Dear Mr. Antas,

I was considering imaging workstations, which is a completely different
thing from stupid SAA terminals running on old-moded HIS systems, which
still account for the majority of HISs I have seen so far. Have a look in
you local radiology department. Which machines do they run there reporting
on ? Do the use dragon-dictate or any other voice recognition system ? If
yes, I suppose the use MS-machines..What machines do they use to grab images
?

Imaging for Linux -to my opinion- is still in its child years. Support for
grabber cards other then BT848/878 -if any- is poor. Imaging for Java is
still more behind.
(I know that these statements will account for some more "minus scoring" an
my behalf)

Btw. i-path client is a MS-windows application ;-)

Your considerations about MS-systems security are 100% right anyway.

Greetings

Alex



----- Original Message ----- 
From: "J. Antas" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, March 19, 2004 12:25 PM
Subject: Re: [Care2002-developers] digital camera


Alexander Hölzel wrote:

> I suppose most Care2x clients will operate under MS-Win OS, so WDM will be
> the appropriate technology to use.

That suggests that you have few, or no, previous experience with
hospital IT.

Care2x is open source and free. Micro$oft isn't neither free nor open
source. Micro$oft does not like open source at all.
An hospital that relies in Windows is arguably an unreliable and
unsecure hospital. Contrary to what Micro$oft hardly tries to convince
you Windows is unreliable and full of back doors. Security policy is
unenforceable as Windows networks are fundamentally unsecure: anyone
with boot access to a terminal may easily and instantaneously acquire
administrator privileges.

For years hospitals have not relied in Windows neither for their main
"heavy" software, nor for their (terminal) clients. In fact concepts
like "secure" or "reliable" are difficult to conciliate with words
derived from "Micro$oft".

Instead, I would expect that most Care2x installations would be made
over something much more secure, something like BSD or Linux.

Those systems also have the added value of being both free and open
source. Additionally, under Linux there is a beautiful way of making a
hospital network that involves LTSP (The Linux Terminal Server project:
http://www.ltsp.org/) and SSI clustering (openSSI:http://openssi.org/)
and Heartbeat (http://linux-ha.org/heartbeat/).
That way you will have clustering with high availability and transparent
node registration and load balancing. Also you will have NO MASS STORAGE
in the local terminal, meaning that each time that a terminal is leaved
unattended or is disconnected there will be no information available to
be carried out of that institution. How is that for clinical (or
operational, or financial) data security?
Also, looking at the hardware side, local terminals may be constructed
from old, recycled, cheap hardware, starting from old pentium II 300 MHz
to high tech over 3 GHz Opteron 64.

J. Antas




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