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I took traning like a decade ago to become Epic systems admin. They use Caché database, a hierarchical db. MUMPS and visual basic are a couple of languages they use. Kaiser permanente is a big customer of Epic. At one point, Kaiser wanted equity in privately held Epic systems, because Kaiser thought it is the market maker for Epic systms. Epic systems did not budge to Kaiser's demands. Unless salesforce comes with a solid product to compete with Epic, no big hospital would buyt Salesforce product. If I were the decision maker, I would rather go with a product that can be successfully implemented; otherwise, I would end up loosing the job like those bad $1B SAP implementations. What is the impact of cloud in healthcare EHR. Not much, healthcare is like banks, finance. Lots of regulations like HIPAA, audits, etc. Yes, Epic and non-epic systems can be interfaces via HL7, which is like XML. When banks move to cloud, thats when we expect healthcare IT to move to clound. Until then, it is gonna be in the datacenters managed by hospitals. |
Epic has a Restful(ish) system now too. And most of the others have full on JSON APIs now.