Thanks a lot ! That does bring the thing much more into
perspective.

> The proof of the pudding, as they say, is in the eating.
> A great challenge.
I could not disagree less.

> The product we have an agreement to use
> has a significant number of man years of development behind it and has
> had millions of dollars invested in it.  We are doing the exact opposite
> of starting over from scratch.
This could work, indeed. Seems like that for vertical markets
you need a huge chunk of working code that can be changed here
and there by the few tinkerers while for horizontal markets you
are better off with a simpler piece of working code and lot's
of good technical taste as the tinkerers will come in droves.

> The system is designed and implemented to service the
> disparate needs of individual physicians as well as large integrated
> health systems.
This is the only technical point presented here that
I am sceptical about.

> - the core of the system is a community-based,
Exactly what is meant by that ? If it means a network of
managed servers "provided to the community of practicing
physicians" then this ...

> massively scalable,

... may work. Actually that would be the only chance to make
"massively scalable" work, IMHO.

> - the entire system can run n-tier with client-server speed over an ASP
> infrastructure using simple dial-up (56K or less), or can be configured
> standalone to run on a single PC or within a LAN, WAN, or VPN
Again, that's the part I will have to see before believing it.

Everything else sounds (hype aside) quite pragmatic and
reasonable AFAICT. More power to them.

> To that end David and I would be very interested in taking this
> opportunity to open up an international dialogue and cooperative
> coordination of efforts.
Show me the code and I'll make my best effort to bring
about collaboration between "this" and GnuMed.

Regards,
Karsten Hilbert, MD
-- 
GPG key ID E4071346 @ wwwkeys.pgp.net
E167 67FD A291 2BEA 73BD  4537 78B9 A9F9 E407 1346

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