On node.js you can configure how tiddlers are saved to file, and in what 
directory structure, by providing filters. So you could separate tiddlers 
for patients into separate folders off a tag, a field value or anything 
really. You could have one folder for all patient tiddlers, one folder per 
patient, however you like.

https://tiddlywiki.com/#Customising%20Tiddler%20File%20Naming

On Tuesday, April 28, 2020 at 10:24:26 PM UTC+2, Dave Parker wrote:
>
>
>> With the node.js version, and Bob, you'd have separate tiddlerfiles but 
>> for the same wiki.
>>  
>>
>
>  How would that actually work? would you have to have the patient tiddler 
> files tagged a certain way to keep them separate (I assume in separate 
> folders), but the main system tiddlers would remain the same and kept in 
> the parent folder?  This would be ideal.
>
>
 

> Also, would it be possible to run filters/reports etc on the entire 
> patient database? Or would this be something I'd have to use bash or some 
> other external thing to look at?
>

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