this post was submitted on 10 Feb 2025
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There are roughly five million people in NZ. If each person had ten interactions with the health system every year that's only fifty million records per year in a database. I have built systems that process fifty million records per year on an off the shelf postgres database using a slow interpreted language.
There is no excuse for NZ to not have a centralized medical records system. There is no excuse for a centralized medical/hospital management system. This should have been done years ago. Right now there are open source medical systems being used by countries which are bigger than NZ with more complex health and social challenges. NZ could take one of those systems, hire ten engineers to tweak and customize it and deploy them on a half a rack without too much trouble.
Hell give me a couple of hundred thousand dollar contract and I will put it together and hire all the engineers for you.