“Interoperability” is non-existent. I sold to hospitals at one point. What a mess.
Citrix & Epic everywhere.
Cost millions & take forever to implement.
If anyone knows Michael Saylor, tell him hospital medical record systems are ripe for disruption. An analog to his hyper intelligence software could probably win bigly in this area.
I wrote software to something akin to this for my internship a decade and a half ago.
Still nothing today beats what I made for myself back then. Saylor could beat it handily. See https://sourceforge.net/projects/scutmonkey-md/
Discussion
The real joke is the government requires interoperability. In practice this just means all the medical data crisscrossing the network is unencrypted and in a very poorly specified text based format that varies from hospital to hospital (and even at the same hospital over time). It is interoperable in the sense that anyone can plug in to the network, listen for packets, and write their own parser for every event from every data source and store it in their own proprietary database.
There is huge money in those systems and maintaining and even the super users for training the trainers.
Epic chooses their customers. There’s a waiting list. Imagine that. Chooses customers& what they pay. 💰
Guess who actually pays?
Healthcare is beyond broken. Some great doctors out there but most are captured or just going through the motions at this point.
I know someone who sells those systems, and everything associated with them. He's been doing it for about 10 years I think and crushing it by fiat standards. He works constantly though and doesn't get to spend much time with his family which is sad
I sold high end software for 25+ years. It’s a very lucrative career in fiat terms but it’s a tough world. Not many survive over long time periods. Unless you’ve been in it, it’s hard to describe how different a world it is from regular jobs.