4 ms·
From the other side of the fence, more often than not when someone offers an open source or COTS replacement to an in-house system the result is that it replace
by oriolid 5y ago
From the other side of the fence, more often than not when someone offers an open source or COTS replacement to an in-house system the result is that it replaces easily 90% of the functionality, but for the last 10% you need to either serious mental gymnastics to fit your system into the third party system's way of doing things or just put more effort into patching it than doing it from scratch would have needed. Sometimes the 10% is not really needed, sometimes it's the whole reason why the product was built.
- analog31 5y agoTo be fair, this also happens if you switch to a commercial system, or from one commercial system to another. I can't count the number of times I've arrived at a health clinic, and was told: "Please bear with us, we just switched our system to **, and it has effectively shut us down."
- MartinCron 5y agoOr even, "we've just upgraded to a new version of our health system and it has effectively shut us down"
- oriolid 5y agoMedical information systems are the worst, because the poor people who have to use them can't influence the initial choice or development of the thing.