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From YouTube: Buenos Aires 2019 | OpenShift @ Ministerio de Salud Alejandro Lopez Osornio (Ministerio de Salud)
Description
Buenos Aires 2019
OpenShift @ Ministerio de Salud
Alejandro Lopez Osornio (Ministerio de Salud, Argentina)
A
The
digital
health
strategy
promotes
the
incorporation
of
technology
to
support
the
work
of
health
teams
throughout
the
country,,
improving
the
care
of
each
person
with
the
national
digital
health
network,
progressively,.
The
information
from
the
medical
history
will
accompany
the
patient
in
all
health
centers
in
argentina-.
How
the
teams
work
will
be
able
to
record
all
the
data
of
each
person
treated
in
their
electronic
medical
record
from
any
institution
connected
to
the
digital
health
network.
This
information
can
be
shared
with
other
centers
when
the
patient
visits
them
all.
A
You
must
implement
a
set
of
standards
so
that
the
information
stored
in
your
electronic
medical
record
system
is
compatible
with
all
institutions
in
the
network,
with
the
implementation
of
scalable
provincial
projects.,
The
Secretary
of
the
Government
of
Health
of
the
Nation
accompanies
the
technical
teams
to
Connecting
to
the
digital
health,
network,
advising,
training
and
accompanying
the
implementation
of
said
computer
standards
and
the
incorporation
of
electronic
medical
records.
Being
part
of
the
network
allows
each
jurisdiction
and
health
provider
to
provide
comprehensive
care
to
each
person
throughout
throughout
your
life.
A
Protecting
the
security
and
privacy
of
your
information
stored
in
the
electronic
medical
record,
guarantees
cost
recovery
from
care,
centers,
improving
resources
and
ensuring
the
sustainability
of
the
acknowledgment
makes
it
possible
for
health,
centers
and
health
centers
to
have
statistics
on
public
health
permanently
updated
to
improve
the
health
system
as
a
whole,.
All
jurisdictions
have
already
been
invited
to
adhere
to
the
implementation
strategy
of
the
accusation,
and
today
we
are
accompanying
the
provincial
technical
teams
to
advance
their
integration
into
the
digital
health
network
of
the
universal
health
coverage.
A
B
Good,
thank
you
very
much
good.
As
eddie
santiago
said,
my
name
is
alejandro
lópez
osornio
I
am
a
family
doctor
and
When
I
was
studying,
medicine,
I
worked
as
a
programmer
at
Saiz
because
they
don't
know,
the
end
of
the
90s,.
So
when
I
started
working
as
a
doctor
in
an
Italian
hospital,,
he
began
to
train,
as
this
specialty
in
health,
informatics
and
I
was
one
of
the
pioneers
in
that
sense,
at
the
hospital
doing
the
courses.
and
specializing
in
that
and
later
also
working
as
a
consultant
for
many
years.
B
The
vision
we
always
had
was
how
to
achieve
this,
that
you
saw
that
this
must
be
asking
how
they
are
going
to
make
this
happen,
not
how
to
make
it
happen
in
Argentina,
no
matter
where
you
see
some
in
a
public
place
in
a
private
place.
The
information
from
our
medical
history
accompanies
us
and
is
present.
B
This
is
what
our
directorate
does.
The
national
directorate
of
health
information
systems
is
new
and
from
this
it
was
created
with
when,
with
doctor
rubistein,
when
they
cover
the
The
current
Minister
of
Health
or
the
Secretary
of
the
Government
of
Health
was
appointed
at
the
beginning
of
2018
at
the
end
of
2017
and
created
this
space,,
which
is
a
new
space
in
which
there
is
a
health
vision
of
the
implementation
of
information
systems
and
the
coordination
of
information
systems
in
the
country.
B
The
world
health
organization
recommends
that
countries
create
digital
health
strategies
as
well
as
recommends,
and
digital
government
strategies
that
you
are
familiar
with.
There
is
a
very
important
current
that
is
stimulated
by
the
world
health
organization.
That
countries
declare
the
directions
in
which
they
are
going
to
advance
in
digital
health
information
in
order
to
coordinate
all
the
aspects
that
have
to
do
with
this,.
B
Our
management
is
working
on
this,,
as
I
told
you
two
years
ago,,
and
we
have
created
regulations
and
norms
that
try
to
create
structures
that
facilitate
the
communication
of
existing
systems
and
the
national
digital
health
strategy.
