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Originally founded in 1988 by David L. Oldani , Four-D Software, Inc (Four-D) is an established medical software development company focused on the creation, integration and service of infrastructure products and departmental systems for medical institutions. Four-D currently has seven major medical technology systems in operation, including the recent web-based application, ‘Medatrax', now operational & supporting Nurse Anesthesia Program Administration. Four-D's state-of the-art products employ Oracle, Sybase, and Microsoft SQL Server relational database technologies.