "What I found really interesting is that they did NOT fall into the trap of developing a large, fully integrated system supposed to provide solutions for everything from cardiac arrests to billing to laundry to Halaal foodstuffs, but instead developed a series of "standalone" systems in different departments with bridges (messaging) between them as needed." And Tim answered : "It makes complete sense to build small systems for each of these trades and link them together using a reliable messaging system." Beside Odyssee project (that is taking 99% of my time), I a working on a french project called Episodus (99% of my time too - but legal working time is only 35h per week in France ;-)). Open source, of course. The first issue of the project is a stat server, but it is only the first step toward *care continuity servers* for care teams. Patient administration over time (like POMR) is a very important asset, and the server will provide tools for every health professional to work on the same *Life line* (time + problems + workgroup assesment). The system will make possible the *hooking* of any document to the Life line through its URL. I think it is not so far from what Calle and Tim described, plus workgroup tools and time management. All that is starting from scratch, critics are (very) welcomed. Philippe
