Abstract: A method of facilitating patient care between a maritime vessel movable on a body of water and at least one shoreside medical provider. The method includes upon determination that a patient on board the maritime vessel requires medical attention, determining whether the patient should be referred to or medically disembarked to the at least one shoreside medical provider, identifying a target shoreside medical provider from the at least one shoreside medical provider qualified to care for the patient, and coordinating care of the patient by the identified target shoreside medical provider, the coordination of care including coordinating exchange of any necessary data between the maritime vessel movable on a body of water and at least one of the identified target shoreside medical provider, one or more third party servicers, one or more shoreside vessel management entities, and one or more governing agencies, in order to facilitate care of the patient.

Abstract: The method includes writing data transactions from a local database to a local transaction log file, assigning a bin number to each data transaction, and determining if the assigned bin number changed due to receipt of subsequent data transactions. If the bin number has changed and the data transaction is applicable to each remote database, inserting subsequent data transactions into a local sequence log file and assigning the subsequent data transactions a first sequence number. In response to a request by a remote replicator service, provide access to the first sequence number, and if the first sequence number does not match a second sequence number, providing to the requesting remote replicator service access to the subsequent data transactions, the remote replication service updating a remote database to include the subsequent data transactions if the at least one data transaction is applicable to each of the at least one remote database.

Abstract: A method and system are provided for locally storing data obtained from a plurality of sources, the local communication device being in communication with a local server that is associated with a local network, the local server also associated with an external network, and at least one client terminal device that communicates with the local server over an internal network, the local server synchronizing with a set of at least one or more remote servers over the external network.