When clouds were data repositories and mobile applications were connected by Ethernet cables and not too many people knew what a medical record was aside from transcriptions in the most utilized was called WordPerfect a Company founded by Edward Bukstel created a product called Dr. Chart. Bukstel had an idea for a system design and using boxes in a MSDOS environment to better display diagnosis, procedures, lab results, health maintenance reminders, and create a flow chart that physicians and their staff had done by handwritten notes. Ed Bukstel met Charles Halfpenny at MicroAge in Abington, PA and Halfpenny wanted a shot at programming the new product. Halfpenny began programming designs created by Ed Bukstel in the dining room of Bukstel's small apartment in Elkins Park. Halfpenny spent countless hours learning C++ and Bukstel spent significant time researching Proceedings from SCAMC (Symposium for Computer Applications in Medical Care) SCAMC was later acquired by the group HIMSS. In 1988 a Conference held during Mardi Gras in New Orleans headed by Clem McDonald, MD of The Regenstrief Institute in Indiana, Ed Bukstel, Charles Halfpenny, John Cherekian, Bob Thomas (MetPath now Quest Diagnostics) and a couple of others met with a representative from ASTM discussing the ASTM 1238 record. Representatives from Shared Medical Systems (Harm S) now known as Siemens Health in Malvern PA was also in attendance. I think the first order of business was to never schedule an 8am committee meeting during Mardi Gras.... because a few people stumbled in a bit late. This article which is old but still relevant regarding the problems still faced by integration of multiple "clouds" of data residing in different systems. The system designed by Ed Bukstel was identified as being superior to all other competitors that responded to the RFP for the University of Minnesota including groups such as HP and Medical Logic. The system was the first to communicate with external clinical laboratories at the time including Smithkline (now Quest) and MetPath (now Quest). The design submitted by Ed Bukstel was chosen as superior to other designs and cost effective.