How to Build a Healthcare SaaS Platform?
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[1] https://en.wikipedia.org/wiki/Mobile_enterprise_application_...
Also many players have been in the industry for a long time and it's quite incestuous. I am no systems architect either but the validity of the data at any requested moment is very important so much of the services run in a synchronous environment. In my opinion as much as possible of accounting/scheduling should be async but this is one of the problems the industry is facing i guess.