We
published
it
in
early
2018,,
then
we
defined
standards,
yes,.
The
strategy
will
tell
you
a
bit
about
the
priorities
when
it
is,,
but
it
consists
of
communicating
systems,.
It
consists
of
interoperability,,
so,
for
the
systems
are
interoperable,
it
was
necessary
to
define
standards
that
we
all
use
so
that
the
information
is
compatible,
no
matter
where
it
is
registered.
B
Later
we
also
work
on
making
a
national
telehealth
plan.
We
know
that
argentina
is
a
very
large
country
and
the
distribution
of
doctors
is
very
unequal.
There
are
specialists
in
buenos
aires
in
the
capitals
of
the
provinces
that
when
one
goes
further
inland,
it
is
very
difficult
to
find
specialists
in
some
things,
so
we
created
a
national
plan
that
facilitates
the
creation
of
networks
that
connect
patients
with
specialists
so
that
they
reach
all
of
argentina
and
also
by
Lastly,.
B
B
The
digital
health
strategy
has
a
vision,
and
this
vision
has
to
seeing
something.
Sanitary
is
not
implementing
technology
for
the
sake
of
technology
itself,,
but
rather
having
a
sanitary
vision
of
improving
the
quality
of
care
for
patients
in
argentina.
An
effort
is
being
implemented
from
the
ministry
of
health,
that
is
universal
health
coverage.
Universal
health
coverage
in
each
country
is
interpreted
in
different
ways
according
to
the
needs
of
that
country.
B
Countries
that
do
not
have
free
public
healthcare
interpret
coverage
as
providing
all
members
of
the
population
with
access
to
free
public
healthcare,
In
Argentina,
thank
God,.
This
has
been
assured
for
a
long
time..
It
is
something
that
we
appreciate
very
much,,
and
any
citizen
in
Argentina
can
have
public
and
free
care,,
but
we
know
that
it
is
not
the
same
quality
of
care
in
different
places..
Regional
statistics
show
that
in
some
provinces
the
health
results
are
not
the
same
as
in
others.
This
is
universal.
B
Health
coverage
in
argentina
tries
to
reduce
these
gaps
and
provide
better
quality
of
care
to
all
citizens,
and
this
one
of
the
ways
to
provide
better
quality
of
care
is
to
understand
what
what
happens
to
people,
to
be
able
to
measure
it
to
be
able
to
measure
policies
and
to
be
able
to
share
clinical
information.
So
digital
health
and
the
entire
axis
of
digital
health
is
a
fundamental
component
to
improve
the
quality
of
care
for
the
entire
population
and
the
priorities
that
we
had
to
set.
B
In
order
to
achieve
what
you
saw
in
the
video,,
it
was
to
define
standards,,
as
we
already
told
you,,
to
communicate.
Information,
create
a
central
infrastructure
that
allows
everyone
to
communicate,,
and
that
is
where
we
are
going
to
approach,
openshift
containers
and
all
this,,
and
we
have
to
do
a
series.
of
other
things
that
allow
that
information
to
flow
amicably,.
The
ministry
tends
to
fragment,
asking
for
different
information
from
the
provinces,.
We
have
to
integrate
it,
the
provinces
have
to
develop
their
own
systems,.
As
you
know,
Argentina
is
a
federal
country,.
B
Health
is
managed
by
the
provinces
with
provincial
budgets,,
so
we
had
provinces
that
had
great
advances,
such
as
the
province
of
neuquén,
mendoza,
misiones
de
la
pampa,
that
had
very
good
systems
already
working,
and
we
had
other
provinces
that
were
beginning
to
see
how
computerized
in
the
health
sector
was
how
they
made
hospitals
have
electronic
shifts
that
have
medical
records
and
They
are
just
looking
for.
The
first
steps.
This
is
part
of
the
strategy..
B
It
involves
going
and
helping
the
provinces
communicate
to
the
wings
that
are
very
advanced.,
Asking
them
for
help
to
inspire
us
and
to
collaborate
with
other
provinces
in
which
they
were
starting
courses
that
are
necessary
for
them
to
start
later,.
We
have
to
define
how
are
we
going
to
share
the
clinical
history?
What
are
the
rules
that
are
going
to
ensure
that
the
decline
list
is
shared
safely
and
that
it
does
not
violate
the
privacy
of
the
patient?
