Caisis is an open source, web-based cancer data management system that integrates research with patient care. The system is freely distributed to promote scientific collaboration, and over the course of the last five years many other institutions have adopted the system. Collaboration with multiple centers has allowed Caisis to develop and evolve in an environment of constant feedback and scrutiny. This environment has shaped the features, usability, and accessibility of Caisis.
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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.