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InterSystems
InterSystems Corporation is a privately held vendor of software systems and technology for high-performance database management, rapid application development, integration, and healthcare information systems. The vendor's products includInterSystems IRIS Data Platform Caché Database Management System, the InterSystems Ensemble integration platform, the HealthShare healthcare informatics platform and TrakCare healthcare information system, which is sold outside the United States. InterSystems is based in Cambridge, Massachusetts. The company's revenue was $727 million in 2019. History InterSystems was founded in 1978 by Phillip T. (Terry) Ragon, its current CEO. The firm was one of the vendors of M-technology (aka MUMPS) systems, with a product called ISM-11 (an DSM-11 clone) for the DEC PDP-11 . Over the years, it acquired several other MUMPS implementations: DTM from Data Tree (1993); DSM from Digital (1995); and MSM from Micronetics (1998); making InterSystems the d ...
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Phillip Ragon
Phillip Terrence "Terry" Ragon is an American entrepreneur and philanthropist who founded InterSystems and is the current CEO. Early life and education The son of a U.S. Air Force fighter pilot, Ragon was born in Arizona. He grew up in a variety of states and graduated from high school in Bogota, Colombia. He graduated from MIT in 1971 with a B.S. in physics. Career In 1978, Phillip Ragon founded InterSystems Corporation in Cambridge, Massachusetts, to develop and sell database management and healthcare information systems. He is currently the CEO and owner. Ragon is a member of the Harvard Medical School Board of Fellows, and a member of MIT Corporation (the governing body of MIT), and a member of the advisory board of the MIT Jameel Clinic. In 2020, with a net worth of $2.2 billion, Forbes ranked Ragon No. 378 on the Forbes 400 list of the richest people in America. Philanthropy In March 2017, Ragon, and wife Susan, signed The Giving Pledge, vowing to donate at least ...
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Shard (database Architecture)
A database shard, or simply a shard, is a horizontal partition of data in a database or search engine. Each shard is held on a separate database server instance, to spread load. Some data within a database remains present in all shards, but some appear only in a single shard. Each shard (or server) acts as the ''single'' source for this subset of data. Database architecture Horizontal partitioning is a database design principle whereby '' rows'' of a database table are held separately, rather than being split into columns (which is what normalization and vertical partitioning do, to differing extents). Each partition forms part of a shard, which may in turn be located on a separate database server or physical location. There are numerous advantages to the horizontal partitioning approach. Since the tables are divided and distributed into multiple servers, the total number of rows in each table in each database is reduced. This reduces index size, which generally improves sea ...
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Credit Suisse
Credit Suisse Group AG is a global investment bank and financial services firm founded and based in Switzerland. Headquartered in Zürich, it maintains offices in all major financial centers around the world and is one of the nine global " Bulge Bracket" banks providing services in investment banking, private banking, asset management, and shared services. It is known for strict bank–client confidentiality and banking secrecy. The Financial Stability Board considers it to be a global systemically important bank. Credit Suisse is also primary dealer and Forex counterparty of the Fed. Credit Suisse was founded in 1856 to fund the development of Switzerland's rail system. It issued loans that helped create Switzerland's electrical grid and the European rail system. In the 1900s, it began shifting to retail banking in response to the elevation of the middle class and competition from fellow Swiss banks UBS and Julius Bär. Credit Suisse partnered with First Boston in ...
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Coronavirus Disease 2019
Coronavirus disease 2019 (COVID-19) is a contagious disease caused by a virus, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first known case was identified in Wuhan, China, in December 2019. The disease quickly spread worldwide, resulting in the COVID-19 pandemic. The symptoms of COVID‑19 are variable but often include fever, cough, headache, fatigue, breathing difficulties, loss of smell, and loss of taste. Symptoms may begin one to fourteen days after exposure to the virus. At least a third of people who are infected do not develop noticeable symptoms. Of those who develop symptoms noticeable enough to be classified as patients, most (81%) develop mild to moderate symptoms (up to mild pneumonia), while 14% develop severe symptoms (dyspnea, hypoxia, or more than 50% lung involvement on imaging), and 5% develop critical symptoms (respiratory failure, shock, or multiorgan dysfunction). Older people are at a higher risk of developing seve ...
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Veterans Health Administration
The Veterans Health Administration (VHA) is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health that implements the healthcare program of the VA through a nationalized healthcare service in the United States, providing healthcare and healthcare-adjacent services to Veterans through the administration and operation of 146 VA Medical Centers (VAMC) with integrated outpatient clinics, 772 Community Based Outpatient Clinics (CBOC), and 134 VA Community Living Centers (VA Nursing Home) Programs. It is the largest division in the Department, and second largest in the entire federal government, employing over 350,000 employees. All VA hospitals, clinics and medical centers are owned by and operated by the Department of Veterans Affairs as opposed to private companies, and all of the staff employed in VA hospitals are government employees. Because of this, Veterans that qualify for VHA healthcare do not pay ...
