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bev MD

Dr. Friedman;

Could you elaborate on how the federated system architecture differs from the "best of breed" approach, wherein a separate LIS, RIS, ED system, etc. are all interfaced to a central HIS - which contains the patient demographics and order entry system? At our hospital, the "party line" was that maintaining those interfaces was too difficult and thus we had to migrate to an integrated system like Cerner Millenium - with the predicted loss of functionality for the individual departments....

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