Hi,

I want to comment some issues on your long discussion. I am not software 
developer and 
see the whole issue from user point of view and after following this 
development since 2002. 
The hospital software requirements are so different in different countries that 
it is not easy to 
make a big groups working on the same goal like Ubuntu or many other packet 
softwares. If 
it would be we would have many good options for open source software for health 
care. 
I think realistic is to find co-operation in regions, where requirements are 
similar like we have 
at least in East Africa at smaller hospital level and maybe in other areas in 
this continent.

Also software developers seem to have different opinions how to do some 
details. I have 
seen many fights in this channel specially in the earlier days. Now it has 
calmed. But of 
course this kind of soup done by many cooks could and should be improved. There 
are many 
flavours. 

But here we have been pragmatic: we take what is available and build our 
customization on 
that.  I do not know better alternatives in open source market from which to 
start. The more 
we get resources the better we can make it with time.

Mauri Niemi

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