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United States Department Of Veterans Affairs
The United States Department of Veterans Affairs (VA) is a Cabinet-level executive branch department of the federal government charged with providing life-long healthcare services to eligible military veterans at the 170 VA medical centers and outpatient clinics located throughout the country. Non-healthcare benefits include disability compensation, vocational rehabilitation, education assistance, home loans, and life insurance. The VA also provides burial and memorial benefits to eligible veterans and family members at 135 national cemeteries. While veterans' benefits have been provided by the federal government since the American Revolutionary War, a veteran-specific federal agency was not established until 1930, as the Veterans Administration. In 1982, its mission was extended to a fourth mission to provide care to non-veterans and civilians in case of national emergencies. In 1989, the Veterans Administration became a cabinet-level Department of Veterans Affairs. The age ...
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Electronic Medical Records
An electronic health record (EHR) is the systematized collection of patient and population electronically stored health information in a digital format. These records can be shared across different health care settings. Records are shared through network-connected, enterprise-wide information systems or other information networks and exchanges. EHRs may include a range of data, including demographics, medical history, medication and Allergy, allergies, immunization status, laboratory test results, radiology images, vital signs, personal statistics like age and weight, and billing information. For several decades, electronic health records (EHRs) have been touted as key to increasing of quality care. Electronic health records are used for other reasons than charting for patients; today, providers are using data from patient records to improve quality outcomes through their care management programs. EHR combines all patients demographics into a large pool, and uses this informatio ...
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Epic Systems
Epic Systems Corporation, or Epic, is an American privately held healthcare software company. According to the company, hospitals that use its software held medical records of 78% of patients in the United States and over 3% of patients worldwide in 2022. History Epic was founded in 1979 by Judith R. Faulkner with a $70,000 investment (). Originally headquartered in Madison, Wisconsin, Epic moved its headquarters to a large campus in the suburb of Verona, Wisconsin in 2005, where it employs 10,000 people as of 2019. The campus has themed areas/buildings, such as a castle-like structure, a "Wizard Campus" that appears to be inspired by J.K. Rowling's ''Harry Potter'', and a dining facility designed to mimic a train station. As of 2015, the company was in the fifth phase of campus expansion with five new buildings each planned to be around 100,000 square feet. The company also has offices in Bristol, UK; , Netherlands; Dubai, United Arab Emirates; Dhahran, Saudi Arabia; Helsink ...
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Gartner
Gartner, Inc is a technological research and consulting firm based in Stamford, Connecticut that conducts research on technology and shares this research both through private consulting as well as executive programs and conferences. Its clients include large corporations, government agencies, technology companies, and investment firms. In 2018, the company reported that its client base consisted of over 12,000 organizations in over 100 countries. As of 2022, Gartner has over 15,000 employees located in over 100 offices worldwide. It is a member of the S&P 500. History Gideon Gartner founded Gartner, Inc in 1979. Originally private, the company launched publicly as Gartner Group in 1986 before Saatchi & Saatchi acquired it in 1988. In 1990, Gartner Group was acquired by some of its executives, including Gartner himself, with funding from Bain Capital and Dun & Bradstreet. The company went public again in 1993. In 2000, the name was simplified from ''Gartner Group'' to Gartn ...
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InterSystems Caché
InterSystems Caché ( ) is a commercial operational database management system from InterSystems, used to develop software applications for healthcare management, banking and financial services, government, and other sectors. Customer software can use the database with object and SQL code. Caché also allows developers to directly manipulate its underlying data structures: hierarchical arrays known as M technology. Description Internally, Caché stores data in multidimensional arrays capable of carrying hierarchically structured data. These are the same “global” data structures used by the MUMPS programming language, which influenced the design of Caché, and are similar to those used by MultiValue (also known as PICK) systems. In most applications, however, object and/or SQL access methods are used. Caché ObjectScript, Caché Basic or T-SQL can be used to develop application business logic. External interfaces include native object binding for C++, Java, EJB, Activ ...
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Integrating The Healthcare Enterprise
Integrating the Healthcare Enterprise (IHE) is a non-profit organization based in the US state of Illinois. It sponsors an initiative by the healthcare industry to improve the way computer systems share information. IHE was established in 1998 by a consortium of radiologists and information technology (IT) experts. Operations IHE created and operates a process through which interoperability of health care IT systems can be improved. The group gathers case requirements, identifies available standards, and develops technical guidelines which manufacturers can implement. IHE also stages "connectathons" and "interoperability showcases" in which vendors assemble to demonstrate the interoperability of their products. Sponsorship IHE is sponsored by the Healthcare Information and Management Systems Society (HIMSS), the Radiological Society of North America (RSNA), and the American College of Cardiology (ACC). The eye care domain is sponsored by the American Academy of Ophthalmolog ...
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Health Level 7
Health Level Seven or HL7 refers to a set of international standards for transfer of clinical and administrative data between software applications used by various healthcare providers. These standards focus on the application layer, which is "layer 7" in the OSI model. The HL7 standards are produced by Health Level Seven International, an international standards organization, and are adopted by other standards issuing bodies such as American National Standards Institute and International Organization for Standardization. Hospitals and other healthcare provider organizations typically have many different computer systems used for everything from billing records to patient tracking. All of these systems should communicate with each other (or "interface") when they receive new information, or when they wish to retrieve information, but not all do so. HL7 International specifies a number of flexible standards, guidelines, and methodologies by which various healthcare systems can c ...
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