And
what
role
do
we
link
the
patient
to
participate
in
all
this?
B
Of
course,
there
are
always
aspects.
Legal
and
regulatory
standards
that
are
behind,
technology
advances
much
faster
than
laws
and
we
needed
to
create
a
set
of
human
resources,,
a
new
generation
of
specialists,,
whether
they
come
from
process
systems
or
health,
medicine,,
psychology,
nurses,
who
know
health
digital,
and
that
can
help
this
transformation.
Then
the
objective
was
to
create
a
national
digital
health
network
to
improve
the
quality
of
care
and
to
improve
public
health
information.
B
What
are
the
dimensions
of
the
digital
health
network
shared
clinical
history,
the
recipe
digital
and
digital
clinical
orders
that
this
means
that
the
doctor
can
upload
the
prescription,
a
clinical
history,
and
you
can
go
with
a
code
on
the
phone
or
something
to
pick
up
the
medication
at
the
pharmacy.
This
avoids
problems
with
the
letter,
the
prescription,
the
coverage,
no
more,
that
the
pharmacy
says,
I
think
it
has
another
letter
it
lacked
to
put
units
it
lacked
to
put
prolonged
treatment
of
having
happened
to
everyone.
B
It
happens
to
me
sometimes,
and
also
that
the
information
that
reaches
the
ministry
arrives
quickly
and
on
time
this
is
a
bit
what
You
could
see
it
in
the
video,?
The
idea
is
that
one
can
be
treated
in
one
province,
travel
to
another
province
and
that
the
information
is
available
there
to
help
whatever
is
an
analysis
in
a
private
laboratory
and
then
to
a
clinic
not
linked
to
that
laboratory
and
that
it
is
in
the
same
information.
B
And
then
the
public
hospital
goes
because
an
accident
in
the
street-
and
there
is
the
same
information
if
this
would
be
achieved
through
a
modification
in
all
the
systems
so
that
they
can
share
information
through
the
digital
health
network.
What
is
this
button
that
says
to
consult
in
the
digital
health
network
and
the
patient
has
to
have
a
role
in
this
Argentine
law
allows
a
doctor
to
ask
another
institution
for
information
about
the
patient.
B
The
law
perfectly
allows
that
doctor
to
ask
in
electronic
form
the
information
to
another
hospital,
but
the
patient,
who
may
feel
that
perhaps
this
is
a
risk,
so
we
generate
an
option
that
is
to
knock
out,
that
is
to
say,
I
go
to
my
Argentina,
which
is
the
place
where
today
we
have
the
driver's
license.
We
have
the
green
card
and
that
site
where
we
can
put.
B
If
we
want
to
donate
or
not
donate
organs
in
that
same
site,
you
will
be
able
to
say
I
do
not
want
the
reality
that
the
information
travels
through
the
digital
health
network,
because
it
scares
me
a
little
because
of
some
risk.
Then
the
citizens
will
be
able
to
say
that
and
when
the
doctor
touches
the
button,
that
will
tell
him
that
there
is
no
information.
B
So
the
network
works
as
a
link
that
communicates
to
all
the
health
information
systems
without
storing
information,
and
this
is
in
the
key
of
to
make
it
implementable
to
make
it
logical
not
to
have
a
central
database
with
all
the
clinical
histories
of
all
Argentines
in
the
Ministry
of
Health
or
in
the
government
presidency.
The
clinical
histories
are
distributed
every
time,
I
contact
a
place
has
a
system.
They
treat
me
with
this
system
and
generates
a
new
medical
record,
but
through
a
federated
identification
we
can
collect
this
information
when
the
patient
needs
it
on
demand.
B
It
is
not
collected
if
the
patient
does
not
travel.
The
information
never
travels.
The
information
travels
when
the
patient
travels
and
enables
to
the
doctor
to
request
it
through
this
network,
this
network
of
an
infrastructure
that
is
common
enterprise
services
batasuna,
and
it
is
seen
that
you
are
therefore
more
familiar
with
the
topology.
B
Is
this
and
the
idea
is
that
all
the
domains
in
the
network
are
either
a
province
or
a
system
from
a
municipality,
a
system
of
a
private
clinic
or
a
private
doctor's
office
or
the
ministry
of
health
are
all
connected
to
this
digital
health
network
to
this
bus.
This
bus
makes
it
possible
for
everyone
to
talk
to
everyone
without
having
to
agree
in
advance
to
pass
passwords
a
certificate
to
specify
the
ip.
