On Mar 24, 2014, at 7:07 AM, Albin Stigö <[email protected]> wrote:

> I always thought couchdb would be a really good fit for various
> patient record systems. Especially in remote areas with spotty
> connection, or perhaps no connection at all, as you could run a local
> version, then physically move it and sync later.

In general, yes. But  in the US, HIPAA regulations seem to be pretty strict 
about the security of databases that store medical records, so one would need 
to ensure that the database is stored on an encrypted filesystem and the 
replication always runs over an SSL connection. (I remembered just in time to 
add “in the US”! :) I’m sure the EU has similar regulations.)

(Disclaimer: I don’t know anything first-hand about HIPAA, but I’ve talked with 
several developers of medical apps, especially mobile apps, who’ve shared these 
kinds of concerns.)

Another reason CouchDB is a good fit is that its ecosystem includes several 
mobile-ready implementations that can be used to sync records to/from phones 
and tablets. These include Couchbase Lite, PouchDB, and Cloudant’s mobile sync 
SDK.

—Jens

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