>>> I have developed a web-based patient management system which allows doctors to keep track of their hospital rounds / visits / consults and apply the appropriate billing codes and share that information with the rest of the doctors in the hospital.
I was wrong in the governor issue in the MS SQL Express upgrade to the MDSE- thank you for the correction. The need to store graphic files and inked notes are usually stored directly to an SQL database, although yeah, you can use GUIDs on occasions.
I developed a thumb drive-based hospital tracking system using the MS Word software that is installed on all of the 2 hospital's that I visit computers. It's actually pretty cool, using VBA and a MS Access Jet 4 tables to hold the lookup data (the visit data is stored on the Word document). I can also store it on my MS Access EMR/PMS which also fits on my thumb drive. (The Jet 4 tables are about 100MB in size after 18 years of data collection.) Nowadays I am using the latter, since I have the EMR open to access patient medical data already. There is also an issue with the MS Word thumbdrive where I need to add a new form to more rapidly gather in data... just need to do a few things first before that gets updated.
Unfortunately, in my main hospital (Virginia Hospital Center), they are starting to limit the Web access to one computer per station, so accessing the Web would be difficult. It seems that many of the nurses were wasting time on the Web, rather than in patient care.
The idea to use the thumb drive, BTW, came from a friend of mine at emrupdate, Gilbert B. Carter, MD, JD, FP, who developed the "Ten Second Medical Record",
http://www.tensecondmedicalrecord.com/.