If
you
have
your
visa,
the
network,
you
can
talk
to
everyone
who
participates
in
the
network.
B
What
this
digital
health
network
of
this
interoperability
bus
does
is
recognize
that
it
sent
each
patient,
and
this
is
the
only
information
it
has.
The
digital
health
network
knows
that
Juan
Pérez
passed
through
Neuquén,
Mendoza
and
the
city
of
Buenos
Aires-,
and
he
doesn't
know
anything
else,.
He
doesn't
know
what
happened
to
him
in
Neuquén,
what
happened
to
Mendoza,
or
that
the
presence
of
Buenos
Aires
if
that
patient
consults
and
needs
Gathering.
B
B
Electronic
documents
are
shared?
international
standards
to
define
electronic
documents.
This
project
is
based
on
hl7
in
the
name.
It
follows
the
same
international
standards
that
are
being
used
in
europe
in
australia,
in
the
united
kingdom-,
and
they
are
the
most
widely
used
standards
for
sharing
clinical
information.
One
of
those
standards
is
the
ips
that
is
called
international,
pay
sense,
mari,,
which
is
a
way
of
structuring
the
content
of
a
clinical
history
summary
in
a
jason
or
xml
and
being
able
to
share
it,
and
then
it
is
basically
what
we
are
with.
As
the
first
objective,.
B
B
You
are
not
going
to
give
him
a
medication
that
interacts
with
another,
and
you
will
to
have
a
clear
idea
of
all
the
diagnoses
that
they
have,
of
course,
after
this
summary,,
which
is
the
most
practical
thing,
we
are
going
to
move
on
to
other
documents,
such
as
prescriptions,,
acp,
orders,,
crises,
hospital,
discharge,,
consultations,
etc.,,
a
library
is
being
created
of
electronic
documents
and
also,
as
I
told
you,.
It
is
very
important
to
advance
in
the
digital
recipe,
because
that
simplifies
a
lot
of
processes,
and
it
will
be
something
that
everyone
will
easily
see.
B
These
things
are
the
rest
of
the
world
and
I'm
trying
to
do.
This.
There
are
different
ways
to
do.
This.
We
looked
at
it
and
we
reviewed
them.
We
investigated.
We
all
got
together
with
the
people
who
worked
on
our
projects
and
all
the
projects
had
problems
when
they
tried
to
launch
this
type
of
national
platform.
It's,
the
looking
for
guys
that
the
United
Kingdom
did-
and
it
had
a
lot
of
problems
when
it
started,
they
spent
millions,.
B
It
had
a
lot
of
problems
in
the
US,
Obama
Care,,
which
is
not
strictly
healthcare,,
but
they
asked
people
to
reach
out
and
say
what
they
want
to
do
with
their
health
coverage
fell
for
I,
don't
know
how
long
I
couldn't
stand
the
number
of
logins.
It
was
very
difficult
getting
into
Australia.
My
girls
record
is
very
similar
to
this,
and
it
had
a
lot
of
problems
when
it
started
it
had
bugs
that
took
time
to
be
corrected.
B
People
were
trying
to
achieve
themselves,
they
filled
the
servers
they
exploded,
so
it
is
very
difficult
to
start
with
this.
We
know
that
the
first
steps
are
going
to
be
decisive
and
if
we
lose
the
trust
of
the
people
having
a
platform
that
does
not
support
the
use
with
concurrent
kurt
of
all
the
users,
we
are
going
to
have
big
problems,
but
we
also
knew
we
could
start
small.
But
if
we
did
well,
we
were
going
to
have
another
problem.
B
The
uk
reached
1
billion
transactions
per
month
last
year,
and
that
says
four
times
the
volume
of
transactions
of
the
credit
card,
authorization
system,
credit
and
debit.
So
we
knew
that
the
ceiling
was
also
very
high.
It
was
very
difficult
to
bring
all
the
people,
but
it
was
also
very
easy
that
if
we
did
well,
we
were
going
to
explode
due
to
overuse.
B
So
one
of
the
great
challenges
we
had
was
how,
in
Argentina,
we
can
implement
a
system
of
a
digital
health
network
that
starts
little
by
little
that
grows
and
that
supports
the
volume
of
requirements
that
it
was
going
to
have.
We
had
the
Argentine
knowledge,
despite
not
having
a
long
history
in
these
digital
health
tools.
