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GT.M

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GT.M is a FOSS (AGPL v3) implementation of M (also known as MUMPS), a combination of a procedural programming language well integrated with a hierarchical key-value database engine. M is widely used in enterprise scale healthcare applications and application suites, such as the VistA implementations. GT.M scales up to very large databases (the largest production sites have aggregate databases to several TB) and thousands of concurrent users.

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