this post was submitted on 02 Mar 2024
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8 JOINS???? ARE YOU TRYING TO DIE
You guys are only using 8 joins?
No, they are using an ORM.
It’s fine if they’re indexed correctly…
I worked on an enterprise wide medical record system for seventeen years.
It had 10000 tables in the schema. Our particular setup populated 1500 of them. ( yes I meant tables).
8+plus happened...
:(
So are you using FHIR yet?
Lol, is funny you ask. I mainly worked on interfaces.
The medical industry makes the banking industry look nimble.
The organization had a couple interfaces using the protocol when I left. But adoption is slow, just about everyone still uses HL7. But it has been a couple years.
I asked because I've been working in the same field for 10 years, interfaces as well. You can count our FHIR interfaces on one hand, the rest is DICOM, HL7 or proprietary.
What it feels like to smoke 8 joins