If
you
have
experts
who
have
worked
for
everyone,
experts
who
work
in
private
places
consultants.
So
what
to
do?
We
knew
what
is
difficult
for.
B
The
government
is
to
have
the
infrastructure
to
make
this
happen
without
them
exploding
on
the
way
we
decided
to
avoid
mass
launches.
It
already
happened
to
us
in
The
system
that
we
have
in
the
ministry
out
there
increases,,
let's
not
add
a
new
function
that
incorporated
4000
users
and
the
system
for
six
months
remained
in
areas
that
could
hardly
be
used
or
residents
register
to
take
the
national
residence
exam
and
the
first
two
days
something
explodes
and
it
cannot
be
used.
B
We
are
very
aware
that
the
sudden
growths
had
done
us
very
badly,
so
we
said
well,
we
are
going
to
start
little
by
little,
make
a
very
gradual
release
and
that
we
are
increasing
in
complexity
as
it
goes,
but
at
the
same
time
we
wanted
to
start
small
and
grow
without
making
a
new
version
of
the
system
and
a
new
version
of
the
system.
We
didn't
want
to
say
well,
this
is
the
system
for
the
first
year
in
a
year,
we
throw
it
away
and
put
one
that
has
more
capacity
in
two
years.
B
What
we
pull
and
put
another
one
with
more
layers.
We
wanted
the
steps
we
took
to
be
the
same
ones.
We
are
going
to
do
in
order
to
continue
growing
and,
at
the
same
time,
we
wanted
it
to
be
flexible.
Some
systems
that
we
have
online
today
have
cycles
of
a
month
and
a
half
to
update
With,
something
that
I
compete
with
today,
in
a
month
and
a
half,.
The
users
will
only
see
it
with
a
terrible
for
this
type
of
scale
of
developments
in
which
we
had,.
B
So
we
began
to
investigate
and
see
which
path,
to
follow
and
obviously,
The
path
is
the
cloud,
that
is,
how
to
have
native
applications
in
the
cloud.
This
is
a
great
challenge,,
especially
for
a
government
organization,,
because
not
only
the
technology
that
one
has
to
choose,,
but
also
the
human
resources
that
are
capable
of
adopting
it,
have
three
processes
that
maintain
all
this
that
are
compatible
with
these
agile
platforms.
None
of
this
is
in
the
public
administration.
B
If
you
know
that
salaries
in
public
administration
are
not
so
appetizing
for
experts,
then
it
is
very
difficult
to
find
people
with
high
experience
in
this
type
of
things.
Then
it
will
be
almost
impossible
to
start
from
the
public
administration
to
investigate
suspending
solutions
to
start
looking
for
the
best
combination
of
rulers
with
something
else
with
what
follows,
then.
That
is
why
we
approached
to
find
a
solution
that
is
based
on
open-source
tools.
B
That
has
everything
that
we
see,
that
it
is
recommended
everywhere
that
it
is
the
fashion
that
it
is
the
way
that
it
is
what
we
see
as
the
way
to
have
this
type
of
scalable
applications,
but
that
in
turn
have
support
and
consultancy
that
accompanies
us
to
do
it
that
accompanies
us
to
transform
our
human
resources
to
help
us
implement
processes
to
help
us
implement
the
mechanisms
we
are
working
on
with
the
redhat
container
adoption
program.
We
are
in
the
first
stage
if
we
are
in
the
first
stage
and
we
are
doing
very
well.
B
We
are
having
a
great
success
in
that
and
we
have
a
vision
of
being
in
the
next
two
years.
Working
on
the
growth
of
this
cluster
of
this
cloud
of
this
implementation
so
far
has
been
a
very
good
experience
and
it
is
a
way
to
have
a
lot
of
information
and
take
a
lot
of
decisions
have
been
pre-assembled.
B
Well,
what
happens
is
that
it
starts
to
happen
little
by
little.
It
is
true
that
there
is
a
lot
to
go
for
you
to
go
to
any
health
center
and
have
everything
you
saw
in
the
video.
It
is
true
that
will
take
a
few
years.
It
will
take
three,
four
or
five
years,,
but
it
is
happening
in
many
centers,
and
that
is
what
is
interesting.
We
made
a
very
interesting
launch
where
all
the
provinces
were
present..
