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8 JOINS??? ARE YOU TRYING TO DIE
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I worked on an enterprise wide medical record system for seventeen years.
It had 10000 tables in the schema. Our particular setup populated 1500 of them. ( yes I meant tables).
8+plus happened…
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Lol, is funny you ask. I mainly worked on interfaces.
The medical industry makes the banking industry look nimble.
The organization had a couple interfaces using the protocol when I left. But adoption is slow, just about everyone still uses HL7. But it has been a couple years.
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