Stephen Russell wrote:
> On Thu, Jun 25, 2009 at 2:23 PM, Pete Theisen<[email protected]> wrote:
>> That's because of the Western "defensive medicine" model. Our stuff is
>> only what is relevant to the patient's actual health, at least for now.

> I have a db for this application with 2396 tables, 7000 indexes.
> 
> I have to say that this is one of the WORST designed dbs I have ever
> worked with, but that cannot be fixed without tremendous stress on the
> managers of these facilities because you can set what is visible in a
> form data wise.  this allows every practice to be able to customize
> what their users see.
> 
> What I have in data volume I also have duplicated in image volume.
> These medical records are more than just XML / XSLT.  We store all the
> digitized records for everything.
> 
> On top of that there is a lot of code to determine if Pt came in with
> this diagnosis will these tests be covered by X, Y, Z payors.
> 
>> Yes, later versions will have feature bloat, true enough.
>>
>> Still, didn't the people who wrote it just get it to work and release
>> it? Be honest.

> I doubt it.  I speak with their tech team every other week and beyond
> the shadow of a doubt they did not put out VB3 crap to run a medical
> offices billing department.  Nope not at all.

Hi Stephen,

So you have scanned paper records for a good part of it?

Seems to me that the sheer size indicates a piecework development, each 
part they just got it to work and released it. Every new feature request 
they just got it to work and released it. What is it called?
-- 
Regards,

Pete
http://pete-theisen.com/
http://elect-pete-theisen.com/

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