B
So
we
have
many
municipalities
that
are
working
with
us,
the
city
of
buenos
aires,
the
province
of
mendoza,
and
we
have
the
province
of
neuquén,
san,
juan
and
tucumán
that
are
already
doing
this
in
tests.
They
are
giving
Very
well,.
They
are
waiting
for
the
next
versions
of
their
systems.
To
start
this
process
that
we
call
federation,,
which
is
the
process
by
which
patients
declare
in
the
digital
health
network
and
I,
can
show
you
how
this
will
look
in
the
coming
weeks.
When.
B
They
begin
to
share
the
summary
of
the
clinical
history
in
the
medical
records,.
This
is
an
example
of
a
patient
from
a
clinical
history
of
a
suburban
municipality
in
which
all
the
patient
data
is
grouped,
as
they
are
usually
grouped,,
but
it
has
a
new
section.
That
is
this
section
that
says
jurisdiction.
B
If
the
jurisdiction
shows
you
that
there
is
information
elsewhere,
because
the
doctor
who
is
seeing
a
patient
for
the
first
time
is
fine
sees
that
there
are
other
jurisdictions
that
also
have
patient
information,
as
reported
by
the
digital
health
network.
By
doing
some
clicks
there,
you
can
quickly
access
the
information
that
is
stored
on
a
server
in
other
municipalities
in
another
province
or
in
a
private
center.
It
is
a
great
challenge
to
implement
this.
We
are
doing
it
in
the
most
open
way
possible.
B
We
work
hand
in
hand
with
the
provinces,
helping
them
upload
and
One
morning.
We
have
a
training
session
that
leaves
mornings
of
standards
that
we
do
on
the
third
Wednesday
of
each
month,
where
municipalities,
people
from
the
provinces
come,,
including
private
ones,,
to
test
the
APIs
of
this
live
digital
health,
network.
We
have
a
development
environment
when
we
do
connect
atom.
Is
that
people
test
the
connections
and
test
all
the
standards
when
we
started
this
management
in
2017
very
few
provinces
had
these
interesting
digital
health
projects.
B
They
are
completely
disconnected,
but
they
were
well
advanced
on
their
own
in
isolation
and
what
We
have
achieved
the
length
of
two
years
of
work
is
that
all
the
provinces
put
work
in
digital
health
on
the
agenda,.
Many
of
them
have
already
managed
to
deploy
electronic
medical
record
systems,
online
shift
systems
and
others,.
The
teams
are
being
developed,,
are
going
through
the
tenders
and
are
doing
all
this
with
our
support,.
The
ministry
programs
that
grant
incentives
to
the
provinces
are
also
aligned
with
this,
that
is,.
B
If
the
provinces
comply
with
having
an
online
appointment
system,,
they
receive
an
incentive
from
the
national
government.
If
they
have
a
clinical
history
with
codification,
they
achieve
it,,
there
are
different
goals
that
one
sets
for
the
provinces
so
that
they
begin
to
charge
these
incentives
in
the
context
of
health
programs
that
have
already
existed
for
a
while,.
B
So
all
those
incentives
were
aligned
to
promote
this
digital
agenda
and
the
truth
that
we
had
to
achieve
this
and
be
confident
that
we
were
going
to
these
incentives
and
we
are
going
to
talk
to
the
provinces
and
we
are
going
to
work
with
them
and
we
are
going
to
have
a
scalable
platform
and
that
it
was
not
going
to
explode
at
first
that
everyone
starts
to
climb
so
a
little.
What
we
are
achieving,
with
openshift
and
working
with
red
hat,
is
to
create
a
platform
that
supports
this
ambition,.
B
This
ambition
to
grow
little
by
little
and
not
say
no
to
anyone.
If
a
province
comes
today
and
tells
me
I
have
300
health
centers
that
I
want
to
upload
to
the
digital
health.
Network,
I
would
be
delighted
to
help
you
do.
It.
I
am
no
longer
afraid
that,
because
300
come
I
will
have
problems
with
the
servers
or
I.
B
I
want
to
be
able
to
say
yes
to
upload
that
those
affiliates
can
go
to
a
public
hospital
on
vacation
and
have
the
information
on
their
results
there
for
the
doctor
to
see
can
attend
well,
and
that
is
the
role
we
see
in
assuring
all
citizens
that
their
information
is
available
when
they
need
it,
and
for
that
we
needed
this
type
of
stability
and
growth
capacity.
Thank
you
very
much.